Human T cell leukemia virus type 1 (HTLV-1)3 is the causative agent of an array of pathologic abnormalities, including the lymphoproliferative disease, adult T cell leukemia (ATL), and the neurologic disorder HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP) (reviewed in Ref. 1). Among the proteins encoded by the viral genome, Tax has been identified as a key player in HTLV-1-induced pathogenesis. Functioning as a transcriptional trans-activator, Tax is known to aberrantly regulate cellular genes, prompting the genesis of ATL by interacting with a host of cellular transcription factors and signaling molecules to enhance or repress cellular gene expression (2-4). Tax affects the expression of several factors that may contribute to cellular transformation, including altered regulation of several cytokines and receptors involved in T cell growth and proliferation, such as granulocyte/macrophage colony-stimulating factor, TNF-␣, IL-15, IL-2, and IL-2R␣ (5-7). In addition, in vivo studies have demonstrated that transgenic mice expressing Tax develop a variety of cancers, including neurofibrosarcomas and large granular lymphocytic leukemias, depending on the promoter driving expression of the tax gene (8, 9).Tax has been described as an intracellular protein localizing to the nucleus by virtue of an amino-terminal nuclear localization signal (10) and has also been shown to shuttle between the nucleus and cytoplasm (11), suggesting that cytoplasmic Tax serves additional roles (reviewed in Ref. 12). Supporting this hypothesis, we previously demonstrated that Tax contains a leucine-rich nuclear export signal between amino acids 188 and 202 that facilitates its export from the nucleus to the cytoplasm (13). Tax may localize to the cytoplasm as an intermediary step during the course of its release from HTLV-1-infected cells, as demonstrated by its presence in cytoplasmic secretory-like vesicles (14). Upon its release, secreted Tax may function as an extracellular cytokine. 3 The abbreviations used are: HTLV-1, human T cell leukemia virus type 1; ATL, adult T cell leukemia; HTLV-1-associated myelopathy/tropical spastic para-