Immunological studies in tropical spastic paraparesis.

Abstract:

:Tropical spastic paraparesis (TSP) and other chronic-progressive myelopathies have been clearly associated with increased serum and cerebrospinal fluid antibody titers to human T-lymphotropic virus type I (HTLV-I). However, little is known about the cellular immune function in TSP. In the present study, activated T lymphocytes were found in the peripheral blood of patients with TSP. Specifically, there were increased numbers of large CD3+ cells that also expressed HLA-DR and interleukin-2-receptor molecules. A significantly elevated spontaneous lymphoproliferative response was demonstrated in all patients tested. Generation of measles virus-specific cytotoxic T-cell response was reduced in 4 of 4 patients. This was similar to previous findings in patients with multiple sclerosis. However, unlike multiple sclerosis, reduced generation of cytotoxic T-cell response to influenza and mumps viruses was observed in 2 of 4 patients. These observations confirm further the strong association between TSP and an HTLV-I-like virus and suggest that the observed abnormalities of the cellular immune response in TSP are related to infection of lymphocytes by the retrovirus.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Jacobson S,Gupta A,Mattson D,Mingioli E,McFarlin DE

doi

10.1002/ana.410270209

subject

Has Abstract

pub_date

1990-02-01 00:00:00

pages

149-56

issue

2

eissn

0364-5134

issn

1531-8249

journal_volume

27

pub_type

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