Objective: Few studies have specifically examined proviral load (PVL) and clonal evolution of human T-lymphotropic virus type 1 (HTLV-1)-infected cells in vertically infected children. Methods: Sequential samples (from ages 1 to 16 years) from 3 HTLV-1-infected children (cases A, B and C) in the Jamaica Mother Infant Cohort Study were analyzed for their PVL and clonal expansion of HTLV-1-infected cells in peripheral blood mononuclear cells (PBMCs) by inverse-long PCR. Results: The baseline PVL (per 100,000 PBMCs) of case A was 260 (at 1 year of age) and of case B it was 1,867 (at 3 years of age), and they remained constant for more than 10 years. Stochastic patterns of clonal expansion of HTLV-1-infected cells were predominately detected. In contrast, case C, who had lymphadenopathy, seborrheic dermatitis and hyperreflexia, showed an increase in PVL from 2,819 at 1.9 years to 13,358 at 13 years of age, and expansion of 2 dominant clones. Conclusion: The clonal expansion of HTLV-1-infected cells is induced in early childhood after infection acquired from their mothers. Youths with high PVL and any signs and symptoms associated with HTLV-1 infection should be closely monitored.
© 2009 S. Karger AG, Basel
- HTLV-1 infection
- Clonal expansion, infected cells
- Transmission, vertical
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Akihiko Okayama, MD, PhD
Department of Rheumatology, Infectious Diseases and Laboratory Medicine
Faculty of Medicine, University of Miyazaki
5200 Kihara, Kiyotake, Miyazaki 889-1692 (Japan)
Tel. +81 985 7284, Fax +81 985 85 4709, E-Mail email@example.com
Received: August 20, 2008
Accepted: March 25, 2009
Published online: May 20, 2009
Number of Print Pages : 8
Number of Figures : 5, Number of Tables : 1, Number of References : 29
Intervirology (International Journal of Basic and Medical Virology)
Vol. 52, No. 3, Year 2009 (Cover Date: June 2009)
Journal Editor: Liebert U.G. (Leipzig)
ISSN: 0300-5526 (Print), eISSN: 1423-0100 (Online)
For additional information: http://www.karger.com/INT
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