2015
DOI: 10.1016/j.coviro.2015.09.004
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How does HTLV-1 cause adult T-cell leukaemia/lymphoma (ATL)?

Abstract: A typical person infected with the retrovirus human T-lymphotropic virus type 1 (HTLV-1) carries tens of thousands of clones of HTLV-1-infected T lymphocytes, each clone distinguished by a unique integration site of the provirus in the host genome. However, only 5% of infected people develop the malignant disease adult T cell leukaemia/lymphoma, usually more than 50 years after becoming infected. We review the host and viral factors that cause this aggressive disease.

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Cited by 79 publications
(62 citation statements)
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“…HTLV-1 induced leukemogenesis in CD4+ T-cells is mediated by the expression of the viral oncoprotein Tax [6,16,23,[136][137][138][139][140]. Among its many oncogenic functions, Tax induces a potent inflammatory response through activation of the NF-kB pathway.…”
Section: Regulation Of the Expression Of Inducible Nitric Oxide Synthmentioning
confidence: 99%
See 3 more Smart Citations
“…HTLV-1 induced leukemogenesis in CD4+ T-cells is mediated by the expression of the viral oncoprotein Tax [6,16,23,[136][137][138][139][140]. Among its many oncogenic functions, Tax induces a potent inflammatory response through activation of the NF-kB pathway.…”
Section: Regulation Of the Expression Of Inducible Nitric Oxide Synthmentioning
confidence: 99%
“…Among its many oncogenic functions, Tax induces a potent inflammatory response through activation of the NF-kB pathway. Because Tax has an intermittent expression during the early stages of infection and it is rarely measureable during the acute phase of the disease, it is still not clear whether Tax exerts different functions between these two phases of virally-induced tumorigenesis [6,138,141]. In fact, Tax follows the approach of "hit and run", in which it promotes the oncogenic events during the infection course and it hides to prevent its elimination by the immune CTL response.…”
Section: Regulation Of the Expression Of Inducible Nitric Oxide Synthmentioning
confidence: 99%
See 2 more Smart Citations
“…HTLV-1 infection appears to represent the first event of a multistep oncogenic process. 2 After infection, the virus is integrated in the host genome and the viral transactivator protein Tax is expressed and interacts with many cellular pathways that regulate apoptosis, proliferation, and activation, and is involved in DNA repair and epigenetic regulation, resulting in oligoclonal expansions of HTLV-1-infected T cells. Although there is no hotspot of virus integration, experimental data suggest that integration may deregulate host genes involved in the pathophysiology of other leukemia/ lymphomas.…”
mentioning
confidence: 99%