Human T-cell leukemia virus type 1 (HTLV-1) is the causative agent of adult T-cell leukemia/lymphoma and is transmitted vertically via breast milk and horizontally via semen in areas of endemicity (reviewed in references 11 and 45). Breast milk contains a number of cells (e.g., neutrophils, macrophages, and lymphocytes), as well as a wide variety of bioactive factors, that exert antimicrobial activity (reviewed in reference 9). Lactoferrin is a major milk protein that acts as a nonspecific antimicrobial agent against pathogenic bacteria, fungi, and other viruses (including human immunodeficiency virus [HIV], herpes simplex virus, cytomegalovirus, and rotavirus) (reviewed in reference 43). A major source of lactoferrin in breast milk has not been determined; however, neutrophils have been shown to be major producers of lactoferrin (18) and to exist in large quantities in breast milk (9). Mucosal epithelial cells are also thought to be a source of lactoferrin in body fluids, including breast milk. Lactoferrin is also released from neutrophils in inflammatory sites, where lymphocytes, the major target of HTLV-1, are recruited (18). We have previously demonstrated that lactoferrin enhances HTLV-1 replication and transmission, at least in part, by upregulating the HTLV-1 long terminal repeat (LTR) promoter (29). Although lactoferrin exerts its antiviral activity by inhibiting viral entry into cells, lactoferrin appears to have little effect on cell-to-cell spread of HTLV-1, a highly cell-associated virus. Such a "smart" strategy, which utilizes a host antimicrobial factor for its replication and transmission, might have been established through a long period of coevolution between humans and HTLV-1.In the present study, we show that HTLV-1 infection can induce expression of lactoferrin. While mammary epithelial cells have previously been shown to support and transfer productive HTLV-1 infection in vitro (19), HTLV-1 is not able to efficiently replicate in myeloid cells. However, HTLV-1 infection could induce expression of lactoferrin mRNA in those cells in a paracrine manner, where a soluble form of the Tax transactivator appears to play a role. Tax has been shown to be released from infected cells and to exert biological activity in neighboring uninfected cells (1, 5, 6, 20-23, 26, 38). Tax transactivates the lactoferrin gene promoter in both myeloid and mammary epithelial cells. Therefore, it is possible that Tax released from HTLV-1-infected T cells contributes to lactoferrin production by stimulating neighboring cells. Such mutual interaction between HTLV-1 and lactoferrin has implications for milk-borne transmission of HTLV-1.
MATERIALS AND METHODSCells. HL-60 cells were grown in RPMI 1640 medium with 10% fetal bovine serum and induced for differentiation to the metamyelocyte stage or beyond by adding dimethyl sulfoxide (DMSO) to 1.25% for 5 days until Ͼ90% of the cells reduced nitroblue tetrazolium dye (data not shown). MCF-7 cells were grown in RPMI 1640 with 10% fetal bovine serum. HTLV-1-infected MT-2 cells ...