PMID- 8741079 OWN - NLM STAT- MEDLINE DCOM- 19961121 LR - 20190830 IS - 0340-5354 (Print) IS - 0340-5354 (Linking) VI - 243 IP - 5 DP - 1996 May TI - Diversity of intrathecal antibody synthesis against HTLV-I and its relation to HTLV-I associated myelopathy. PG - 393-400 AB - The humoral immune response against human T-cell lymphotropic virus type I (HTLV-I) in the central nervous system (CNS) compartment and in the blood was investigated by enzyme immunoassay using 16 synthetic peptides corresponding to HTLV-I core and envelope sequences. We evaluated paired samples of cerebrospinal fluid and serum from HTLV-I seropositive Japanese patients, classified as follows: HTLV-I-associated myelopathy/tropical spastic paraparesis (HAM/TSP; n = 39), patients with spinal cord disease ascribed to either HAM/TSP or to some concomitant, HTLV-I-unrelated disease (possible HAM/TSP; n = 6) or carriers without any clinical signs of HAM/TSP (n = 15). HTLV-I-peptide-specific intrathecal antibody synthesis was found in 79% of HAM/TSP patients, but only in 20% of carriers without HAM/TSP. The group of carriers without HAM/TSP showed local synthesis for some peptides (on average 0.3 peptides per patient). In most HAM/TSP patients, however, there was a diverse intrathecal immune response to several HTLV-I synthetic peptides (on average against 3.6 peptides per HAM/TSP patient), most frequently against gag p19 100-130, env gp21 458-488, and env gp46 175-199 and 288-317. The intrathecal antibody synthesis against several HTLV-I determinants may represent a pathogenic immune response in HAM/TSP and is possibly related to the infiltration of virus-infected T-cells in the spinal cord. FAU - Kitze, B AU - Kitze B AD - Department of Neurology, Gottingen University, Germany. FAU - Usuku, K AU - Usuku K FAU - Izumo, S AU - Izumo S FAU - Nakamura, M AU - Nakamura M FAU - Shiraki, H AU - Shiraki H FAU - Ijichi, S AU - Ijichi S FAU - Yashiki, S AU - Yashiki S FAU - Fujiyoshi, T AU - Fujiyoshi T FAU - Sonoda, S AU - Sonoda S FAU - Osame, M AU - Osame M LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Germany TA - J Neurol JT - Journal of neurology JID - 0423161 RN - 0 (Antibodies, Viral) RN - 0 (Gene Products, gag) RN - 0 (Immunoglobulin G) RN - 0 (Peptides) RN - 0 (Viral Envelope Proteins) SB - IM MH - Amino Acid Sequence MH - Antibodies, Viral/blood/*cerebrospinal fluid MH - Antibody Formation MH - Antibody Specificity MH - Case-Control Studies MH - Evaluation Studies as Topic MH - Gene Products, gag/immunology MH - Human T-lymphotropic virus 1/*immunology MH - Humans MH - Immunoenzyme Techniques MH - Immunoglobulin G/blood/*cerebrospinal fluid MH - Molecular Sequence Data MH - Paraparesis, Tropical Spastic/blood/cerebrospinal fluid/*immunology MH - Peptides/*immunology MH - Viral Envelope Proteins/immunology EDAT- 1996/05/01 00:00 MHDA- 1996/05/01 00:01 CRDT- 1996/05/01 00:00 PHST- 1996/05/01 00:00 [pubmed] PHST- 1996/05/01 00:01 [medline] PHST- 1996/05/01 00:00 [entrez] AID - 10.1007/BF00868998 [doi] PST - ppublish SO - J Neurol. 1996 May;243(5):393-400. doi: 10.1007/BF00868998.