1. Direct Evidence for a Chronic CD8+-T-Cell-Mediated Immune Reaction to Tax within the Muscle of a Human T-Cell Leukemia/Lymphoma Virus Type 1-Infected Patient with Sporadic Inclusion Body Myositis
- Author
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Antônio Lúcio Teixeira, Antoine Gessain, Madeleine Cochet, Jacqueline Mikol, Simona Ozden, and Claudine Pique
- Subjects
Adult ,CD4-Positive T-Lymphocytes ,Pore Forming Cytotoxic Proteins ,viruses ,Molecular Sequence Data ,Immunology ,Microbiology ,Inclusion Bodies, Viral ,Interleukin 21 ,Antigen ,immune system diseases ,hemic and lymphatic diseases ,Virology ,Tropical spastic paraparesis ,medicine ,Humans ,Cytotoxic T cell ,Amino Acid Sequence ,RNA, Messenger ,Antigens, Viral ,Cells, Cultured ,Myositis ,Human T-lymphotropic virus 1 ,Membrane Glycoproteins ,HLA-A Antigens ,biology ,Perforin ,Muscles ,virus diseases ,Gene Products, tax ,T lymphocyte ,medicine.disease ,biology.organism_classification ,HTLV-I Infections ,Paraparesis, Tropical Spastic ,Insect Science ,RNA, Viral ,Pathogenesis and Immunity ,Female ,CD8 ,T-Lymphocytes, Cytotoxic - Abstract
Human T-cell leukemia/lymphoma virus type 1 (HTLV-1) infection can lead to the development of HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP), concomitantly with or without other inflammatory disorders such as myositis. These pathologies are considered immune-mediated diseases, and it is assumed that migration within tissues of both HTLV-1-infected CD4+T cells and anti-HTLV-1 cytotoxic T cells represents a pivotal event. However, although HTLV-1-infected T cells were found in inflamed lesions, the antigenic specificity of coinfiltrated CD8+T cells remains to be determined. In this study, we performed both ex vivo and in situ analyses using muscle biopsies obtained from an HTLV-1-infected patient with HAM/TSP and sporadic inclusion body myositis. We found that both HTLV-1-infected CD4+T cells and CD8+T cells directed to the dominant Tax antigen can be amplified from muscle cell cultures. Moreover, we were able to detect in two successive muscle biopsies bothtaxmRNA-positive mononuclear cells and T cells recognized by the Tax11-19/HLA-A*02 tetramer and positive for perforin. These findings provide the first direct demonstration that anti-Tax cytotoxic T cells are chronically recruited within inflamed tissues of an HTLV-1 infected patient, which validates the cytotoxic immune reaction model for the pathogenesis of HTLV-1-associated inflammatory disease.
- Published
- 2004
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