Abstract
Human T-cell lymphotropic virus type 1 (HTLV-1) is the first isolated retrovirus from humans, and 2–3% of infected individuals suffer from HTLV-1 associated myelopathy tropical spastic paraparesis (HAM-TSP). Previous studies indicated that the risk of HAM-TSP could be correlated with the individuals’ genetic alterations. Mashhad is one of the areas infected with HTLV-1 in Iran. This study designed to examine the association between several important gene polymorphisms and HAM-TSP. Genotypes of 232 samples from controls, HTLV-1 carriers, and HAM-TSP patients were examined for FAS-670 (A > G), CXCL10-1447 (A > G), Foxp3-3279 (C > A), IL-18 -137 (C > G), and IL-18 -607 (C > A) gene polymorphisms by different polymerase chain reaction (PCR) techniques. A non-significant association was observed between FAS-670 A > G, Foxp3-3279 C > A, and IL-18 -137 C > G gene polymorphisms and HAM-TSP. Nevertheless, a significant (P < 0.001) association between CXCL10-1447 A > G and IL-18 -607 C > A gene polymorphisms with HAM-TSP was observed in our study population. As previous studies revealed that the CXCL10 level in the cerebrospinal fluid of HAM-TSP patients was associated with the disease progression, and as we noticed, a direct association was observed between CXCL10-1447 A > G polymorphism and HAM-TSP. These polymorphisms might be recommended as a valuable prediction criterion for the severity of the disease. The contradiction between our findings and other studies regarding IL-18 -607 C > A gene polymorphism might be associated with various factors such as genotypes frequency in diverse races and population heterogeneity in the city of Mashhad.
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The data obtained in this study are accessible from the corresponding author after well-reasoned and valid request.
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Acknowledgments
We acknowledged all patients with HAM-TSP, HTLV-1 carriers, and healthy blood donors for their contribution in the current study.
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The present study was financially supported by Mashhad University of Medical Sciences, Mashhad, Iran, and Kerman University of Medical Sciences, Kerman, Iran.
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Houshang Rafatpanah gave the blood samples and information regarding demographic data of patients with HAM/TSP and HTLV-1 carriers. He also read the manuscript; Zohreh Poursina helped to do DNA extraction from samples of patients with HAM-TSP and HTLV-1 carriers and read the manuscript; Hadi Zare Marzouni helped for DNA extraction from samples of healthy blood donors and performed PCR for all polymorphisms. He also helped for writing of the manuscript and data analysis; Reza Boostani affirmed the diagnosis of HAM/TSP and introduced the patients to participate in our study; Mahdi Atabaki helped for writing of the manuscript; Reza Farid-Hosseini gave the consultation and read the manuscript; Jalil Tavakkol-Afshari read the manuscript and helped with the laboratory facilities for molecular techniques; Mojgan Mohammadi designed the study, supervised and financially supported the project, and wrote the manuscript.
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This study approved by the Ethics Committee of Mashhad University of Medical sciences and the code was 931203.
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Rafatpanah, H., Poursina, Z., Boostani, R. et al. A significant association between CXCL10 -1447 A > G and IL18 -607 C > A gene polymorphism with human T-cell lymphotropic virus type 1 associated myelopathy/tropical spastic paraparesis (HAM-TSP), a case-control report from city of Mashhad, Iran. J. Neurovirol. 27, 249–259 (2021). https://doi.org/10.1007/s13365-021-00946-4
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DOI: https://doi.org/10.1007/s13365-021-00946-4