2015
DOI: 10.1159/000371766
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High IFN-γ/IL-10 Expression Ratio and Increased Frequency of Persistent Human T-Cell Lymphotropic Virus Type 1-Infected Clones Are Associated with Human T-Cell Lymphotropic Virus Type 1-Associated Myelopathy/Tropical Spastic Paraparesis Development

Abstract: Background/Aims: Human T-cell lymphotropic virus type 1 (HTLV-1) is a retrovirus that causes a persistent infection, and only 0.5-5% of infected individuals will develop HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP). Therefore, we investigated parameters to discriminate HTLV-1 asymptomatic carriers (ACs) with an increased chance to develop HAM/TSP. Methods: We evaluated integration patterns of HTLV-1 provirus, the relative expression of HTLV-1 tax and HBZ mRNAs and of IFN-γ and IL-10 mRNA… Show more

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Cited by 19 publications
(19 citation statements)
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“…Dysregulation of the immune cytokine networks in the HAM/TSP and ATLL patients, is characterized by an exacerbated expression of the pro-inflammatory or immunosuppressive cytokines, respectively, which have detrimental effects on overall immune responses. In addition to the elevated levels of these cytokines in the fluids of patients, it is more likely that direct dysregulations of the balance between functionally opposite cytokines, such as IFN-γ/IL-10 balance, contributes to the pathogenesis [96,149]. A complex network of cytokines could first generate a microenvironment, advantageous to the persistence of the HTLV-1-infected cells and, then, could contribute to the HTLV-1-induced diseases development.…”
Section: Discussionmentioning
confidence: 99%
“…Dysregulation of the immune cytokine networks in the HAM/TSP and ATLL patients, is characterized by an exacerbated expression of the pro-inflammatory or immunosuppressive cytokines, respectively, which have detrimental effects on overall immune responses. In addition to the elevated levels of these cytokines in the fluids of patients, it is more likely that direct dysregulations of the balance between functionally opposite cytokines, such as IFN-γ/IL-10 balance, contributes to the pathogenesis [96,149]. A complex network of cytokines could first generate a microenvironment, advantageous to the persistence of the HTLV-1-infected cells and, then, could contribute to the HTLV-1-induced diseases development.…”
Section: Discussionmentioning
confidence: 99%
“…HTLV‐1 is a persistent infection, with 2–5% of infected individuals going on to contract two main diseases: ATLL and HAM/TSP [Espíndola et al, ]. Accordingly, most HTLV‐1‐infected individuals remain asymptomatic carriers [Silva et al, ].…”
Section: Discussionmentioning
confidence: 99%
“…The host's immune response against HTLV‐1‐infected T‐cells is induced by CTLs in the central nervous system, resulting in the production of Th1 cytokines such as IFN γ, IL‐2, and TNF‐α by activated cells, which leads to the destruction of neurons [Espíndola et al, ]. Expression of pro‐inflammatory IFN γ is intensified in HAM/TSP patients and ACs compared to healthy people [Menezes et al, ].…”
Section: Discussionmentioning
confidence: 99%
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“…These were IL-4/IFN-␥ (indicator of Th2/Th1 balance) and IL-4/TNF-␣ (indicator of Th2 response/proinflammatory innate immune response). This approach has been extensively used in previous studies to determine the balance between anti-inflammatory and proinflammatory responses triggered by different stimuli (47)(48)(49). IL-4 was primarily considered as anti-inflammatory cytokine instead of IL-10 since IL-10 production is under the control of IL-4 (50-52).…”
Section: Methodsmentioning
confidence: 99%