PMID- 18509087 OWN - NLM STAT- MEDLINE DCOM- 20081030 LR - 20211020 IS - 1528-0020 (Electronic) IS - 0006-4971 (Print) IS - 0006-4971 (Linking) VI - 112 IP - 6 DP - 2008 Sep 15 TI - Retrovirally induced CTL degranulation mediated by IL-15 expression and infection of mononuclear phagocytes in patients with HTLV-I-associated neurologic disease. PG - 2400-10 LID - 10.1182/blood-2008-02-138529 [doi] AB - CD8(+) T cells contribute to central nervous system inflammation in human T-cell lymphotropic virus type I (HTLV-I)-associated myelopathy/tropical spastic paraparesis (HAM/TSP). We analyzed CD8(+) T-cell dysfunction (degranulation and IFN-gamma production) and have demonstrated that CD8(+) T cells of patients with HAM/TSP (HAM/TSP patients) spontaneously degranulate and express IFN-gamma in ex vivo unstimulated culture. CD8(+) T cells of HTLV-I asymptomatic carriers and healthy donors did not. Spontaneous degranulation was detected in Tax11-19/HLA-A*201 tetramer(+) cells, but not in CMV pp65 tetramer(+) cells. Interestingly, degranulation and IFN-gamma production in CD8(+) T cells was induced by coculture with autologous CD14(+) cells, but not CD4(+) T cells, of HAM/TSP patients, which correlated with proviral DNA load in CD14(+) cells of infected patients. Moreover, the expression of IL-15, which induced degranulation and IFN-gamma production in infected patients, was enhanced on surface of CD14(+) cells in HAM/TSP patients. Blockade of MHC class I and IL-15 confirmed these results. Thus, CD8(+) T-cell dysregulation was mediated by both virus infection and enhanced IL-15 on CD14(+) cells in HAM/TSP patients. Despite lower viral expression than in CD4(+) T cells, HTLV-I-infected or -activated CD14(+) cells may be a heretofore important but under recognized reservoir particularly in HAM/TSP patients. FAU - Enose-Akahata, Yoshimi AU - Enose-Akahata Y AD - Viral Immunology Section, Neuroimmunology Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD 20892, USA. FAU - Oh, Unsong AU - Oh U FAU - Grant, Christian AU - Grant C FAU - Jacobson, Steven AU - Jacobson S LA - eng GR - Intramural NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Intramural DEP - 20080528 PL - United States TA - Blood JT - Blood JID - 7603509 RN - 0 (Interleukin-15) RN - 0 (Lipopolysaccharide Receptors) RN - 82115-62-6 (Interferon-gamma) SB - IM MH - CD8-Positive T-Lymphocytes/virology MH - *Cell Degranulation MH - Coculture Techniques MH - Gene Expression/immunology MH - HTLV-I Infections MH - Human T-lymphotropic virus 1/*pathogenicity MH - Humans MH - Interferon-gamma/genetics MH - Interleukin-15/*genetics MH - Lipopolysaccharide Receptors/analysis MH - Paraparesis, Tropical Spastic/*virology MH - Phagocytes/*virology MH - T-Lymphocytes, Cytotoxic/*virology PMC - PMC2532810 EDAT- 2008/05/30 09:00 MHDA- 2008/10/31 09:00 PMCR- 2009/09/15 CRDT- 2008/05/30 09:00 PHST- 2008/05/30 09:00 [pubmed] PHST- 2008/10/31 09:00 [medline] PHST- 2008/05/30 09:00 [entrez] PHST- 2009/09/15 00:00 [pmc-release] AID - S0006-4971(20)59863-7 [pii] AID - 2008/138529 [pii] AID - 10.1182/blood-2008-02-138529 [doi] PST - ppublish SO - Blood. 2008 Sep 15;112(6):2400-10. doi: 10.1182/blood-2008-02-138529. Epub 2008 May 28.