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High human T-cell lymphotropic virus type I proviral DNA load with
polyclonal integration in peripheral blood mononuclear cells of French West
Indian, Guianese, and African patients with tropical spastic paraparesis
A Gessain, F Saal, O Gout, MT Daniel, G Flandrin, G de The, J Peries and F Sigaux
Laboratoire d'Hematologie Moleculaire, Hopital Saint-Louis, France.
Human T-cell lymphotropic virus type I (HTLV-I) proviral integration status
was examined by Southern blot analysis in peripheral blood mononuclear cell
(PBMC) DNA from patients presenting a tropical spastic paraparesis (TSP)
and serological evidence of HTLV-I infection. Surface phenotype and
morphological aspects of PBMC were also studied. A polyclonal HTLV-I
proviral integration was found in the PBMC of the 10 patients studied
irrespective of their geographical origin (French West Indies, French
Guiana, and Africa), the duration of their clinical illness, or the HTLV-I
antibody titer. Furthermore, by dilution experiments and hypothesizing that
only one copy of HTLV-I proviral DNA is present in one cell, we estimated
that this HTLV-I integration is present in 3% to 15% of their PBMC. All 10
TSP/HTLV-I patients studied had an average of 10% of their lymphocytes
abnormal, presenting either a misshapen nucleus or an adult T-cell
leukemia/lymphoma (ATL)-like feature. Moreover, an elevated CD4/CD8 ratio
associated with the presence of activated T cells with a high level of DR
expression was observed in most patients. The significant frequency of
viral-positive PBMC and the important load of HTLV-I proviral DNA that we
observed in TSP/HTLV-I patients might play an important role in the
pathogenesis of this recently identified clinico-virological entity.
Volume 75,
Issue 2,
pp. 428-433,
01/15/1990
Copyright © 1990 by The American Society of Hematology

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