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Human T-Cell Leukemia Virus Type 1: Epidemiology and Clinical Features of Related Cancer

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Viruses and Human Cancer

Abstract

The first key event in the establishment of human retrovirus, known as human T-cell leukemia virus type 1 (HTLV-1) was the discovery of adult T-cell leukemia/lymphoma (ATLL) by Takatsuki and his colleagues in 1977. The leukemia cells in patients were characterized by unusual morphology with ovulated nuclei, which were named “flower-like cells.” These abnormal cells were soon identified as T cells expressing interleukin 2-receptor (IL-2R/CD 25) at abnormally high levels. While infection with HTLV-1 is a direct cause of ATLL, it can indirectly cause many other diseases via the induction of immunodeficiency and/or immune reaction, such as chronic lung disease, opportunistic lung infections, chronic renal failure, nonspecific dermatomycosis, nonspecific arthritis, HTLV-1-associated lymphadenitis, HTLV-1 uveitis, and HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP).

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References

  1. Edlich RF, Arnette JA, Williams FM. Global epidemic of human T-cell lymphotropic virus type-I (HTLV-I). J Emerg Med. 2000;18(1):109–19.

    CAS  PubMed  Google Scholar 

  2. Takatsuki K. Discovery of adult T-cell leukemia. Retrovirology. 2005;2:16.

    PubMed Central  PubMed  Google Scholar 

  3. Gonçalves DU, Proietti FA, Ribas JG, Araújo MG, Pinheiro SR, Guedes AC, Carneiro-Proietti AB. Epidemiology, treatment, and prevention of human T-cell leukemia virus type 1-associated diseases. Clin Microbiol Rev. 2010;23(3):577–89.

    PubMed Central  PubMed  Google Scholar 

  4. Inaba S, Sato H, Okochi K, Fukada K, Takakura F, Tokunaga K, Kiyokawa H, Maeda Y. Prevention of transmission of human Tlymphotropic virus type 1 (HTLV-1) through transfusion, by donor screening with antibody to the virus. One-year experience. Transfusion. 1989;29(1):7–11.

    CAS  PubMed  Google Scholar 

  5. Namen-Lopes MS, Martins ML, Drummond PC, Lobato RR, Interdisciplinary HTLV Research Group (GIPH), Carneiro-Proietti AB. Lookback study of HTLV-1 and 2 seropositive donors and their recipients in Belo Horizonte, Brazil. Transfus Med. 2009;19(4):180–8.

    CAS  PubMed  Google Scholar 

  6. Proietti FA, Carneiro-Proietti AB, Catalan-Soares BC, Murphy EL. Global epidemiology of HTLV-1 infection and associated diseases. Oncogene. 2005;24(39):6058–68.

    CAS  PubMed  Google Scholar 

  7. Ehrlich GD, Andrews J, Sherman MP, Greenberg SJ, Poiesz BJ. DNA sequence analysis of the gene encoding the HTLV-I p21e transmembrane protein reveals inter- and intraisolate genetic heterogeneity. Virology. 1992;186(2):619–27.

    CAS  PubMed  Google Scholar 

  8. Tajima K, Hinuma Y. Epidemiology of HTLV-I/II in Japan and in the world. In: Hinuma Y, et al. editors. Gann monograph 39. Advances in ATL and HTLV-I research. Tokyo: Scientific Society; 1992. p.129–49.

    Google Scholar 

  9. Murphy EL, Figueroa JP, Gibbs WN, Holding-Cobham M, Cranston B, Malley K, Bodner AJ, Alexander SS, Blattner WA. Human T-lymphotropic virus type I (HTLV-I) seroprevalence in Jamaica. I. Demographic determinants. Am J Epidemiol. 1991;133(11):1114–24.

    CAS  PubMed  Google Scholar 

  10. Dumas M, Houinato D, Verdier M, Zohoun T, Josse R, Bonis J, Zohoun I, Massougbodji A, Denis F. Seroepidemiology of human T-cell lymphotropic virus type I/II in Benin (West Africa). AIDS Res Hum Retroviruses. 1991;7(5):447–51.

    CAS  PubMed  Google Scholar 

  11. Vasquez P, Sanchez G, Volante C, Vera L, Ramirez E, Soto G, Lee H. Human T-lymphotropic virus type I: new risk for Chilean population. Blood. 1991;78(3):850–1.

    CAS  PubMed  Google Scholar 

  12. Galvão-Castro B, Loures L, Rodriques LG, Sereno A, Ferreira Júnior OC, Franco LG, Muller M, Sampaio DA, Santana A, Passos LM, Proietti F. Distribution of human T-lymphotropic virus type I among blood donors: a nationwide Brazilian study. Transfusion. 1997;37(2):242–3.

