Human T-cell leukemia virus type 1 (HTLV-1) is the etiologic agent of adult T-cell leukemia (ATL).1,2) ATL is characterized by malignant lympho-proliferation of mature activated T cells, predominantly CD4-positive T cells. This proliferation develops after a long period of latency following HTLV-1 infection. It is currently estimated that there are about twenty million HTLV-1 carriers worldwide. Of these, around 5% are at risk for ATL onset, and it has been reported that the incidence of ATL has been increasing. Epidemiological studies have indicated strongly that an increased HTLV-1 virus load is an important factor in ATL onset, although the detailed mechanisms of ATL onset are unknown. Therefore, an ideal anti-ATL agent would have both a growth inhibitory effect on ATL cells and an inhibitory effect on transmission of HTLV-1-infected cells. As 2 O 3 show promising results in the treatment of patients with ATL in combination with interferon (IFN)-a. [3][4][5][6][7][8] Although As 2 O 3 -induced apoptosis is thought to play a major role in its observed therapeutic growth inhibitory effects in treating ATL 9,10) the effects of As 2 O 3 on HTLV-1 infection/transmission have not been reported.HTLV-1 can be distinguished from all other retroviruses on the basis of the infection process: it is transmitted almost exclusively via cell-to-cell contact and cell-to-cell fusion (also termed syncytium formation), and the free viral particle is very poorly infectious.11) The HTLV-1 envelope glycoprotein is synthesized as a 61-kDa precursor that is cleaved into cellsurface (gp46) and transmembrane (gp21) proteins 12,13) and the gp46 product is thought to play an important role as the virus attachment protein. HTLV-1 can induce syncytium formation between infected cells and certain uninfected cell types 14,15) but this process can be blocked by antibodies against the gp46 protein or against gp46-derived peptides. 16,17) Thus, gp46 is a key protein for HTLV-1 transmission via syncytium formation, which is a critical process for HTLV-1 transmission via cell-to-cell contact.In the present study, we reveal that HTLV-1-induced syncytium formation can be blocked by As 2 O 3 treatment. Western blot analysis indicated that gp46 was down-regulated by As 2 O 3 treatment. Our results suggest that As 2 O 3 can prevent the HTLV-1 transmission by reducing levels of gp46, in addition to its therapeutic effect on ATL by promoting apoptosis. These results suggested that As 2 O 3 may open new avenues for treating HTLV-1-related diseases, including ATL.
MATERIALS AND METHODS
Cell CultureThe HTLV-1-infected cell line MT-2 (a kind gift from Hayashibara Biochemical Laboratories, Inc.) was grown in RPMI-1640 (Wako Pure Chemical Industries, Ltd., Osaka, Japan) supplemented with 10% heat-inactivated fetal calf serum and 1% Antibiotic-Antimycotic Mix stock solution (Nacalai Tesque, Osaka, Japan) in a humidified atmosphere of 95% air/5% CO 2 , at 37°C. A HeLa cell line was maintained in minimum essential medium (MEM-a; Wako) supplemented with 10% heat-...