PMID- 8928610 OWN - NLM STAT- MEDLINE DCOM- 19961127 LR - 20190812 IS - 0001-6322 (Print) IS - 0001-6322 (Linking) VI - 91 IP - 4 DP - 1996 TI - Expression of adhesion molecules and monocyte chemoattractant protein -1 (MCP-1) in the spinal cord lesions in HTLV-I-associated myelopathy. PG - 343-50 AB - Leukocyte adhesion molecules to endothelium plays an important role in the pathogenesis of inflammatory diseases, including HTLV-I-associated myelopathy (HAM)/tropical spastic paraparesis (TSP). To help define the role of adhesion molecules in HAM/TSP, we studied the expression of lymphocyte function-associated antigen-1 (LFA-1), Mac-1, very late antigen-4 (VLA-4), Sialyl Lewisx (SLex), intercellular adhesion molecule-1 (ICAM-1), vascular cell adhesion molecule-1 (VCAM-1), endothelial leukocyte adhesion molecule-1 (ELAM-1) and monocyte chemoattractant protein-1 (MCP-1) in the spinal cord lesions of HAM/TSP. The results indicate that spinal cord lesions of HAM/TSP have greater VCAM-1 expression on endothelium compared with those of controls. Infiltrating mononuclear cells, especially perivascular lesions, expressed VLA-4. Although the expression of ICAM-1 in the spinal cords was not distinctive between HAM/TSP and controls, infiltrating mononuclear cells in the spinal cords of HAM/TSP strongly expressed LFA-1 and Mac-1. ELAM-1 was expressed on endothelium in the inactive-chronic lesions from three of five HAM/HAM/TSP, but was not detectable in the spinal cords of controls. SLex reactions was detectable on occasional perivascular cells in the spinal cord of HAM/TSP, but not in those controls. MCP-1 was detectable on perivascular infiltrating cells and vascular endothelium in active-chronic lesions. This study suggest that VLA-4/VCAM-1 interaction may play an important role for lymphocyte migration into the central nervous system (CNS) and MCP-1 may also be involved in inflammatory cell recruitment to the CNS in HAM/TSP. FAU - Umehara, F AU - Umehara F AD - Third Department of Internal Medicine, Kagoshima University School of Medicine, Japan. FAU - Izumo, S AU - Izumo S FAU - Takeya, M AU - Takeya M FAU - Takahashi, K AU - Takahashi K FAU - Sato, E AU - Sato E FAU - Osame, M AU - Osame M LA - eng PT - Journal Article PL - Germany TA - Acta Neuropathol JT - Acta neuropathologica JID - 0412041 RN - 0 (Chemokine CCL2) RN - 0 (Vascular Cell Adhesion Molecule-1) SB - IM MH - Aged MH - Chemokine CCL2/*metabolism MH - Female MH - Humans MH - Immunohistochemistry MH - Male MH - Middle Aged MH - Spinal Cord Injuries/*metabolism MH - Vascular Cell Adhesion Molecule-1/*metabolism EDAT- 1996/01/01 00:00 MHDA- 1996/01/01 00:01 CRDT- 1996/01/01 00:00 PHST- 1996/01/01 00:00 [pubmed] PHST- 1996/01/01 00:01 [medline] PHST- 1996/01/01 00:00 [entrez] AID - 10.1007/s004010050435 [doi] PST - ppublish SO - Acta Neuropathol. 1996;91(4):343-50. doi: 10.1007/s004010050435.