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Multiple Sclerosis: Title and subTitle BreakMorphologic Evidence of Intranuclear Paramyxovirus or Altered Chromatin Fibers?

Fritz Lampert, MD; Peter Lampert, MD; La Jolla
Arch Neurol. 1975;32(7):425-427. doi:10.1001/archneur.1975.00490490029001
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Reports of paramyxovirus-like structures in the nuclei of mononuclear cells in lesions of acute multiple selerosis (MS) have received much attention.1-5 The studies demonstrated intranuclear electron-dense strands measuring about 18 to 22 nm in width. The isolation of a paramyxovirus from the brains of patients with MS made the impact of these observations even more pronounced.6,7 Soon, however, the pendulum began swinging in the opposite direction. Identical intranuclear strands were observed in patients with numerous other conditions, including fatal cases of tick-borne encephalitis,8 and in patients treated with anticancer drugs.9 Furthermore, no association of these intranuclear fibers with measles or parainfluenza antigen could be demonstrated by the electron microscopical immunoperoxidase technique.10 There is indeed reason to believe that the peculiar nuclear alterations do not represent viral structures but unusually preserved nucleoproteins. We wish to draw attention to the fact that the normal architecture of a

REFERENCES

Prineas JW:  Paramyxovirus-like particles associated with acute demyelination in chronic relapsing multiple sclerosis . Science 178:760-762, 1972;.
Raine CS, Powers JM, Suzuki I:  Acute multiple sclerosis: Confirmation of "paramyxoviruslike" intranuclear inclusions . Arch Neurol 30:39-46, 1974;.
Lhermitte F:  Etude neuropathologique d'un cas de sclerose en plaques . Rev Neurol 129:3-19, 1973;.
Watanabe I, Okazaki H:  Virus-like structure in multiple sclerosis . Lancet 2:569-570, 1973;.
Tanaka R, Iwasaki Y, Koprowski H:  Unusual intranuclear filaments in multiple sclerosis brain . Lancet 1:1236-1237, 1974;.
ter Meullen V, Koprowski H, Iwasaki Y, et al:  Fusion of cultured multiple sclerosis brain cells with indicator cells: Presence of nucleocapsids and isolation of parainfluenza-type virus . Lancet 2:1-5, 1972;.
Iwasaki Y, Koprowski H, Müller D, et al:  Morphogenesis and structure of a virus in cells cultured from brain tissue from two cases of multiple sclerosis . Lab Invest 28:494-500, 1973;.
Blinzinger K, Anzil AP, Jellinger K:  On socalled "virus-like" intranuclear filaments in brain autopsy material: A reappraisal on hand of two fatal cases of tick-borne encephalitis . Acta Neuropathol 28:69-73, 1974;.
Buja LM, Ferraus VJ, Rabson AS:  Unusual nuclear alterations . Lancet 1:402-403, 1974;.
Dubois-Dalcq M, Schumacher G, Sever JL:  Acute multiple sclerosis: Electron microscopic evidence for and against a viral agent in the plaques . Lancet 2:1408-1411, 1973;.
Anderson TF:  Techniques for the preservation of three-dimensional structure in preparing specimens for the electron microscope . Trans NY Acad Sci 13:130-134, 1951;.
Gall JG:  Chromosome fibers from an interphase nucleus . Science 139:120-121, 1963;.
DuPraw EJ:  The organization of nuclei and chromosomes in honeybee embryonic cells . Proc Natl Acad Sci USA 53:161-168, 1965;.
Lampert F, Lampert P:  Ultrastructure of the human chromosome fiber . Humangenetik 11:9-17, 1970;.
Lampert F:  Attachment of human chromatin fibers to the nuclear membrane, as seen by electron microscopy . Humangenetik 13:285-295, 1971;.
Lampert F:  Coiled supercoiled DNA in critical point dried and thin sectioned human chromosome fibers . Nature 234:187-188, 1971;.
Ris H, Kuboi DF:  Chromosome structure . Ann Rev Genet 4:263-294, 1970;.
Wolfe SL:  The effect of prefixation on the diameter of chromosome fibers isolated by the Langmuir-trough-critical point method . J Cell Biol 37:610-620, 1968;.
Lampert F:  Feinstruktur und Trockengewicht menschlicher Chromosomen: Quantitative Elecktronenmikroskopie . Naturwissenschaften 56:629-633, 1969;.

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Prineas JW:  Paramyxovirus-like particles associated with acute demyelination in chronic relapsing multiple sclerosis . Science 178:760-762, 1972;.
Raine CS, Powers JM, Suzuki I:  Acute multiple sclerosis: Confirmation of "paramyxoviruslike" intranuclear inclusions . Arch Neurol 30:39-46, 1974;.
Lhermitte F:  Etude neuropathologique d'un cas de sclerose en plaques . Rev Neurol 129:3-19, 1973;.
Watanabe I, Okazaki H:  Virus-like structure in multiple sclerosis . Lancet 2:569-570, 1973;.
Tanaka R, Iwasaki Y, Koprowski H:  Unusual intranuclear filaments in multiple sclerosis brain . Lancet 1:1236-1237, 1974;.
ter Meullen V, Koprowski H, Iwasaki Y, et al:  Fusion of cultured multiple sclerosis brain cells with indicator cells: Presence of nucleocapsids and isolation of parainfluenza-type virus . Lancet 2:1-5, 1972;.
Iwasaki Y, Koprowski H, Müller D, et al:  Morphogenesis and structure of a virus in cells cultured from brain tissue from two cases of multiple sclerosis . Lab Invest 28:494-500, 1973;.
Blinzinger K, Anzil AP, Jellinger K:  On socalled "virus-like" intranuclear filaments in brain autopsy material: A reappraisal on hand of two fatal cases of tick-borne encephalitis . Acta Neuropathol 28:69-73, 1974;.
Buja LM, Ferraus VJ, Rabson AS:  Unusual nuclear alterations . Lancet 1:402-403, 1974;.
Dubois-Dalcq M, Schumacher G, Sever JL:  Acute multiple sclerosis: Electron microscopic evidence for and against a viral agent in the plaques . Lancet 2:1408-1411, 1973;.
Anderson TF:  Techniques for the preservation of three-dimensional structure in preparing specimens for the electron microscope . Trans NY Acad Sci 13:130-134, 1951;.
Gall JG:  Chromosome fibers from an interphase nucleus . Science 139:120-121, 1963;.
DuPraw EJ:  The organization of nuclei and chromosomes in honeybee embryonic cells . Proc Natl Acad Sci USA 53:161-168, 1965;.
Lampert F, Lampert P:  Ultrastructure of the human chromosome fiber . Humangenetik 11:9-17, 1970;.
Lampert F:  Attachment of human chromatin fibers to the nuclear membrane, as seen by electron microscopy . Humangenetik 13:285-295, 1971;.
Lampert F:  Coiled supercoiled DNA in critical point dried and thin sectioned human chromosome fibers . Nature 234:187-188, 1971;.
Ris H, Kuboi DF:  Chromosome structure . Ann Rev Genet 4:263-294, 1970;.
Wolfe SL:  The effect of prefixation on the diameter of chromosome fibers isolated by the Langmuir-trough-critical point method . J Cell Biol 37:610-620, 1968;.
Lampert F:  Feinstruktur und Trockengewicht menschlicher Chromosomen: Quantitative Elecktronenmikroskopie . Naturwissenschaften 56:629-633, 1969;.

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