2002
DOI: 10.1086/342953
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Polygenic Control of Human T Lymphotropic Virus Type I (HTLV‐I) Provirus Load and the Risk of HTLV‐I–Associated Myelopathy/Tropical Spastic Paraparesis

Abstract: Human T lymphotropic virus type I (HTLV-I)-associated myelopathy/tropical spastic paraparesis (HAM/TSP) is one outcome of infection with HTLV-I. A population association study of 229 patients with HAM/TSP and 202 healthy carriers of HTLV-I in southern Japan showed that this outcome of HTLV-I infection and the HTLV-I provirus load are under polygenic control. Of 58 polymorphic sites studied in 39 non-HLA candidate gene loci, 3 new host genetic factors that influenced the risk of HAM/TSP or the provirus load of … Show more

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Cited by 81 publications
(79 citation statements)
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“…More importantly, various studies have suggested that host genetic polymorphisms play a critical role in determining the efficacy of an individual immune response to HTLV-1 or HTLV-2 (25,46). Consistently, we detected highly variant serological responses in inoculated rabbits, irrespective of the inoculum.…”
Section: Vol 83 2009supporting
confidence: 86%
“…More importantly, various studies have suggested that host genetic polymorphisms play a critical role in determining the efficacy of an individual immune response to HTLV-1 or HTLV-2 (25,46). Consistently, we detected highly variant serological responses in inoculated rabbits, irrespective of the inoculum.…”
Section: Vol 83 2009supporting
confidence: 86%
“…The high proviral load characteristic of HTLV-1 infection is the strongest correlate of the risk of HTLV-1-inflammatory diseases such as HAM/TSP (20,35). However, the factors that determine an individual's set point of proviral load, which can differ between individuals by Ͼ1000-fold, are not yet understood.…”
Section: Discussionmentioning
confidence: 99%
“…Thus, in a strong CTL responder the net effect of the CD8 ϩ T-cell response is beneficial, while in a weak CTL responder the same cell population can contribute to inflammation and tissue damage. This theoretical model was later supported by new evidence (Vine et al 2002) (figure 2b), which suggested that TNF-α exerts a harmful effect in HTLV-I infection only in individuals whose proviral load exceeds a threshold value.…”
Section: (B) Correlation Between Cd8mentioning
confidence: 71%