    PubMed  Google Scholar 

  13. Maloney EM, Ramirez H, Levin A, Blattner WA. A survey of the human T-cell lymphotropic virus type I (HTLV-I) in south-western Colombia. Int J Cancer. 1989;44(3):419–23.

    CAS  PubMed  Google Scholar 

  14. Bastian I, Hinuma Y, Doherty RR. HTLV-I among Northern Territory Aborigines. Med J Aust. 1993;159(1):12–6.

    CAS  PubMed  Google Scholar 

  15. Tajima K. The 4th nation-wide study of adult T-cell leukemia/lymphoma (ATL) in Japan: estimates of risk of ATL and its geographical and clinical features. The T- and B-cell Malignancy Study Group. Int J Cancer. 1990;45(2):237–43.

    CAS  PubMed  Google Scholar 

  16. Aoki R, Karube K, Sugita Y, Nomura Y, Shimizu K, Kimura Y, Hashikawa K, Suefuji N, Kikuchi M, Ohshima K. Distribution of malignant lymphoma in Japan: analysis of 2260 cases, 2001–2006. Pathol Int. 2008;58(3):174–82. PMID:18251781.

    PubMed  Google Scholar 

  17. Watanabe T. Current status of HTLV-1 infection. Int J Hematol. 2011;94(5):430–4.

    PubMed  Google Scholar 

  18. Hinuma Y, Komoda H, Chosa T, Kondo T, Kohakura M, Takenaka T, et al. Antibodies to adult T-cell leukemia-virusassociated antigen (ATLA) in sera from patients with ATL and controls in Japan: a nation-wide sero-epidemiologic study. Int J Cancer. 1982;29:631–5.

    CAS  PubMed  Google Scholar 

  19. Kohakura M, Nakada K, Yonahara M, Komoda H, Imai J, Hinuma Y. Seroepidemiology of the human retrovirus (HTLV/ATLV) in Okinawa where adult T-cell leukemia is highly endemic. Jpn J Cancer Res. 1986;77(1):21–3.

    CAS  PubMed  Google Scholar 

  20. Tajima K, Kamura S, Ito S, Ito M, Nagatomo M, Kinoshita K, Ikeda S. Epidemiological features of HTLV-I carriers and incidence of ATL in an ATL-endemic island: a report of the community- based co-operative study in Tsushima, Japan. Int J Cancer. 1987;40(6):741–6.

    CAS  PubMed  Google Scholar 

  21. Chiyoda S, Kinoshita K, Egawa S, Inoue J, Watanabe K, Ifuku M. Decline in the positive rate of human T-lymphotropic virus type-1 (HTLV-1) antibodies among blood donors in Nagasaki. Intern Med. 2001;40(1):14–7.

    CAS  PubMed  Google Scholar 

  22. Tajima K, Sonoda S. Ethnoepidemiology, a new paradigm, for studying cancer risk factors and prevention strategy. In: Tajima K, Sonoda S, editors. Gann monograph 44. Ethnoepidemiology of cancer. Tokyo: Japanese Scientific Societies Press; 1996. p. 3–12.

    Google Scholar 

  23. Sonoda S, Li HC, Tajima K. Ethnoepidemiology of HTLV-1 related diseases: ethnic determinants of HTLV-1 susceptibility and its worldwide dispersal. Cancer Sci. 2011;102(2): 295–301.

    CAS  PubMed  Google Scholar 

  24. Satou Y, Nosaka K, Koya Y, Yasunaga JI, Toyokuni S, Matsuoka M. Proteasome inhibitor, bortezomib, potently inhibits the growth of adult T-cell leukemia cells both in vivo and in vitro. Leukemia. 2004;18(8):1357–63.

    CAS  PubMed  Google Scholar 

  25. Van Prooyen N, Andresen V, Gold H, Bialuk I, Pise-Masison C, Franchini G. Hijacking the T-cell communication network by the human T-cell leukemia/lymphoma virus type 1 (HTLV-1) p12 and p8 proteins. Mol Aspects Med. 2010;31(5):333–43.

    PubMed Central  PubMed  Google Scholar 

  26. Jones KS, Petrow-Sadowski C, Huang YK, Bertolette DC, Ruscetti FW. Cell-free HTLV-1 infects dendritic cells leading to transmission and transformation of CD4(+) T cells. Nat Med. 2008;14(4):429–36.

    CAS  PubMed  Google Scholar 

  27. Koyanagi Y, Itoyama Y, Nakamura N, Takamatsu K, Kira J, Iwamasa T, Goto I, Yamamoto N. In vivo infection of human T-cell leukemia virus type I in non-T cells. Virology. 1993;196(1):25–33.

