1989
DOI: 10.1002/ana.410260304
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Increased replication of HTLV‐I in HTLV‐I–associated myelopathy

Abstract: To estimate the replication of the human T-cell leukemia virus type I (HTLV-I) in patients with HTLV-I-associated myelopathy (HAM), or tropical spastic paraparesis (TSP), HTLV-I DNA integrated into lymphocyte genomes was analyzed by Southern blot hybridization. HTLV-I DNA was detected in 125 (82%) of 153 patients and most showed random integration. This incidence was much higher than the 29% found in asymptomatic carriers. Therefore, HAM/TSP development is associated with a high level of HTLV-I replication. In… Show more

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Cited by 162 publications
(81 citation statements)
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“…23 On the other hand, naive T cells in CD4 ϩ and CD8 ϩ subpopulations were markedly decreased in these patients (Figures 1 and 2). In HTLV-I carriers, and patients with HAM/TSP, who are known to have high provirus loads, 24 naive T lymphocytes were also decreased, similar to patients with ATL although the extent of such decrease was milder. These findings indicate that HTLV-I-infected individuals have a low proportion of naive T lymphocytes and high memory T lymphocytes.…”
Section: Flow Cytometric Analysis Of T Lymphocytes In Htlv-i-infectedmentioning
confidence: 90%
“…23 On the other hand, naive T cells in CD4 ϩ and CD8 ϩ subpopulations were markedly decreased in these patients (Figures 1 and 2). In HTLV-I carriers, and patients with HAM/TSP, who are known to have high provirus loads, 24 naive T lymphocytes were also decreased, similar to patients with ATL although the extent of such decrease was milder. These findings indicate that HTLV-I-infected individuals have a low proportion of naive T lymphocytes and high memory T lymphocytes.…”
Section: Flow Cytometric Analysis Of T Lymphocytes In Htlv-i-infectedmentioning
confidence: 90%
“…[39][40][41][42] Monoclonal proliferation of the HTLV-1-infected cells has been shown to occur in coinfected patients but not in asymptomatic HTLV-1 carriers who do not have strongyloidiasis. 43,44 Furthermore, the results of a recent study have shown that the Strongyloides antigen is implicated in T-cell proliferation and ultimately accelerates leukemogenesis. 37 Successful treatment of strongyloidiasis may reverse clonal expansion by decreasing the HTLV-1 proviral load.…”
Section: Risk Factors For Disseminationmentioning
confidence: 99%
“…It has been previously demonstrated that the replication of HTLV-I is increased in HAM/TSP patients as compared with asymptomatic HTLV-I carriers (10,11). However, this is not yet conclusive and the mechanisms of HAM/TSP development still continue to elude us.…”
mentioning
confidence: 99%