PMID- 22526828 OWN - NLM STAT- MEDLINE DCOM- 20130613 LR - 20161020 IS - 1439-7609 (Electronic) IS - 1439-7595 (Linking) VI - 23 IP - 1 DP - 2013 Jan TI - HTLV-I virological and histopathological analysis in two cases of anti-centromere-antibody-seropositive Sjogren's syndrome. PG - 133-9 LID - 10.1007/s10165-012-0641-x [doi] AB - INTRODUCTION: The aim of this study was to show the clinical and pathological characteristics of anti-centromere-antibody (ACA)-seropositive Sjogren's syndrome (SS) in two anti-human T-cell leukemia virus type I (HTLV-I)-seropositive patients. METHODS: One patient was an HTLV-I carrier whereas the other was diagnosed with HTLV-I-associated myelopathy (HAM). Background data including serum HTLV-I titers, viral loads, and cytokine profiles were recorded. Azocarmine with aniline blue (Azan)-Mallory staining and immunohistochemistry of the labial salivary glands (LSGs) and a muscle biopsy specimen from the HAM patient were performed. RESULTS: Serum transforming growth factor beta (TGF-beta), tumor necrosis factor alpha (TNF-alpha), and HTLV-I viral load were high in the HAM-SS patient compared with the HTLV-I carrier. Fibrous change in LSG was prominent in the HAM-SS patient. Although TGF-beta expression was similar in the two patients, expression of HTLV-I-related proteins including p12, p28, group-specific antigen (GAG), and nuclear factor kappa-B (NF-kappaB) in the LSG were dominantly detected in the HAM-SS patient. Frequency of TGF-beta staining in HTLV-I-seropositive SS patients without ACA, HTLV-I-seronegative SS patients with ACA, and HTLV-I-seronegative SS patients without ACA was lower than that of the previous two patients. CONCLUSION: A high HTLV-I viral load in situ is supposed to promote the production of cytokines, especially TGF-beta, resulting in the fibrous change of LSG in ACA-seropositive SS patients. FAU - Nakamura, Hideki AU - Nakamura H AD - Unit of Translational Medicine, Department of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, Nagasaki, 852-8501, Japan. nakamura_hideki911@yahoo.co.jp FAU - Horai, Yoshiro AU - Horai Y FAU - Tokuyama, Ayuko AU - Tokuyama A FAU - Yoshimura, Shunsuke AU - Yoshimura S FAU - Nakajima, Hideki AU - Nakajima H FAU - Ichinose, Kunihiro AU - Ichinose K FAU - Yamasaki, Satoshi AU - Yamasaki S FAU - Nakamura, Tatsufumi AU - Nakamura T FAU - Hayashi, Tomayoshi AU - Hayashi T FAU - Kawakami, Atsushi AU - Kawakami A LA - eng PT - Case Reports PT - Journal Article DEP - 20120418 PL - England TA - Mod Rheumatol JT - Modern rheumatology JID - 100959226 RN - 0 (Antibodies, Antinuclear) RN - 0 (Biomarkers) RN - 0 (Transforming Growth Factor alpha) RN - 0 (Transforming Growth Factor beta) RN - 0 (Viral Proteins) SB - IM MH - Antibodies, Antinuclear/*blood MH - Biomarkers/metabolism MH - Carrier State MH - Centromere/*immunology MH - Female MH - Fibrosis/pathology MH - HTLV-I Infections/blood/*complications/*pathology MH - Human T-lymphotropic virus 1/isolation & purification/physiology MH - Humans MH - Lip MH - Middle Aged MH - Mouth Mucosa MH - Muscle, Skeletal/metabolism/pathology MH - Salivary Glands, Minor/metabolism/pathology/virology MH - Sjogren's Syndrome/blood/*pathology/*virology MH - Transforming Growth Factor alpha/blood MH - Transforming Growth Factor beta/blood MH - Viral Load MH - Viral Proteins/metabolism MH - Xerostomia/diagnosis/etiology EDAT- 2012/04/25 06:00 MHDA- 2013/06/14 06:00 CRDT- 2012/04/25 06:00 PHST- 2012/01/27 00:00 [received] PHST- 2012/03/22 00:00 [accepted] PHST- 2012/04/25 06:00 [entrez] PHST- 2012/04/25 06:00 [pubmed] PHST- 2013/06/14 06:00 [medline] AID - 10.1007/s10165-012-0641-x [doi] PST - ppublish SO - Mod Rheumatol. 2013 Jan;23(1):133-9. doi: 10.1007/s10165-012-0641-x. Epub 2012 Apr 18.