    CAS  PubMed  Google Scholar 

  28. Maloney EM, Wiktor SZ, Palmer P, Cranston B, Pate EJ, Cohn S, Kim N, Miley W, Thomas TL, Blattner WA, Hanchard B. A cohort study of health effects of human T-cell lymphotropic virus type I infection in Jamaican children. Pediatrics. 2003;112(2):e136–42.

    PubMed  Google Scholar 

  29. Jones KS, Petrow-Sadowski C, Bertolette DC, Huang Y, Ruscetti FW. Heparan sulfate proteoglycans mediate attachment and entry of human T-cell leukemia virus type 1 virions into CD4+ T cells. J Virol. 2005;79(20):12692–702.

    CAS  PubMed Central  PubMed  Google Scholar 

  30. Lambert S, Bouttier M, Vassy R, Seigneuret M, Petrow-Sadowski C, Janvier S, et al. HTLV-1 uses HSPG and neuropilin-1 for entry by molecular mimicry of VEGF165. Blood. 2009;113(21):5176–85.

    CAS  PubMed Central  PubMed  Google Scholar 

  31. Ichimaru M, Ikeda S, Kinoshita K, Hino S, Tsuji Y. Mother-to-child transmission of HTLV-1. Cancer Detect Prev. 1991;15(3):177–81.

    CAS  PubMed  Google Scholar 

  32. Biggar RJ, Ng J, Kim N, Hisada M, Li HC, Cranston B, Hanchard B, Maloney EM. Human leukocyte antigen concordance and the transmission risk via breast-feeding of human T cell lymphotropic virus type I. J Infect Dis. 2006;193(2):277–82.

    CAS  PubMed  Google Scholar 

  33. Ando Y, Ekuni Y, Matsumoto Y, Nakano S, Saito K, Kakimoto K, Tanigawa T, Kawa M, Toyama T. Long-term serological outcome of infants who received frozen thawed milk from human T-lymphotropic virus type-I positive mothers. J Obstet Gynaecol Res. 2004;30(6):436–8.

    PubMed  Google Scholar 

  34. Fujito T, Nagata Y. HTLV-I transmission from mother to child. J Reprod Immunol. 2000;47:197–206.

    Google Scholar 

  35. Murphy EL, Wilks R, Hanchard B, Cranston B, Figueroa JP, Gibbs WN, Murphy J, Blattner WA. A case-control study of risk factors for seropositivity to human T-lymphotropic virus type I (HTLV-I) in Jamaica. Int J Epidemiol. 1996;25(5):1083–9.

    CAS  PubMed  Google Scholar 

  36. Sullivan MT, Williams AE, Fang CT, Grandinetti T, Poiesz BJ, Ehrlich GD. Transmission of human T-lymphotropic virus types I and II by blood transfusion: a retrospective study of recipients of blood components (1983 through 1988). The American Red Cross HTLV-I/II Collaborative Study Group. Arch Intern Med. 1991;151(10):2043–8.

    CAS  PubMed  Google Scholar 

  37. Donegan E, Busch MP, Galleshaw JA, Shaw GM, Mosley JW. Transfusion of blood components from a donor with human T lymphotropic virus type II (HTLV-II) infection. The Transfusion Safety Study Group. Ann Intern Med. 1990;113(7):555–6.

    CAS  PubMed  Google Scholar 

  38. Osame M, Usuku K, Izumo S, Ijichi N, Amitani H, Igata A, Matsumoto M, Tara M. HTLV-I associated myeopathy, a new clinical entity. Lancet. 1986;1(8488):1031–2.

    CAS  PubMed  Google Scholar 

  39. Takatsuki K, Yamaguchi K, Watanabe T, Mochizuki M. Adult T-cell leukemia and HTLV-1 related disease. Gann mono Cancer Res. 1992;32:1–15.

    Google Scholar 

  40. Gessain A, Barin F, Vernant JC, Gout O, Maurs L, Calender A, de Thé G. Antibodies to human T-lymphotropic virus type-I in patients with tropical spastic paraparesis. Lancet. 1985;2(8452):407–10.

    CAS  PubMed  Google Scholar 

  41. Nakao K, Ohba N, Nakagawa M, Osame M. Clinical course of HTLV-I associated uveitis. Jpn J Ophthalmol. 1999;43(5):404–9.

    CAS  PubMed  Google Scholar 

  42. Sugimoto M, Nakashima H, Matsumoto M, Uyama E, Ando M, Araki S. Pulmonary involvement in patients with HTLV-I associated myeopathy: increased soluble IL-2 receptors in bronchoalveolar large fluid. Am Rev Respir Dis. 1989;139(6):1329–35.

