PMID- 22318200 OWN - NLM STAT- MEDLINE DCOM- 20120507 LR - 20211021 IS - 1528-0020 (Electronic) IS - 0006-4971 (Print) IS - 0006-4971 (Linking) VI - 119 IP - 12 DP - 2012 Mar 22 TI - Quantitative differences in HTLV-I antibody responses: classification and relative risk assessment for asymptomatic carriers and ATL and HAM/TSP patients from Jamaica. PG - 2829-36 LID - 10.1182/blood-2011-11-390807 [doi] AB - Adult T-cell leukemia (ATL) and human T-cell lymphotropic virus type I (HTLV-I)-associated myelopathy/tropical spastic paraparesis (HAM/TSP) are known to be caused by HTLV-I infection. However, current methods used to determine HTLV-I infection do not differentiate between HTLV-I asymptomatic carriers (ACs) and ATL and HAM/TSP patients. Using the luciferase immunoprecipitation system, a highly sensitive, quantitative technology that can efficiently detect HTLV-I Ab responses, we examined Ab responses for HTLV-I in serum/plasma samples from 439 subjects in Jamaica, including HTLV-I-seronegative donors, ACs, and ATL and HAM/TSP patients. The Ab responses of HTLV-I-infected subjects differed significantly from those of seronegative donors for all 3 immunodominant proteins, Gag, Env, and Tax. HAM/TSP patients had significantly higher Ab responses for Gag and Env compared with ACs, and Ab responses for all 3 Ags were higher in HAM/TSP patients than in ATL patients. Moreover, immunoreactivities for HTLV-I Ags as determined by the luciferase immunoprecipitation system could distinguish HAM/TSP patients from ACs at a true-positive rate of 85.42% and from ATL patients at a true-positive rate of 75.00%, and modeled in conjunction with subject information to distinguish HAM/TSP patients from ACs (odds ratio = 14.12) and from ATL patients (odds ratio = 7.00). The relative risk assessment resulting from these significant differences between Ab responses in HTLV-I-infected groups may be a useful diagnostic tool in the future. FAU - Enose-Akahata, Yoshimi AU - Enose-Akahata Y AD - Viral Immunology Section, Neuroimmunology Branch, Division of Intramural Research, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD 20892, USA. FAU - Abrams, Anna AU - Abrams A FAU - Johnson, Kory R AU - Johnson KR FAU - Maloney, Elizabeth M AU - Maloney EM 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 - 20120207 PL - United States TA - Blood JT - Blood JID - 7603509 RN - 0 (Antibodies, Viral) RN - 0 (Antigens, Viral) RN - 0 (Biomarkers) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Antibodies, Viral/*blood MH - Antigens, Viral/immunology MH - Biomarkers/*blood MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - HTLV-I Infections/*blood/immunology MH - Human T-lymphotropic virus 1/immunology MH - Humans MH - Immunoprecipitation MH - Jamaica MH - Leukemia-Lymphoma, Adult T-Cell/*blood/immunology MH - Male MH - Middle Aged MH - Paraparesis, Tropical Spastic/*blood/immunology MH - Risk Factors MH - Young Adult PMC - PMC3327461 EDAT- 2012/02/10 06:00 MHDA- 2012/05/09 06:00 PMCR- 2013/03/22 CRDT- 2012/02/10 06:00 PHST- 2012/02/10 06:00 [entrez] PHST- 2012/02/10 06:00 [pubmed] PHST- 2012/05/09 06:00 [medline] PHST- 2013/03/22 00:00 [pmc-release] AID - S0006-4971(20)49215-8 [pii] AID - 2011/390807 [pii] AID - 10.1182/blood-2011-11-390807 [doi] PST - ppublish SO - Blood. 2012 Mar 22;119(12):2829-36. doi: 10.1182/blood-2011-11-390807. Epub 2012 Feb 7.