PMID- 11520801 OWN - NLM STAT- MEDLINE DCOM- 20011004 LR - 20220228 IS - 0006-4971 (Print) IS - 0006-4971 (Linking) VI - 98 IP - 5 DP - 2001 Sep 1 TI - In vitro spontaneous lymphoproliferation in patients with human T-cell lymphotropic virus type I-associated neurologic disease: predominant expansion of CD8+ T cells. PG - 1506-11 AB - Peripheral blood mononuclear cells (PBMCs) from patients with human T-cell lymphotropic virus type I (HTLV-I)-associated myelopathy/tropical spastic paraparesis (HAM/TSP) proliferate spontaneously in vitro. This spontaneous lymphoproliferation (SP) is one of the immunologic hallmarks of HAM/TSP and is considered to be an important factor related to the pathogenesis of HAM/TSP. However, the cell populations involved in this phenomenon have not yet been definitively identified. To address this issue, the study directly evaluated proliferating cell subsets in SP with a flow cytometric method using bromodeoxyuridine and Ki-67. Although both CD4+ and CD8+ T cells proliferated spontaneously, the percentage of proliferating CD8+ T cells was 2 to 5 times higher than that of CD4+ T cells. In addition, more than 40% of HTLV-I Tax11-19-specific CD8+ T cells as detected by an HLA-A*0201/Tax11-19 tetramer proliferated in culture. In spite of this expansion of HTLV-I-specific CD8+ T cells, HTLV-I proviral load did not decrease. This finding will help elucidate the dynamics of in vivo virus-host immunologic interactions that permit the coexistence of high HTLV-I-specific CD8+ cytotoxic T-lymphocyte responses and high HTLV-I proviral load in HAM/TSP. FAU - Sakai, J A AU - Sakai JA AD - Viral Immunology Section, Neuroimmunology Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, USA. FAU - Nagai, M AU - Nagai M FAU - Brennan, M B AU - Brennan MB FAU - Mora, C A AU - Mora CA FAU - Jacobson, S AU - Jacobson S LA - eng PT - Journal Article PL - United States TA - Blood JT - Blood JID - 7603509 RN - 0 (DNA, Viral) RN - 0 (Gene Products, tax) RN - 0 (HLA Antigens) SB - IM MH - Adult MH - CD4-Positive T-Lymphocytes/pathology MH - CD8-Positive T-Lymphocytes/immunology/*pathology MH - Cell Division MH - Cells, Cultured MH - DNA Replication MH - DNA, Viral/isolation & purification MH - Female MH - Gene Products, tax/immunology MH - HLA Antigens/analysis MH - Human T-lymphotropic virus 1/immunology MH - Humans MH - *Lymphocyte Activation MH - Lymphoproliferative Disorders/*etiology/pathology MH - Male MH - Middle Aged MH - Paraparesis, Tropical Spastic/*complications MH - Polymerase Chain Reaction MH - Proviruses/isolation & purification EDAT- 2001/08/25 10:00 MHDA- 2001/10/05 10:01 CRDT- 2001/08/25 10:00 PHST- 2001/08/25 10:00 [pubmed] PHST- 2001/10/05 10:01 [medline] PHST- 2001/08/25 10:00 [entrez] AID - S0006-4971(20)61424-0 [pii] AID - 10.1182/blood.v98.5.1506 [doi] PST - ppublish SO - Blood. 2001 Sep 1;98(5):1506-11. doi: 10.1182/blood.v98.5.1506.