PMID- 12930367 OWN - NLM STAT- MEDLINE DCOM- 20031014 LR - 20190513 IS - 0009-9104 (Print) IS - 1365-2249 (Electronic) IS - 0009-9104 (Linking) VI - 133 IP - 3 DP - 2003 Sep TI - Influence of human T lymphotrophic virus type I on cryptogenic fibrosing alveolitis - HTLV-I associated fibrosing alveolitis: proposal of a new clinical entity. PG - 397-403 AB - Human T lymphotrophic virus type-I (HTLV-I), a human retrovirus, infects CD4+ lymphocytes and is thought to modify their function; a possible association with pulmonary diseases has also been suggested. However, little is known about the influence of HTLV-I on cryptogenic fibrosing alveolitis (CFA), a chronic inflammatory interstitial lung disease of unknown aetiology. In order to clarify the influence of HTLV-I infection on CFA, 72 CFA patients with and without HTLV-I infection were examined. HTLV-I positive CFA patients were likely to have larger affected areas and to show traction bronchiectasis with honeycombing change. An imbalance of matrix metalloproteinases and tissue inhibitor of metalloproteinases were also observed in the BALF of HTLV-I positive CFA patients. CD3+/CD25+ lymphocyte percentage was significantly higher in the BALF of HTLV-I positive patients compared to negative patients. MIP-1alpha, IP-10 and sICAM levels in BALF were also significantly higher in HTLV-I positive patients than in negative patients. The levels of MCP-1 and IL-8 were not significantly different. In HTLV-I positive patients, the MIP-1alpha and IP-10 levels showed a significant positive correlation with percentage of CD3+/CD25 lymphocytes. HTLV-I positive CFA patients showed a larger lesion than negative patients and exhibited increased levels of certain cytokines that correlated with activated T cells in the BALF. We suggest that HTLV-I infection may contribute to the development of CFA via activation of T cells. We also propose that these features should be taken into consideration in the treatment of CFA in HTLV-I infected individuals. FAU - Matsuyama, W AU - Matsuyama W AD - Third Department of Internal Medicine, Kagoshima University Faculty of Medicine, Kagoshima, Japan. vega@xa2.so-net.ne.jp FAU - Kawabata, M AU - Kawabata M FAU - Mizoguchi, A AU - Mizoguchi A FAU - Iwami, F AU - Iwami F FAU - Wakimoto, J AU - Wakimoto J FAU - Osame, M AU - Osame M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Clin Exp Immunol JT - Clinical and experimental immunology JID - 0057202 RN - 0 (CD3 Complex) RN - 0 (Cell Adhesion Molecules) RN - 0 (Chemokine CCL3) RN - 0 (Chemokine CCL4) RN - 0 (Chemokine CXCL10) RN - 0 (HTLV-I Antibodies) RN - 0 (Macrophage Inflammatory Proteins) RN - 0 (Receptors, Interleukin-2) RN - 0 (Tissue Inhibitor of Metalloproteinases) RN - EC 3.4.24.- (Matrix Metalloproteinases) SB - IM MH - Adult MH - Aged MH - Analysis of Variance MH - Bronchoalveolar Lavage Fluid/chemistry MH - CD3 Complex/analysis MH - Case-Control Studies MH - Cell Adhesion Molecules/analysis MH - Chemokine CCL3 MH - Chemokine CCL4 MH - Chemokine CXCL10 MH - Chi-Square Distribution MH - HTLV-I Antibodies/blood MH - HTLV-I Infections/*complications/immunology/pathology MH - *Human T-lymphotropic virus 1 MH - Humans MH - Lung/immunology/pathology MH - Lymphocyte Activation MH - Macrophage Inflammatory Proteins/analysis MH - Matrix Metalloproteinases/analysis MH - Middle Aged MH - Prevalence MH - Pulmonary Fibrosis/immunology/pathology/*virology MH - Receptors, Interleukin-2/analysis MH - Retrospective Studies MH - T-Lymphocytes/immunology MH - Tissue Inhibitor of Metalloproteinases/analysis PMC - PMC1808791 EDAT- 2003/08/22 05:00 MHDA- 2003/10/15 05:00 PMCR- 2004/09/01 CRDT- 2003/08/22 05:00 PHST- 2003/08/22 05:00 [pubmed] PHST- 2003/10/15 05:00 [medline] PHST- 2003/08/22 05:00 [entrez] PHST- 2004/09/01 00:00 [pmc-release] AID - 2240 [pii] AID - 10.1046/j.1365-2249.2003.02240.x [doi] PST - ppublish SO - Clin Exp Immunol. 2003 Sep;133(3):397-403. doi: 10.1046/j.1365-2249.2003.02240.x.