PMID- 2367534 OWN - NLM STAT- MEDLINE DCOM- 19900815 LR - 20190501 IS - 0027-8424 (Print) IS - 1091-6490 (Electronic) IS - 0027-8424 (Linking) VI - 87 IP - 13 DP - 1990 Jul TI - Transactivation of interleukin 2 and its receptor induces immune activation in human T-cell lymphotropic virus type I-associated myelopathy: pathogenic implications and a rationale for immunotherapy. PG - 5218-22 AB - A state of T-cell activation, reflected by a marked degree of spontaneous proliferation in vitro, exists among patients with human T-cell lymphotropic virus type I (HTLV-I)-associated myelopathy/tropical spastic paraparesis (HAM/TSP) but not in those with retroviral-induced adult T-cell leukemia (ATL). We wished to define the mechanism by which the immune activation of circulating cells from HAM/TSP is driven, thus gaining insight into the pathogenesis of this HTLV-I-associated disease. By using a modification of the polymerase chain reaction, we compared the levels of interleukin 2 (IL-2) and IL-2 receptor alpha chain (IL-2R alpha) mRNA expression to the transcription of the HTLV-I transactivator gene, pX, in peripheral blood mononuclear cells of HAM/TSP and ATL patients as well as seropositive carriers. Up-regulation of IL-2 and IL-2R alpha transcripts was detected in HAM/TSP and seropositive carriers that paralleled the coordinate mRNA expression of the pX transactivator. In addition, IL-2 and soluble IL-2R alpha serum levels in HAM/TSP and seropositive carriers were elevated. Despite markedly elevated levels of soluble IL-2R alpha in ATL, transcripts for IL-2 and pX were not demonstrable in the circulating cells. Finally, the marked degree of in vitro spontaneous proliferation present in HAM/TSP was profoundly inhibited by specific anti-IL-2R or anti-IL-2 blocking antibodies. Collectively, these results suggest that immune activation in HAM/TSP, in contrast to ATL, is virally driven by the transactivation and coordinate expression of IL-2 and IL-2R alpha. This deregulated autocrine process may contribute to the evolution of inflammatory nervous system damage in HAM/TSP. FAU - Tendler, C L AU - Tendler CL AD - Metabolism Branche, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892. FAU - Greenberg, S J AU - Greenberg SJ FAU - Blattner, W A AU - Blattner WA FAU - Manns, A AU - Manns A FAU - Murphy, E AU - Murphy E FAU - Fleisher, T AU - Fleisher T FAU - Hanchard, B AU - Hanchard B FAU - Morgan, O AU - Morgan O FAU - Burton, J D AU - Burton JD FAU - Nelson, D L AU - Nelson DL AU - et al. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Proc Natl Acad Sci U S A JT - Proceedings of the National Academy of Sciences of the United States of America JID - 7505876 RN - 0 (Interleukin-2) RN - 0 (Oligonucleotide Probes) RN - 0 (RNA, Messenger) RN - 0 (Receptors, Interleukin-2) SB - IM MH - Base Sequence MH - Blotting, Southern MH - Female MH - Human T-lymphotropic virus 1/*genetics/immunology MH - Humans MH - Immunotherapy MH - Interleukin-2/*immunology MH - Leukemia-Lymphoma, Adult T-Cell/*immunology/therapy MH - *Lymphocyte Activation MH - Male MH - Middle Aged MH - Molecular Sequence Data MH - Nucleic Acid Hybridization MH - Oligonucleotide Probes MH - Polymerase Chain Reaction MH - RNA, Messenger/genetics MH - Receptors, Interleukin-2/*immunology MH - Reference Values MH - *Transcriptional Activation PMC - PMC54293 EDAT- 1990/07/01 00:00 MHDA- 1990/07/01 00:01 PMCR- 1991/01/01 CRDT- 1990/07/01 00:00 PHST- 1990/07/01 00:00 [pubmed] PHST- 1990/07/01 00:01 [medline] PHST- 1990/07/01 00:00 [entrez] PHST- 1991/01/01 00:00 [pmc-release] AID - 10.1073/pnas.87.13.5218 [doi] PST - ppublish SO - Proc Natl Acad Sci U S A. 1990 Jul;87(13):5218-22. doi: 10.1073/pnas.87.13.5218.