Background: Human T-lymphotropic virus type 1 (HTLV-1) is a main member of type C retrovirus. This virus was first isolated from cutaneous T-cell lymphoma cases. Among all infected individuals, only 5% of cases progress to acute form, and 4% of them to chronic form. Nevertheless, about 90% of patients remain asymptomatic. Adult T cell leukaemia/lymphoma (ATLL) and HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP) are accounted as acute and chronic forms of disease respectively.Methods: The gene expression profile of CD4+ T cells in four groups, healthy donors, asymptomatic HTLV-1 carriers (ACs), HAM/TSP (HTLV-1-associated myelopathy/tropical spastic paraparesis), and ATLL (Adult T-cell leukemia/lymphoma) based on GPL9686 platform was evaluated. Results: According to Gene enrichment analysis, it was determined that hub genes in present study are able effect on various pathways such as apoptosis, proliferation and T cell activation, Ras signaling pathway, integrin signaling pathway, P53 signaling pathway, CCKR, TLR, FGF, DNA Damage, MAPK signaling, integrated cancer, Caspase, NF-κB, BCL-2 family, survival complex, breast cancer, Pancreatic cancer.Conclusions: Overall, based on scientific results in the present study, it seems the immune system via stimulation of biological processes such as cell survival, proliferation, CTLs exhaustion, and apoptosis concomitant, caused immortalization of HTLV-1 infected CD4+ T cells.