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Global Translational Medicine





                                        REVIEW ARTICLE
                                        Inflammatory and anti-inflammatory responses

                                        in human T-lymphotropic virus Type 1 infection



                                        Elnaz Sadat Hosseini , Elham Abdollahi *, and Nafiseh Saghafi 1
                                                                          1,2
                                                          1
                                        1 Supporting the Family and the Youth of Population Research Core, Department of Gynecology and
                                        Obstrict, Mashhad University of Medical Sciences, Mashhad, Iran
                                        2 Immunology Research Center, Inflammation and Inflammatory Disease Research Centre, Mashhad
                                        University of Medical Sciences, Mashhad, Iran




                                        Abstract
                                        Human T-lymphotropic virus Type 1 (HTLV-1) is a viral infectious agent that may cause
                                        chronic infection of T lymphocytes. HTLV-1 infection is related to multiple human
                                        diseases, including adult T-cell leukemia, which is a neoplastic growth of HTLV-1-
                                        infected T cells, and neoplastic inflammatory conditions such as HTLV-1-associated
                                        myelopathy/tropical spastic paraparesis (HAM/TSP), Sjögren’s syndrome, polymyositis
                                        uveitis, and bronchoalveolitis. T regulatory cells (Tregs), also known as regulatory T
                                        cells, and T helper 17 (Th17) cells, a distinct subset of cluster differentiation T cells
                                        with interleukin-17 as their major cytokine, orchestrate the pathogenesis of anti-
                                        inflammatory and  inflammatory  responses  in  HTLV-1-mediated  diseases.  In  this
                                        review, we aim to evaluate the immune responses of Tregs as anti-inflammatory cells
                                        and Th17 cells as inflammatory cells in HTLV-1 infection.


                                        Keywords: Inflammatory responses; Anti-inflammatory responses; Human
            *Corresponding author:      T-lymphotropic virus type 1; HTLV-1-associated myelopathy/tropical spastic paraparesis
            Elham Abdollahi
            (ea6112@gmail.com)
            Citation: Hosseini E.S, Abdollahi E,
            Nafiseh Saghafi, 2023, Inflammatory   1. Introduction
            and anti-inflammatory responses in
            human T-lymphotropic virus Type 1   Human T-lymphotropic virus Type 1 (HTLV-1) is anoncogenic virus that may cause
            infection. Global Transl Med, 2(1):
            67.                         chronic infection of human T cells. It is endemic in several countries, such as Southern
            https://doi.org/10.36922/gtm.v2i1.67   Japan,  the  Caribbean  region,  areas  in  South  America  and  tropical  Africa,  and  some
            Received: April 14, 2022    foci in the Middle East, Australia, and Melanesia [1-3] . The majority of patients who are
            Accepted: December 1, 2022   infected with HTLV-1 are without certain symptoms, including fever, cough, shortness of
            Published Online: January 19, 2023  breath, nausea, and diarrhea [4,5] . HTLV-1 infection is associated with several disorders, of
            Copyright: © 2023 Author(s).   which the main conditions are adult T-cell leukemia (ATL), which is a neoplastic growth
            This is an Open Access article   of HTLV-1-infected T cells, and neoplastic inflammatory conditions, such as HTLV-
            distributed under the terms of the
            Creative Commons Attribution   1-associated myelopathy/tropical spastic paraparesis(HAM/TSP), Sjögren’s syndrome,
            License, permitting distribution,   polymyositis uveitis, and bronchoalveolitis [2,5,6] . Inflammation may have a major role in
            and reproduction in any medium,   the pathogenesis of HTLV-1, as shown in Figure 1.
            provided the original work is
            properly cited.               Neuropilin-1, glucose transporter 1 (GLUT1), and heparin sulfate proteoglycans
            Publisher’s Note: AccScience   (HSPGs) are all HTLV-1 receptors [7,8] . Since both GLUT1 and neuropilin-1 are found on
            Publishing remains neutral with   various cell surfaces, it is possible that HTLV-1 infects various hematopoietic cells and
            regard to jurisdictional claims in                               [7,8]
            published maps and institutional   hematopoietic stem cells (HSCs),such as T cells  . These receptors facilitate the binding
            affiliations.               of HTLV-1 with hematopoietic cells. The entry of retroviruses into target cells involves


            Volume 2 Issue 1 (2023)                         1                       https://doi.org/10.36922/gtm.v2i1.67
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