PMID- 20851016 OWN - NLM STAT- MEDLINE DCOM- 20110310 LR - 20211203 IS - 1878-3511 (Electronic) IS - 1201-9712 (Linking) VI - 14 IP - 11 DP - 2010 Nov TI - Absence of consistent association between human leukocyte antigen-I and -II alleles and human T-lymphotropic virus type 1 (HTLV-1)-associated myelopathy/tropical spastic paraparesis risk in an HTLV-1 French Afro-Caribbean population. PG - e986-90 LID - 10.1016/j.ijid.2010.05.020 [doi] AB - OBJECTIVES: Human T-cell lymphotropic virus type 1 (HTLV-1) infection leads to the risk of developing HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP) in less than 5% of cases. The mechanism of disease progression in HAM/TSP remains unknown. A significant role of certain human leukocyte antigen (HLA) genotypes in determining the risk of HAM/TSP has been reported in Japan, where the HLA-A*02 gene has been found to be associated with a lower HTLV-1 provirus load and with protection from HAM/TSP, whereas HLA-DRB1*0101 has been found to be associated with an increased susceptibility to HAM/TSP. The aim of the present case-control study was to investigate the HLA class I and class II allele distribution in HTLV-seropositive French Afro-Caribbean individuals, originating from the French West Indies. METHODS: Associations with HLA class I (A and B) and class II (DRB1 and DQB1) alleles were tested in 123 HAM/TSP patients and 85 asymptomatic HTLV-1 carriers. HLA typing was undertaken on genomic DNA extracted from peripheral blood leukocytes. RESULTS: In our cohort, no significant effect on either the risk of developing HAM/TSP or HTLV-1 provirus load was found for HLA class I or class II, including HLA-A*02 (p=0.43). CONCLUSIONS: Our findings are in contrast to those in the Japanese population, however the literature on HLA associations in HTLV-1 infections across different populations over the past decade have reported conflicting results and this suggests strong ethnic disparities. CI - Copyright (c) 2010 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved. FAU - Deschamps, Romain AU - Deschamps R AD - Centre de Reference Caribeen des Maladies Rares Neurologiques et Neuro-musculaires, Centre Hospitalier Universitaire Pierre Zobda-Quitman, 97200 Fort de France, Martinique. romain.deschamps@chu-fortdefrance.fr FAU - Bera, Odile AU - Bera O FAU - Belrose, Gilda AU - Belrose G FAU - Lezin, Agnes AU - Lezin A FAU - Bellance, Remi AU - Bellance R FAU - Signate, Aissatou AU - Signate A FAU - Cabre, Philippe AU - Cabre P FAU - Smadja, Didier AU - Smadja D FAU - Cesaire, Raymond AU - Cesaire R FAU - Olindo, Stephane AU - Olindo S LA - eng PT - Journal Article DEP - 20100917 PL - Canada TA - Int J Infect Dis JT - International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases JID - 9610933 RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Histocompatibility Antigens Class II) SB - IM MH - *Alleles MH - Case-Control Studies MH - Ethnicity/genetics MH - Female MH - Follow-Up Studies MH - Genetic Predisposition to Disease MH - Histocompatibility Antigens Class I/*genetics MH - Histocompatibility Antigens Class II/*genetics MH - Human T-lymphotropic virus 1/immunology MH - Humans MH - Male MH - Martinique MH - Middle Aged MH - Paraparesis, Tropical Spastic/complications/ethnology/*genetics MH - Proviruses/genetics/immunology MH - Risk Factors MH - Viral Load EDAT- 2010/09/21 06:00 MHDA- 2011/03/11 06:00 CRDT- 2010/09/21 06:00 PHST- 2010/02/05 00:00 [received] PHST- 2010/05/18 00:00 [revised] PHST- 2010/05/28 00:00 [accepted] PHST- 2010/09/21 06:00 [entrez] PHST- 2010/09/21 06:00 [pubmed] PHST- 2011/03/11 06:00 [medline] AID - S1201-9712(10)02443-4 [pii] AID - 10.1016/j.ijid.2010.05.020 [doi] PST - ppublish SO - Int J Infect Dis. 2010 Nov;14(11):e986-90. doi: 10.1016/j.ijid.2010.05.020. Epub 2010 Sep 17.