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Noninvasive Detection of Antibodies to Human T-Cell Lymphotropic Virus Types 1 and 2 by Use of Oral Fluid. J Clin Microbiol 2019; 57:JCM.01179-19. [PMID: 31597746 DOI: 10.1128/jcm.01179-19] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2019] [Accepted: 09/30/2019] [Indexed: 12/14/2022] Open
Abstract
Human T-lymphotropic viruses type 1 and 2 (HTLV-1/2) are prevalent in endemic clusters globally, and HTLV-1 infects at least 5 to 10 million individuals. Infection can lead to inflammation in the spinal cord, resulting in HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP), or adult T cell leukemia/lymphoma (ATL). Obtaining venous blood for serological screening, typically performed using enzyme immunoassays (EIAs), is invasive, sometimes socially unacceptable, and has restricted large-scale seroprevalence studies. Collecting oral fluid (OF) is a noninvasive alternative to venesection. In this study, an IgG antibody capture EIA was developed and validated to detect anti-HTLV-1/2 IgG in OF. OF and plasma specimens were obtained from seropositive HTLV-1/2-infected patients attending the National Centre for Human Retrovirology (n = 131) and from HTLV-1/2-uninfected individuals (n = 64). The assay showed good reproducibility and high diagnostic sensitivity (100%) and specificity (100%) using both OF and plasma. The Murex HTLV I+II commercial assay was evaluated and did not detect anti-HTLV-1/2 IgG in 14% (5/36) of OF specimens from seropositive donors. The reactivities of OF and plasma in the IgG capture correlated strongly (r = 0.9290) and were not significantly affected by delayed extraction when held between 3°C and 45°C for up to 7 days to simulate field testing. The use of OF serological screening for HTLV-1/2 infection could facilitate large-scale seroprevalence studies, enabling active surveillance of infection on a population level.
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Alais S, Pasquier A, Jegado B, Journo C, Rua R, Gessain A, Tobaly-Tapiero J, Lacoste R, Turpin J, Mahieux R. STLV-1 co-infection is correlated with an increased SFV proviral load in the peripheral blood of SFV/STLV-1 naturally infected non-human primates. PLoS Negl Trop Dis 2018; 12:e0006812. [PMID: 30273350 PMCID: PMC6181429 DOI: 10.1371/journal.pntd.0006812] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2018] [Revised: 10/11/2018] [Accepted: 09/03/2018] [Indexed: 12/23/2022] Open
Abstract
Simian T-Leukemia Virus type 1 and Simian Foamy Virus infect non-human primates. While STLV-1, as HTLV-1, causes Adult T-cell Leukemia/lymphoma, SFV infection is asymptomatic. Both retroviruses can be transmitted from NHPs to humans through bites that allow contact between infected saliva and recipient blood. Because both viruses infect CD4+ T-cells, they might interfere with each other replication, and this might impact viral transmission. Impact of STLV-1 co-infection on SFV replication was analyzed in 18 SFV-positive/STLV-1-negative and 18 naturally SFV/STLV-1 co-infected Papio anubis. Even if 9 animals were found STLV-1-positive in saliva, STLV-1 PVL was much higher in the blood. SFV proviruses were detected in the saliva of all animals. Interestingly, SFV proviral load was much higher in the blood of STLV-1/SFV co-infected animals, compared to STLV-1-negative animals. Given that soluble Tax protein can enter uninfected cells, we tested its effect on foamy virus promoter and we show that Tax protein can transactivate the foamy LTR. This demonstrates that true STLV-1 co-infection or Tax only has an impact on SFV replication and may influence the ability of the virus to be zoonotically transmitted as well as its ability to promote hematological abnormalities. Foamy viruses infect a lot of mammalian hosts including non-human primates (NHP) and humans. Foamy infection is not associated with disease, although a recent report described hematological abnormalities in infected humans. Some NHP species are also naturally infected with another retrovirus i.e. Simian T lymphotropic virus type 1, while humans are infected with the Human T lymphotropic virus type 1 counterpart. Both viruses cause leukemia. Here we report that natural foamy/STLV-1 co-infection is associated with a higher foamy virus proviral load in blood. Co-infected animals might therefore present a higher risk of developing hematological disease.
