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Updated: Aug 29, 2026

Scoring Central Nervous System Inflammation, Demyelination, and Axon Injury in Experimental Autoimmune Encephalomyelitis
Published on: February 23, 2024
A comparative pathological study on canine necrotizing meningoencephalitis and granulomatous meningoencephalomyelitis
Mari Suzuki1, Kazuyuki Uchida, Motoji Morozumi
1Department of Veterinary Pathology, Faculty of Agriculture, Miyazaki University, Miyazaki, Japan.
Abstract:
Canine necrotizing meningoencephalitis (NME) and granulomatous meningoencephalomyelitis (GME) were compared pathologically. Gross observation exhibited lateral ventricular dilation and discoloration, malacia and/or cavitation of the cerebrum in NME. On the contrary, gross changes were milder in GME, except for occasional visible granulomatous mass formation. Histopathologically, the lesions of NME were distributed predominantly in the cerebral cortex and various degrees of inflammatory and necrotic changes were observed according to clinical stages. Besides, microscopic lesions of GME were mainly distributed in the white matter of the cerebrum, cerebellum and brainstem, which are characterized by perivascular cuffing, multiple granulomas and leptomeningeal infiltrates. Although macrophages and lymphocytes were predominant in the inflammatory lesions of both disorders, macrophages in GME transformed into epithelioid cells and exhibited more massive infiltration. Although lectin RCA-1-reactive cells were numerous in both disorders, lysozyme immunoreactive cells in NME were fewer than that in GME. Parenchymal infiltration of MAC387-positive cells was common in GME and limited in NME. The number of CD3-positive lymphocytes in the GME lesions tended to be greater than in NME, though the difference was not statistically significant. Morphological and immunohistochemical differences of the lesions, in particular, the characteristics of infiltrative macrophages may reflect these different pathogeneses of the two disorders.
Insights
Canine necrotizing meningoencephalitis (NME) and granulomatous meningoencephalomyelitis (GME) exhibit distinct pathological features and inflammatory cell profiles. Macrophage characteristics and distribution differ significantly, suggesting unique pathogeneses for these canine neurological disorders.
Area of Science:
- Veterinary Pathology
- Canine Neurology
- Immunohistochemistry
Background:
- Canine necrotizing meningoencephalitis (NME) and granulomatous meningoencephalomyelitis (GME) are inflammatory central nervous system diseases in dogs.
- Distinguishing between NME and GME is crucial for understanding their distinct pathological processes and potential treatments.
Purpose of the Study:
- To compare the pathological and immunohistochemical features of canine necrotizing meningoencephalitis (NME) and granulomatous meningoencephalomyelitis (GME).
- To identify key differences in lesion distribution, cellular infiltration, and macrophage characteristics between NME and GME.
Main Methods:
- Gross pathological examination of canine brains affected by NME and GME.
- Histopathological analysis of lesion distribution and inflammatory cell types.
- Immunohistochemical staining for specific cell markers (RCA-1, lysozyme, MAC387, CD3).
Main Results:
- NME lesions predominantly affected the cerebral cortex with necrosis, while GME showed milder gross changes and granuloma formation, mainly in white matter.
- GME exhibited more extensive infiltration of epithelioid macrophages and MAC387-positive cells compared to NME.
- While both disorders had abundant RCA-1-reactive cells, NME had fewer lysozyme-positive cells than GME. CD3-positive lymphocytes were slightly more numerous in GME.
Conclusions:
- Morphological and immunohistochemical differences, particularly in macrophage infiltration and transformation, highlight distinct pathogeneses for canine NME and GME.
- These findings aid in differentiating NME from GME and provide insights into their underlying disease mechanisms.
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