    CAS  PubMed  Google Scholar 

  43. Wiley CA, Nerenberg M, Cros D, Soto-Aguilar MC. HTLV-I polymyositis in patient also infected with the human immunodeficiency virus. N Engl J Med. 1989;320(15):992–5.

    CAS  PubMed  Google Scholar 

  44. Nishioka K, Maruyama I, Sato K, Kitajima I, Nakajima Y, Osame M. Chronic inflammatory arthropathy associated with HTLV-I. Lancet. 1989;1(8635):441.

    CAS  PubMed  Google Scholar 

  45. Yamaguchi K, Kiyokawa T, Nakada K, Yul LS, Asou N, Ishii T, et al. Polyclonal integration of HTLV-I proviral DNA in lymphocytes from HTLV-I seropositive individuals: an intermediate state between the healthy carrier state and smoldering ATL. Br J Haematol. 1988;68(2): 169–74.

    CAS  PubMed  Google Scholar 

  46. Cooper SA, van der Loeff MS, Taylor GP. The neurology of HTLV-1 infection. Pract Neurol. 2009;9(1):16–26.

    PubMed  Google Scholar 

  47. Orland JR, Engstrom J, Fridey J, Sacher RA, Smith JW, Nass C, Garratty G, Newman B, Smith D, Wang B, Loughlin K, Murphy EL. HTLV Outcomes Study. Prevalence and clinical features of HTLV neurologic disease in the HTLV Outcomes Study. Neurology. 2003;61(11):1588–94.

    CAS  PubMed  Google Scholar 

  48. Bangham CRM, Osame M. Cellular immune response to HTLV-1. Oncogene. 2005;24(39): 6035–46.

    CAS  PubMed  Google Scholar 

  49. Nakagawa M, Nakahara K, Maruyama Y, Kawabata M, Higuchi I, Kubota H, Izumo S, Arimura K, Osame M. Therapeutic trials in 200 patients with HTLV-I-associated myelopathy/tropical spastic paraparesis. J Neurovirol. 1996;2(5):345–55.

    CAS  PubMed  Google Scholar 

  50. Oh U, Yamano Y, Mora CA, Ohayon J, Bagnato F, Butman JA, Dambrosia J, Leist TP, McFarland H, Jacobson S. Interferon beta1α therapy in human T-lymphotropic virus type I-associated neurologic disease. Ann Neurol. 2005;57(4):526–34.

    CAS  PubMed  Google Scholar 

  51. Taylor GP, Goon P, Furukawa Y, Green H, Barfield A, Mosley A, Nose H, Babiker A, Rudge P, Usuku K, Osame M, Bangham CR, Weber JN. Zidovudine plus lamivudine in human T-lymphotropic virus type-I-associated myelopathy: a randomised trial. Retrovirology. 2006;3:63.

    PubMed Central  PubMed  Google Scholar 

  52. Mochizuki M, Watanabe T, Yamaguchi K, Yoshimura K, Nakashima S, Shirao M, Araki S, Takatsuki K, Mori S, Miyata N. Uveitis associated with human T-cell lymphotropic virus type I. Am J Ophthalmol. 1992;114(2):123–9.

    CAS  PubMed  Google Scholar 

  53. Brites C, Weyll M, Pedroso C, Badaró R. Severe and Norwegian scabies are strongly associated with retroviral (HIV-1/HTLV-1) infection in Bahia, Brazil. AIDS. 2002;16(9):1292–3.

    PubMed  Google Scholar 

  54. Roberts LJ, Huffam SE, Walton SF, Currie BJ. Crusted scabies: clinical and immunological findings in seventy-eight patients and a review of the literature. J Infect. 2005;50(5):375–81.

    CAS  PubMed  Google Scholar 

  55. McCallum RM, Patel DD, Moore JO, Haynes BF. Arthritis syndromes associated with human T cell lymphotropic virus type I infection. Med Clin North Am. 1997;81(1):261–76.

    CAS  PubMed  Google Scholar 

  56. Yakova M, Lézin A, Dantin F, Lagathu G, Olindo S, Jean-Baptiste G, Arfi S, Césaire R. Increased proviral load in HTLV-1-infected patients with rheumatoid arthritis or connective tissue disease. Retrovirology. 2005;2:4.

    PubMed Central  PubMed  Google Scholar 

  57. Inose M, Higuchi I, Yoshimine K, Suehara M, Izumo S, Arimura K, Osame M. Pathological changes in skeletal muscle in HTLVI- associated myelopathy. J Neurol Sci. 1992;110(1–2): 73–8.

