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Pathogenesis and treatment of human T-cell lymphotropic virus Type I-associated myelopathy
Masahiro Nagai1, Mitsuhiro Osame
1Third Department of Internal Medicine, Faculty of Medicine, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima 890-8520, Japan. nagai@m.kufm.kagoshima-u.ac.jp
Abstract:
Human T-cell lymphotropic virus Type I (HTLV-I)-associated myelopathy/tropical spastic paraparesis (HAM/TSP) is a chronic progressive inflammatory neurological disease. It is considered that virus-host immunological interactions are an important cause of this disease. Coexisting high HTLV-I proviral load and HTLV-I-specific T-cells is an important feature of HAM/TSP. The immune response to HTLV-I probably contributes to the inflammatory process of CNS lesions in HAM/TSP patients. Therefore, treatments for HAM/TSP aim to reduce HTLV-I proviral load and normalize the abnormal immune responses to HTLV-I.
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