PMID- 8370441 OWN - NLM STAT- MEDLINE DCOM- 19931008 LR - 20130523 IS - 0903-1936 (Print) IS - 0903-1936 (Linking) VI - 6 IP - 7 DP - 1993 Jul TI - Pulmonary involvement in human T-cell lymphotropic virus type-I uveitis: T-lymphocytosis and high proviral DNA load in bronchoalveolar lavage fluid. PG - 938-43 AB - The ocular manifestation of human T-cell lymphotropic virus type I (HTLV-I) infection has been recognized as a new clinical entity termed HTLV-I uveitis. In order to determine whether HTLV-I uveitis is associated with lymphocyte alveolitis, bronchoalveolar lavage (BAL) was carried out in 11 patients with HTLV-I uveitis, five asymptomatic HTLV-I carriers, 11 HTLV-I-negative patients with ocular sarcoidosis, and nine normal control subjects seronegative for HTLV-I. Six of the 11 patients with HTLV-I uveitis showed increased total cell counts, and T-lymphocytosis in BAL fluid. CD4+/CD8+ ratios of T-lymphocytes were decreased in three of these patients, and normal in three other patients. Such abnormalities of the lung were not found in asymptomatic HTLV-I carriers, and in normal control subjects. BAL findings in HTLV-I uveitis differed from those of patients with sarcoidosis in terms of the lymphocytic component. Interestingly, it was found that there was an increase of HTLV-I proviral deoxyribonucleic acid (DNA) load in peripheral blood mononuclear cells (PBMC) from seven patients with HTLV-I uveitis, and in the BAL cells from four patients with pulmonary involvement. These results provide further evidence in terms of HTLV-I tropism for the lung, and suggest that a systemic and local increase of HTLV-I proviral DNA load plays an important role in the pathogenesis of lymphocyte alveolitis in patients with HTLV-I uveitis. FAU - Sugimoto, M AU - Sugimoto M AD - First Department of Internal Medicine, Kumamoto University School of Medicine, Japan. FAU - Mita, S AU - Mita S FAU - Tokunaga, M AU - Tokunaga M FAU - Yamaguchi, K AU - Yamaguchi K FAU - Cho, I AU - Cho I FAU - Matsumoto, M AU - Matsumoto M FAU - Mochizuki, M AU - Mochizuki M FAU - Araki, S AU - Araki S FAU - Takatsuki, K AU - Takatsuki K FAU - Ando, M AU - Ando M LA - eng PT - Journal Article PL - England TA - Eur Respir J JT - The European respiratory journal JID - 8803460 RN - 0 (DNA, Viral) SB - IM CIN - Eur Respir J. 1993 Jul;6(7):925-9. PMID: 8396535 MH - Bronchoalveolar Lavage Fluid/*microbiology/pathology MH - DNA, Viral/*analysis MH - Female MH - HTLV-I Infections/*diagnosis MH - Human T-lymphotropic virus 1/genetics/*isolation & purification MH - Humans MH - Lung Diseases/*microbiology MH - Lymphocytosis/*microbiology MH - Male MH - Middle Aged MH - Polymerase Chain Reaction MH - T-Lymphocytes/*pathology MH - Uveitis/*microbiology EDAT- 1993/07/01 00:00 MHDA- 1993/07/01 00:01 CRDT- 1993/07/01 00:00 PHST- 1993/07/01 00:00 [pubmed] PHST- 1993/07/01 00:01 [medline] PHST- 1993/07/01 00:00 [entrez] PST - ppublish SO - Eur Respir J. 1993 Jul;6(7):938-43.