Journal of NeuroVirology

, Volume 9, Supplement 1, pp 38–41

Progressive multifocal leukoencephalopathy in acquired immunodeficiency syndrome: Explaining the high incidence and disproportionate frequency of the illness relative to other immunosuppressive conditions


DOI: 10.1080/13550280390195261

Cite this article as:
Berger, J.R. Journal of NeuroVirology (2003) 9(Suppl 1): 38. doi:10.1080/13550280390195261


In the era of the AIDS pandemic, progressive multifocal leukoencephalopathy (PML) has ceased being a rare disease. Prevalence estimates from clinical and pathological series suggest that up to 5% of all HIV-infected persons will develop PML. The extraordinary frequency with which PML attends HIV infection vastly exceeds its appearance in association with other predisposing conditions and has resulted in it no longer being considered a rare disorder. Why PML appears to be far more common with AIDS than with other underlying immunosuppressive conditions remains unexplained. Potential explanations include an alteration of the CNS milieu by HIV facilitating JC viral entry into the brain and activation of the JCV by HIV proteins, e.g., tat, and by inflammatory byproducts of HIV infection. It is quite likely that multiple diverse mechanisms are at play.


AIDS brain demyelination HIV progressive multifocal leukoencephalopathy (PML) 

Copyright information

© Journal of NeuroVirology, Inc. 2003

Authors and Affiliations

  1. 1.Department of NeurologyUniversity of Kentucky College of Medicine, Kentucky Clinic L-445LexingtonUSA

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