Human T-cell lymphotrophic virus type 1 (HTLV-1) is the causative agent of the aggressive, usually fatal adult T-cell leukemia (see references 22, 23, 48 and 86 and references therein). Recent reports have linked HTLV-1 with additional and clinically diverse human diseases (31,46,53,59,63,65). The best characterized of these is a progressive demyelinating syndrome termed HTLV-1-associated myelopathy (HAM) or tropical spastic paraparesis (TSP) (see references 22, 23, 48, and 86 and references therein). Because of the long incubation period between viral exposure and disease onset, the mechanism of HTLV-1 pathogenesis is still unclear. It is clear that host cell control of HTLV-1 replication is a primary determinant of virus expression and subsequent disease. Studies on the variation of viral sequences among different infected groups have not revealed any particular determinant which distinguishes onset of a particular HTLV-1 associated disease (18,44,60,74,87,88).In vitro, HTLV-1 has been shown to activate and immortalize human T lymphocytes, resulting in the polyclonal proliferation of infected cells and subsequent oligoclonal or monoclonal growth (26, 43). HTLV-1 contains no known cellular protooncogene, and because there is no preferential site of integration among infected individuals, it is unlikely that insertional mutagenesis is responsible for viral transformation. Several lines of evidence suggest that the viral transcriptional activator Tax contributes to the development of disease (23,28,29,82).Tax, which is essential for viral replication (22,23,48,86), has recently been shown to transform established rodent fibroblasts to anchorage-independent growth (77, 82, 85). Moreover, Tax can transform primary rat embryo fibroblasts in cooperation with activated ras (67) as well as immortalize normal human T lymphocytes when expressed from a herpes simplex virus-based vector (28,29). Finally, transgenic mice carrying the Tax gene frequently develop mesenchymal tumors and neurofibromas (34, 62). These findings suggest that Tax plays a critical role in HTLV-1-associated leukemogenesis.Tax is believed to exert its effect by stimulating viral gene expression and by deregulating expression of cellular genes (22,23,48,86). Tax has been shown to activate transcription of a number of cellular genes involved in cell proliferation, such as those for interleukin-3 (IL-3), IL-2, the IL-2 receptor, granulocyte-macrophage colony-stimulating factor, c-Fos, c-Jun, parathyroid-related protein, and the major histocompatibility complex (MHC) class I (see references 22, 23, 48, and 86 and references therein). The aberrant expression of these growthrelated genes has been implicated in contributing to the establishment of HTLV-1-associated pathogenesis. While Tax does not bind DNA directly, it appears to stimulate RNA synthesis through protein-protein interactions with host cell transcription factors. The most well studied of these interactions is with the ATF/CREB family of transcription factors, which bind to cyclic AMP-responsive...