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Affiliation(s)
- Sandrine Alais
- International Center for Research in Infectiology, Retroviral Oncogenesis laboratory, INSERM U1111 –Université Claude CNRS, UMR5308, Ecole Normale Supérieure de Lyon, Université Lyon, Lyon, France
- Equipe labellisée “Ligue Nationale Contre le Cancer” et Labex Ecofect, Lyon, France
| | - Amandine Pasquier
- International Center for Research in Infectiology, Retroviral Oncogenesis laboratory, INSERM U1111 –Université Claude CNRS, UMR5308, Ecole Normale Supérieure de Lyon, Université Lyon, Lyon, France
- Equipe labellisée “Ligue Nationale Contre le Cancer” et Labex Ecofect, Lyon, France
- Ecole Pratique des Hautes Etudes, Paris, France
| | - Brice Jegado
- International Center for Research in Infectiology, Retroviral Oncogenesis laboratory, INSERM U1111 –Université Claude CNRS, UMR5308, Ecole Normale Supérieure de Lyon, Université Lyon, Lyon, France
- Equipe labellisée “Ligue Nationale Contre le Cancer” et Labex Ecofect, Lyon, France
| | - Chloé Journo
- International Center for Research in Infectiology, Retroviral Oncogenesis laboratory, INSERM U1111 –Université Claude CNRS, UMR5308, Ecole Normale Supérieure de Lyon, Université Lyon, Lyon, France
- Equipe labellisée “Ligue Nationale Contre le Cancer” et Labex Ecofect, Lyon, France
| | - Réjane Rua
- Epidémiologie et Physiopathologie des Virus Oncogènes, CNRS UMR 3569, Pasteur Institute, Paris, France
| | - Antoine Gessain
- Epidémiologie et Physiopathologie des Virus Oncogènes, CNRS UMR 3569, Pasteur Institute, Paris, France
| | - Joelle Tobaly-Tapiero
- INSERM U944-CNRS Université Paris Diderot, UMR7212-IUH-Hôpital St-Louis, Dynamic of Retroviruses and Retrotransposons Group, Paris, France
| | | | - Jocelyn Turpin
- International Center for Research in Infectiology, Retroviral Oncogenesis laboratory, INSERM U1111 –Université Claude CNRS, UMR5308, Ecole Normale Supérieure de Lyon, Université Lyon, Lyon, France
- Equipe labellisée “Ligue Nationale Contre le Cancer” et Labex Ecofect, Lyon, France
- Section of Virology, Department of Medicine, Imperial College London, London United Kingdom
| | - Renaud Mahieux
- International Center for Research in Infectiology, Retroviral Oncogenesis laboratory, INSERM U1111 –Université Claude CNRS, UMR5308, Ecole Normale Supérieure de Lyon, Université Lyon, Lyon, France
- Equipe labellisée “Ligue Nationale Contre le Cancer” et Labex Ecofect, Lyon, France
- * E-mail:
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Filippone C, Betsem E, Tortevoye P, Cassar O, Bassot S, Froment A, Fontanet A, Gessain A. A Severe Bite From a Nonhuman Primate Is a Major Risk Factor for HTLV-1 Infection in Hunters From Central Africa. Clin Infect Dis 2015; 60:1667-76. [DOI: 10.1093/cid/civ145] [Citation(s) in RCA: 49] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2014] [Accepted: 02/18/2015] [Indexed: 12/27/2022] Open
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Domínguez MC, Enith González N, Sánchez A, García Vallejo F. Human T-Lymphotropic Virus (HTLV) Type I in vivo Integration in Oral Keratinocytes. Braz J Microbiol 2011; 42:310-20. [PMID: 24031637 PMCID: PMC3768932 DOI: 10.1590/s1517-83822011000100040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2009] [Revised: 02/24/2010] [Accepted: 06/21/2010] [Indexed: 11/21/2022] Open
Abstract
Although the infection of HTLV-1 to cell components of the mouth have been previously reported, there was not until this report, a detailed study to show the characteristics of such infection. From 14 Tropical Spastic Paraparesis/HTLV-1-Associated Myelopathy (HAM/TSP) patients and 11 asymptomatic carrier individuals (AC) coming from HTLV-1 endemic areas of southwest Pacific of Colombia, infected oral mucosa cells were primary cultured during five days. These cell cultures were immunophenotyped by dual color fluorescence cell assortment using different lymphocyte CD markers and also were immunohistochemically processed using a polyclonal anti-keratin antibody. Five days old primary cultures were characterized as oral keratinocytes, whose phenotype was CD3- /CD4-/CD8-/CD19-/CD14-/CD45-/A575-keratin+. From DNA extracted of primary cultures LTR, pol, env and tax HTLV-1 proviral DNA regions were differentially amplified by PCR showing proviral integration. Using poly A+ RNA obtained of these primary cultures, we amplify by RT-PCR cDNA of tax and pol in 57.14% (8/14) HAM/TSP patients and 27.28% (3/11) AC. Tax and pol poly A+ RNA were expressed only in those sIgA positive subjects. Our results showed that proviral integration and viral gene expression in oral keratinocytes are associated with a HTLV-1 specific local mucosal immune response only in those HTLV-1 infected individuals with detectable levels of sIgA in their oral fluids. Altogether the results gave strong evidence that oral mucosa infection would be parte of the systemic spreading of HTLV-1 infection.
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Affiliation(s)
- Martha C Domínguez
- Laboratory of Molecular Biology and Pathogenesis. Department of Physiological Sciences. Faculty of Health . University of Valle, Cali , Colombia
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Bolton WV, Davis AR, Ge YC, Dwyer DE, Kenrick KG, Cunningham AL, Saksena NK. Molecular evidence for transmission of human T-lymphotropic virus type II infection by a human bite. J Clin Microbiol 1999; 37:238-40. [PMID: 9854102 PMCID: PMC84221 DOI: 10.1128/jcm.37.1.238-240.1999] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Investigation of a human T-lymphotropic virus type II (HTLV-II) infection in a female Australian blood donor identified a human bite as the likely mode of transmission, confirmed by nucleotide sequencing of the proviral tax/rex from both donor and contact. We believe this to be the first report of the transmission of an HTLV by a human bite.
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Affiliation(s)
- W V Bolton
- Department of Virology and Biochemistry, Australian Red Cross Blood Service, Sydney, Westmead Hospital, Westmead, Australia
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