    CAS  PubMed  Google Scholar 

  58. Kawai H, Inui T, Kashiwagi S, Tsuchihashi T, Masuda K, Kondo A, Niki S, Iwasa M, Saito S. HTLV-I infection in patients with autoimmune thyroiditis (Hashimoto’s thyroiditis). J Med Virol. 1992;38(2):138–41.

    CAS  PubMed  Google Scholar 

  59. Kimura I. HABA (HTLV-I associated bronchiolo-alveolar disorder). Nihon Kyobu Shikkan Gakkai Zasshi (Japanese). 1992;30(5):787–95.

    CAS  Google Scholar 

  60. Tsukasaki K, Hermine O, Bazarbachi A, Ratner L, Ramos JC, Harrington Jr W, O’Mahony D, Janik JE, Bittencourt AL, Taylor GP, Yamaguchi K, Utsunomiya A, Tobinai K, Watanabe T. Definition, prognostic factors, treatment, and response criteria of adult T-cell leukemia-lymphoma: a proposal from an international consensus meeting. J Clin Oncol. 2009;27(3):453–9.

    PubMed Central  PubMed  Google Scholar 

  61. Karube K, Ohshima K, Tsuchiya T, Yamaguchi T, Kawano R, Suzumiya J, Utsunomiya A, Harada M, Kikuchi M. Expression of FoxP3, a key molecule in CD4CD25 regulatory T cells, in adult T-cell leukaemia/lymphoma cells. Br J Haematol. 2004;126(1):81–4.

    CAS  PubMed  Google Scholar 

  62. Toulza F, Nosaka K, Tanaka Y, Schioppa T, Balkwill F, Taylor GP, Bangham CR. Human T-lymphotropic virus type 1-induced CC chemokine ligand 22 maintains a high frequency of functional FoxP3+ regulatory T cells. J Immunol. 2010;185(1):183–9.

    CAS  PubMed Central  PubMed  Google Scholar 

  63. Toulza F, Heaps A, Tanaka Y, Taylor GP, Bangham CR. High frequency of CD4+FoxP3+ cells in HTLV-1 infection: inverse correlation with HTLV-1-specific CTL response. Blood. 2008;111(10):5047–53.

    CAS  PubMed Central  PubMed  Google Scholar 

  64. Ohshima K, Jaffe ES, Kikuchi M. Adult T-cell leukaemia/lymphoma. In: Swerdlow SH, Campo E, Harris NL, Jaffe ES, Pileri S, Stein H, Tiele J, Vardiman JW, editors. WHO classification of tumours; haematopoietic and lymphoid tissues. Lyon, France: IARC Press; 2008. p. 281–4.

    Google Scholar 

  65. Shimoyama M. Diagnostic criteria and classification of clinical subtypes of adult T-cell leukaemia-lymphoma: a report from the Lymphoma Study Group (1984–87). Br J Haematol. 1991;79(3):428–37.

    CAS  PubMed  Google Scholar 

  66. Uchiyama T, Yodoi J, Sagawa K, Takatsuki K, Uchino H. Adult T-cell leukemia: clinical and hematologic features of 16 cases. Blood. 1977;50(3):481–92.

    CAS  PubMed  Google Scholar 

  67. Hinuma Y, Nagata K, Hanaoka M, Nakai M, Matsumoto T, Kinoshita KI, Shirakawa S, Miyoshi I. Adult T-cell leukemia: antigen in an ATL cell line and detection of antibodies to the antigen in human sera. Proc Natl Acad Sci U S A. 1981;78(10):6476–80. PMID: 7031654.

    CAS  PubMed Central  PubMed  Google Scholar 

  68. Matsuoka M, Jeang KT. Human T-cell leukaemia virus type 1 (HTLV-1) infectivity and cellular transformation. Nat Rev Cancer. 2007;7(4):270–80.

    CAS  PubMed  Google Scholar 

  69. Okamoto T, Ohno Y, Tsugane S, Watanabe S, Shimoyama M, Tajima K, Miwa M, Shimotohno K. Multi step carcinogenesis model for adult T cell leukemia. Jpn J Cancer Res. 1989;80(3):191–5.

    CAS  PubMed  Google Scholar 

  70. Yoshida M, Miyoshi I, Hinuma Y. Isolation and characterization of retrovirus from cell lines of human adult T-cell leukemia and its implication in the disease. Proc Natl Acad Sci U S A. 1982;79(6):2031–5.

    CAS  PubMed Central  PubMed  Google Scholar 

  71. Major prognostic factors of patients with adult T-cell leukemia-lymphoma: a cooperative study—Lymphoma Study Group (1984–1987). Leuk Res. 1991;15(2–3):81–90.

