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The probes are labeled with digoxigenin and used in an in situ
hybridization procedure with hybridization for 2 hours. After
washing, the tissues are incubated with anti-digoxigenin antibody
conjugated to alkaline phosphatase and the hybridization product
is detected by reaction of the enzyme conjugate with the substrate
5-bromo-4-chloro-3-indolyl phosphate (BCIP) and concomitant
reduction of nitroblue tetrazolium (NBT). Some bizarre, malignant-
appearing astrocytes may stain with the JCV probe. These cells are
infected by JCV in PML. Morphologically, these cells have enlarged
nuclei (25-60 nm), lobulated nuclei, multiple nuclei, nuclear
hyperchromasia with a coarse chromatin pattern, and occasional frank
mitosis. (Aksamit AJ, Mourrain P, Sever JL, Major EO: Progressive
multifocal leukoencephalopathy: investigation of three cases using in
situ hybridization with JC virus biotinylated DNA probe. Ann Neurol
1985;18:490-496)

