PMID- 19438598 OWN - NLM STAT- MEDLINE DCOM- 20090617 LR - 20211020 IS - 1365-2249 (Electronic) IS - 0009-9104 (Print) IS - 0009-9104 (Linking) VI - 156 IP - 3 DP - 2009 Jun TI - Infective dermatitis has similar immunological features to human T lymphotropic virus-type 1-associated myelopathy/tropical spastic paraparesis. PG - 455-62 LID - 10.1111/j.1365-2249.2008.03869.x [doi] AB - Human T lymphotropic virus-type 1 (HTLV-1) is the causal agent of the HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP), adult T cell leukaemia/lymphoma and infective dermatitis associated with HTLV-1 (IDH). Over-production of proinflammatory cytokines and an increase in HTLV-1 proviral load are features of HAM/TSP, but the immunological basis of IDH has not been established. In addition to severe cutaneous manifestations, the importance of IDH relies on the observation that up to 30% of children with IDH develop HAM/TSP in childhood and adolescence. In this study we determined the immune response in patients with IDH measuring interleukin (IL)-4, IL-5, IL-10, interferon (IFN)-gamma and tumour necrosis factor (TNF)-alpha levels as well as the HTLV-1 proviral load. Additionally, regulatory cytokines and anti-cytokines were added to cultures to evaluate the ability of these molecules to down-modulate TNF-alpha and IFN-gamma synthesis. HTLV-1 carriers and patients with HAM/TSP served as controls. TNF-alpha and IFN-gamma levels were higher in IDH than in HTLV-1 carriers. There was no difference in IFN-gamma and TNF-alpha concentrations in IDH and HAM/TSP patients. There was a tendency for higher IL-4 mRNA expression and immunoglobulin E (IgE) levels in IDH than in HTLV-1 carriers, but the difference did not reach statistical significance. The HTLV-1 proviral load was significantly higher in IDH patients than in HTLV-1 carriers. IDH is characterized by an exaggerated Th1 immune response and high HTLV-1 proviral load. The similarities between the immunological response in patients with IDH and HAM/TSP and the high proviral load observed in IDH provide support that IDH is a risk factor for development of HAM/TSP. FAU - Nascimento, M C F AU - Nascimento MC AD - Servico de Imunologia, Hospital Universitario Professor Edgard Santos, Universidade Federal da Bahia, Salvador, Bahia, Brazil. FAU - Primo, J AU - Primo J FAU - Bittencourt, A AU - Bittencourt A FAU - Siqueira, I AU - Siqueira I FAU - de Fatima Oliveira, M AU - de Fatima Oliveira M FAU - Meyer, R AU - Meyer R FAU - Schriefer, A AU - Schriefer A FAU - Santos, S B AU - Santos SB FAU - Carvalho, E M AU - Carvalho EM LA - eng GR - D43 TW007127/TW/FIC NIH HHS/United States GR - D43 TW007127-05/TW/FIC NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - England TA - Clin Exp Immunol JT - Clinical and experimental immunology JID - 0057202 RN - 0 (Cytokines) RN - 0 (RNA, Messenger) RN - 0 (Tumor Necrosis Factor-alpha) RN - 130068-27-8 (Interleukin-10) RN - 207137-56-2 (Interleukin-4) RN - 37341-29-0 (Immunoglobulin E) RN - 82115-62-6 (Interferon-gamma) SB - IM MH - Carrier State/immunology MH - Cells, Cultured MH - Cross-Sectional Studies MH - Cytokines/*biosynthesis/immunology MH - Down-Regulation/immunology MH - Gene Expression MH - Human T-lymphotropic virus 1/isolation & purification MH - Humans MH - Immunoglobulin E/blood MH - Interferon-gamma/biosynthesis MH - Interleukin-10/blood MH - Interleukin-4/biosynthesis/genetics MH - Paraparesis, Tropical Spastic/*immunology MH - Proviruses/isolation & purification MH - RNA, Messenger/genetics MH - Skin Diseases, Viral/*immunology MH - Tumor Necrosis Factor-alpha/blood MH - Viral Load PMC - PMC2691974 EDAT- 2009/05/15 09:00 MHDA- 2009/06/18 09:00 PMCR- 2010/06/01 CRDT- 2009/05/15 09:00 PHST- 2009/05/15 09:00 [entrez] PHST- 2009/05/15 09:00 [pubmed] PHST- 2009/06/18 09:00 [medline] PHST- 2010/06/01 00:00 [pmc-release] AID - CEI3869 [pii] AID - 10.1111/j.1365-2249.2008.03869.x [doi] PST - ppublish SO - Clin Exp Immunol. 2009 Jun;156(3):455-62. doi: 10.1111/j.1365-2249.2008.03869.x.