    Google Scholar 

  72. Whittaker SJ, Ng YL, Rustin M, Levene G, McGibbon DH, Smith NP. HTLV-1-associated cutaneous disease: a clinicopathological and molecular study of patients from the UK. Br J Dermatol. 1993;128(5):483–92.

    CAS  PubMed  Google Scholar 

  73. Yamaguchi T, Ohshima K, Karube K, Tutiya T, Kawano R, Suefuji H, Shimizu A, Nakayama J, Suzumiya J, Moroi Y, Urabe K, Furue M, Koga T, Kikuchi M. Clinicopathological features of cutaneous lesions of adult T-cell leukaemia/lymphoma. Br J Dermatol. 2005;152(1): 76–81.

    CAS  PubMed  Google Scholar 

  74. Bunn Jr PA, Schechter GP, Jaffe E, Blayney D, Young RC, Matthews MJ, Blattner W, Broder S, Robert-Guroff M, Gallo RC. Clinical course of retrovirus-associated adult T-cell lymphoma in the United States. N Engl J Med. 1983;309(5):257–64. PMID: 6602943.

    PubMed  Google Scholar 

  75. Blayney DW, Jaffe ES, Blattner WA, Cossman J, Robert-Guroff M, Longo DL, Bunn Jr PA, Gallo RC. The human T-cell leukemia/lymphoma virus associated with American adult T-cell leukemia/lymphoma. Blood. 1983;62(2):401–5.

    CAS  PubMed  Google Scholar 

  76. Levine PH, Manns A, Jaffe ES, Colclough G, Cavallaro A, Reddy G, Blattner WA. The effect of ethnic differences on the pattern of HTLV-I-associated T-cell leukemia/lymphoma (HATL) in the United States. Int J Cancer. 1994;56(2):177–81.

    CAS  PubMed  Google Scholar 

  77. Ohshima K. Pathological features of diseases associated with human T-cell leukemia virus type I. Cancer Sci. 2007;98(6):772–8.

    CAS  PubMed  Google Scholar 

  78. Karube K, Suzumiya J, Okamoto M, Takeshita M, Maeda K, Sakaguchi M, Inada T, Tsushima H, Kikuchi M, Ohshima K. Adult T-cell lymphoma/leukemia with angioimmunoblastic T-cell lymphomalike features: Report of 11 cases. Am J Surg Pathol. 2007;31(2):216–23. PMID: 17255766.

    PubMed  Google Scholar 

  79. Ohshima K, Suzumiya J, Kato A, Tashiro K, Kikuchi M. Clonal HTLV-I-infected CD4+ T-lymphocytes and non-clonal non-HTLV-I- infected giant cells in incipient ATLL with Hodgkin-like histologic features. Int J Cancer. 1997;72(4):592–8.

    CAS  PubMed  Google Scholar 

  80. Ohshima K, Kikuchi M, Masuda Y, Sumiyoshi Y, Eguchi F, Mohtai H, Takeshita M, Kimura N. Human T-cell leukemia virus type I associated lymphadenitis. Cancer. 1992;69(1):239–48.

    CAS  PubMed  Google Scholar 

  81. Ohshima K, Suzumiya J, Sato K, Kanda M, Simazaki T, Kawasaki C, Haraoka S, Kikuchi M. Survival of patients with HTLV-I-associated lymph node lesions. J Pathol. 1999;189(4): 539–45.

    CAS  PubMed  Google Scholar 

  82. Roncador G, Garcia JF, Garcia JF, Maestre L, Lucas E, Menarguez J, Ohshima K, Nakamura S, Banham AH, Piris MA. FOXP3, a selective marker for a subset of adult T-cell leukaemia/lymphoma. Leukemia. 2005;19(12):2247–53.

    CAS  PubMed  Google Scholar 

  83. Tsukasaki K, Tsushima H, Yamamura M, Hata T, Murata K, Maeda T, Atogami S, Sohda H, Momita S, Ideda S, Katamine S, Yamada Y, Kamihira S, Tomonaga M. Integration patterns of HTLV-I provirus in relation to the clinical course of ATL: frequent clonal change at crisis from indolent disease. Blood. 1997;89(3):948–56.

    CAS  PubMed  Google Scholar 

  84. Ohshima K, Mukai Y, Shiraki H, Suzumiya J, Tashiro K, Kikuchi M. Clonal integration and expression of human T-cell lymphotropic virus type I in carriers detected by polymerase chain reaction and inverse PCR. Am J Hematol. 1997;54(4):306–12.

    CAS  PubMed  Google Scholar 

  85. Yasunaga J, Matsuoka M. Molecular mechanisms of HTLV-1 infection and pathogenesis. Int J Hematol. 2011;94(5):435–42.

    CAS  PubMed  Google Scholar 

  86. Grassmann R, Aboud M, Jeang KT. Molecular mechanisms of cellular transformation by HTLV-1 Tax. Oncogene. 2005;24(39):5976–85.

