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Updated: Aug 8, 2026

From a 2DE-Gel Spot to Protein Function: Lesson Learned From HS1 in Chronic Lymphocytic Leukemia
Published on: October 19, 2014
[A case of progressive multifocal leucoencephalopathy during chronic lymphocytic leukaemia]
T Nowak-Michalska1, M Barcikowska, E Kida
1Kliniki Neurologicznej II Wydz. Lek. AM, Warszawie.
Abstract:
We report here a case of PML in the course of untreated chronic lymphocytic leukaemia. The diagnosis of PML was based on the presence of typical histologic findings in the white matter: focal demyelination, abnormal oligodendroglia with basophilic intranuclear inclusions and enlarged bizarre astrocytes. It was confirmed by immunohistochemistry which revealed JC papova-virus antigens in brain tissue and by in-situ hybridization which showed JC virus genomic DNA in oligodendroglial nuclei. Virus particles in the nuclei of abnormal oligodendrocytes and astrocytes were demonstrated by thin-section electron-microscopy.
Insights
This case study details Progressive Multifocal Leukoencephalopathy (PML) in untreated chronic lymphocytic leukemia. Diagnosis confirmed JC virus in brain tissue, highlighting a rare complication.
Area of Science:
- Neurology
- Infectious Diseases
- Oncology
Background:
- Chronic lymphocytic leukemia (CLL) is a common hematologic malignancy.
- Progressive Multifocal Leukoencephalopathy (PML) is a rare, opportunistic demyelinating disease.
- PML is caused by the JC polyomavirus (JCV).
Observation:
- A case of PML was observed in a patient with untreated CLL.
- Histological examination revealed focal demyelination, abnormal oligodendroglia with intranuclear inclusions, and bizarre astrocytes in the white matter.
- Electron microscopy identified JC virus particles within the nuclei of abnormal oligodendrocytes and astrocytes.
Findings:
- Immunohistochemistry confirmed the presence of JC virus antigens in brain tissue.
- In-situ hybridization detected JC virus genomic DNA in oligodendroglial nuclei.
- These findings established the diagnosis of PML in the context of CLL.
Implications:
- This case underscores the importance of considering PML in immunocompromised patients, including those with CLL.
- Early diagnosis and understanding of JCV pathogenesis are crucial for managing neurological complications in leukemia patients.
- Further research may elucidate the specific mechanisms linking untreated CLL to increased PML risk.
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