    CAS  PubMed  Google Scholar 

  87. Takeda S, Maeda M, Morikawa S, Taniguchi Y, Yasunaga J, Nosaka K, Tanaka Y, Matsuoka M. Genetic and epigenetic inactivation of tax gene in adult T-cell leukemia cells. Int J Cancer. 2004;109(4):559–67. PMID: 14991578.

    CAS  PubMed  Google Scholar 

  88. Satou Y, Yasunaga J, Yoshida M, Matsuoka M. HTLV-I basic leucine zipper factor gene mRNA supports proliferation of adult T cell leukemia cells. Proc Natl Acad Sci U S A. 2006;103(3):720–5.

    CAS  PubMed Central  PubMed  Google Scholar 

  89. Shimizu-Kohno K, Satou Y, Arakawa F, Kiyasu J, Kimura Y, Niino D, Sugita Y, Ishikawa F, Matsuoka M, Ohshima K. Detection of HTLV-1 by means of HBZ gene in situ hybridization in formalin-fixed and paraffin-embedded tissues. Cancer Sci. 2011;102(7):1432–6. doi:10.1111/j.1349-7006.2011.01946.x. Epub 2011 May 9; PMID: 21453388.

    CAS  PubMed  Google Scholar 

  90. Saito M, Matsuzaki T, Satou Y, Yasunaga J, Saito K, Arimura K, Matsuoka M, Ohara Y. In vivo expression of the HBZ gene of HTLV-1 correlates with proviral load, inflammatory markers and disease severity in HTLV-1 associated myelopathy/tropical spastic paraparesis (HAM/TSP). Retrovirology. 2009;6:19. PMID: 19228429, PMCID: PMC2653460.

    CAS  PubMed Central  PubMed  Google Scholar 

  91. Yamada Y, Hatta Y, Murata K, Sugawara K, Ikeda S, Mine M, et al. Deletions of p15 and/or p16 genes as a poor-prognosis factor in adult T-cell leukemia. J Clin Oncol. 1997;15(5): 1778–85.

    CAS  PubMed  Google Scholar 

  92. Utsunomiya A, Ishida T, Inagaki A, Ishii T, Yano H, Komatsu H, et al. Clinical significance of a blood eosinophilia in adult T-cell leukemia/lymphoma: a blood eosinophilia is a significant unfavorable prognostic factor. Leuk Res. 2007;31(7):915–20.

    CAS  PubMed  Google Scholar 

  93. Ishida T, Utsunomiya A, Iida S, Inagaki H, Takatsuka Y, Kusumoto S, Takeuchi G, Shimizu S, Ito M, Komatsu H, Wakita A, Eimoto T, Matsushima K, Ueda R. Clinical significance of CCR4 expression in adult T-cell leukemia/lymphoma: its close association with skin involvement and unfavorable outcome. Clin Cancer Res. 2003;9(10 Pt 1):3625–34.

    CAS  PubMed  Google Scholar 

  94. Ohno N, Tani A, Uozumi K, Hanada S, Furukawa T, Akiba S, Sumizawa T, Utsunomiya A, Arima T, Akiyama S. Expression of functional lung resistance-related protein predicts poor outcome in adult T-cell leukemia. Blood. 2001;98(4):1160–5.

    CAS  PubMed  Google Scholar 

  95. Tsukasaki K, Tobinai K, Shimoyama M, Kozuru M, Uike N, Yamada Y, et al. Deoxycoformycin-containing combination chemotherapy for adult T-cell leukemia-lymphoma: Japan Clinical Oncology Group Study (JCOG9109). Int J Hematol. 2003;77(2): 164–70.

    CAS  PubMed  Google Scholar 

  96. Tsukasaki K, Utsunomiya A, Fukuda H, Shibata T, Fukushima T, Takatsuka Y, et al. VCAP-AMP-VECP compared with biweekly CHOP for adult T-cell leukemia-lymphoma: Japan Clinical Oncology Group Study JCOG9801. J Clin Oncol. 2007;25(34):5458–64.

    CAS  PubMed  Google Scholar 

  97. Utsunomiya A, Miyazaki Y, Takatsuka Y, Hanada S, Uozumi K, Yashiki S, et al. Improved outcome of adult T cell leukemia/lymphoma with allogeneic hematopoietic stem cell transplantation. Bone Marrow Transplant. 2001;27(1):15–20.

    CAS  PubMed  Google Scholar 

  98. Tanosaki R, Uike N, Utsunomiya A, Saburi Y, Masuda M, Tomonaga M, Eto T, Hidaka M, Harada M, Choi I, Yamanaka T, Kannagi M, Matsuoka M, Okamura J. Allogeneic hematopoietic stem cell transplantation using reduced-intensity conditioning for adult T cell leukemia/lymphoma: impact of antithymocyte globulin on clinical outcome. Biol Blood Marrow Transplant. 2008;14(6):702–8.

    CAS  PubMed  Google Scholar 

  99. Okamura J, Uike N, Utsunomiya A, Tanosaki R. Allogeneic stem cell transplantation for adult T-cell leukemia/lymphoma. Int J Hematol. 2007;86(2):118–25.

    PubMed  Google Scholar 

  100. Takasaki Y, Iwanaga M, Tsukasaki K, Kusano M, Sugahara K, Yamada Y, Kamihira S, Ikeda S, Tomonaga M. Impact of visceral involvements and blood cell count abnormalities on survival in adult T-cell leukemia/lymphoma (ATLL). Leuk Res. 2007;31(6):751–7.

    PubMed  Google Scholar 

  101. Bazarbachi A, Plumelle Y, Carlos Ramos J, Tortevoye P, Otrock Z, Taylor G, et al. Meta-analysis on the use of zidovudine and interferon-alfa in adult T-cell leukemia/lymphoma showing improved survival in the leukemic subtypes. J Clin Oncol. 2010;28(27):4177–83.

    CAS  PubMed  Google Scholar 

  102. Ishitsuka K, Fukushima T, Tsukasaki K, Tobinai K. Is zidovudine and interferon-alfa the gold standard for adult T-cell leukemialymphoma? J Clin Oncol. 2010;28(36):e765.

    PubMed  Google Scholar 

  103. Takasaki Y, Iwanaga M, Imaizumi Y, Tawara M, Joh T, Kohno T, Yamada Y, Kamihira S, Ikeda S, Miyazaki Y, Tomonaga M, Tsukasaki K. Long-term study of indolent adult T-cell leukemia-lymphoma. Blood. 2010;115(22):4337–43. Epub 2010 Mar 26; PMID: 20348391.

    CAS  PubMed  Google Scholar 

  104. Yoshie O, Fujisawa R, Nakayama T, Harasawa H, Tago H, Izawa D, et al. Frequent expression of CCR4 in adult T-cell leukemia and human T-cell leukemia virus type 1-transformed T cells. Blood. 2002;99(5):1505–11.

    CAS  PubMed  Google Scholar 

  105. Yamamoto K, Utsunomiya A, Tobinai K, Tsukasaki K, Uike N, Uozumi K, et al. Phase I study of KW-0761, a defucosylated humanized anti-CCR4 antibody, in relapsed patients with adult T-cell leukemia-lymphoma and peripheral T-cell lymphoma. J Clin Oncol. 2010;28(9):1591–8.

    CAS  PubMed  Google Scholar 

  106. Phillips KE, Herring B, Wilson LA, Rickford MS, Zhang M, Goldman CK, Tso JY, Waldmann TA. IL-2Ralpha-Directed monoclonal antibodies provide effective therapy in a murine model of adult T-cell leukemia by a mechanism other than blockade of IL-2/IL-2Ralpha interaction. Cancer Res. 2000;60(24):6977–84.

    CAS  PubMed  Google Scholar 

  107. Zhang Z, Zhang M, Goldman CK, Ravetch JV, Waldmann TA. Effective therapy for a murine model of adult T-cell leukemia with the humanized anti-CD52 monoclonal antibody, Campath-1H. Cancer Res. 2003;63(19):6453–7.

    CAS  PubMed  Google Scholar 

  108. Tan C, Waldmann TA. Proteasome inhibitor PS-341, a potential therapeutic agent for adult T-cell leukemia. Cancer Res. 2002;62(4):1083–6.

    CAS  PubMed  Google Scholar 

  109. Dewan MZ, Terashima K, Taruishi M, Hasegawa H, Ito M, Tanaka Y, Mori N, Sata T, Koyanagi Y, Maeda M, Kubuki Y, Okayama A, Fujii M, Yamamoto N. Rapid tumor formation of human T-cell leukemia virus type 1-infected cell lines in novel NOD-SCID/gammac(null) mice: suppression by an inhibitor against NF-kappaB. J Virol. 2003;77(9):5286–94.

    CAS  PubMed Central  PubMed  Google Scholar 

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Correspondence to Koichi Ohshima M.D., Ph.D. .

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Ohshima, K. (2014). Human T-Cell Leukemia Virus Type 1: Epidemiology and Clinical Features of Related Cancer. In: Hudnall, S. (eds) Viruses and Human Cancer. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-0870-7_11

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