Current Rheumatology Reports

, Volume 2, Issue 2, pp 156–162 | Cite as

Non-HIV retroviral associations with rheumatic disease

  • Dorothea Zucker-Franklin
Article

Abstract

While the human T-cell lymphotropic virus type I (HTLV-I) is the recognized cause of adult T cell leukemia, it is also associated with non-neoplastic, ostensibly autoimmune conditions, such as tropical spastic paraparesis. Moreover, among carriers of HTLV-I, the virus is strongly implicated in the development of a type of arthritis, which resembles rheumatoid arthritis (RA). Mice transgenic for HTLV-I tax develop RA-like pathology and Sjögren’s syndrome. Patients with RA and SS in HTLV-I nonendemic regions, such as the United States, are usually serologically negative for antibodies to the structural proteins of HTLV. However, they appear to harbor HTLV-I tax in their peripheral blood mononuclear cells three times as often as individuals who present as healthy blood donors. Because HTLV-I tax transactivates numerous inflammatory cytokines and is not normally found in the human genome, treatment with tax antisense oligonucleotides may provide a new therapeutic approach for selected RA patients proven to be HTLV-I "tax only" positive.

Keywords

Mycosis Fungoides Healthy Blood Donor Salivary Gland Epithelial Cell Rheumatic Manifestation Tropical Spastic Paraparesis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References and Recommended Reading

  1. 1.
    Phillips PE: Infectious agents in the pathogenesis of rheumatoid arthritis. Semin Arthritis Rheum 1988, 16:1–10.CrossRefGoogle Scholar
  2. 2.
    Krause A, Kamradt T, Burmester GR: Potential infectious agents in the induction of arthitides. Curr Opin Rheumatol 1996, 8:203–209.PubMedCrossRefGoogle Scholar
  3. 3.
    Franklin EC, Kunkel H: An unusual protein component of high molecular weight in the serum of certain patients with rheumatoid arthritis. J Exp Med 1957, 105:425–438.PubMedCrossRefGoogle Scholar
  4. 4.
    Blackburn WD, Chatham WW: Laboratory findings in rheumatoid arthritis. In Arthritis. Edited by WJ Koopman. Williams and Wilkins; 1996, 1(56):1096–1098.Google Scholar
  5. 5.
    Firestein GS: Etiology and pathogenesis of rheumatoid arthritis. In Textbook of Rheumatology. Edited by Kelly WN, Ruddy S, Harris ED, Sledge CB. WB Saunders; 1997, 54: 851–897.Google Scholar
  6. 6.
    Depper JM, Zvaifler NJ: Epstein-Barr virus: its relationship to the pathogenesis of rheumatoid arthritis. Arthritis Rheum 1981, 24:755–761.PubMedCrossRefGoogle Scholar
  7. 7.
    Lydyard PM, Irving WL: Is there a role for Epstein-Barr virus in the aetiology of rheumatoid arthritis? Brit J Rheumatol 1988, 27(suppl 2):1220–1227.Google Scholar
  8. 8.
    Rosen A, Gergely P, Jondal M, et al.: Polyclonal immunoglobulin production after Epstein-Barr virus infection of human lymphocytes in vitro. Nature 1977, 267:52–54.PubMedCrossRefGoogle Scholar
  9. 9.
    Slaughter L, Carson DA, Jensen FC, et al.: In vitro effects of EBV on peripheral blood mononuclear cells from patients with rheumatoid arthritis and normal subjects. J Exp Med 1978, 148:1429–1434.PubMedCrossRefGoogle Scholar
  10. 10.
    Venables PJW, Roffe LM, Erhardt CC, et al.: Titers of antibodies to RANA in rheumatoid arthritis and normal sera: relationship to EBV infection. Arthrits Rheum 1981, 24:1459–1464.CrossRefGoogle Scholar
  11. 11.
    Heller M, Henderson A, Kieff E: A repeat sequence in Epstein-Barr virus DNA is related to interspersed repeated cell DNA’s which are specific sites on human chromosomes. Proc Nat Acad Sci USA 1982, 79:5916–5920.PubMedCrossRefGoogle Scholar
  12. 12.
    Alspaugh MA, Shoji H, Nonoyama M: A search for rheumatoid arthritis-associated nuclear antigen and Epstein-Barr virus specific antigens or genomes in tissues and cells from patients with rheumatoid arthritis. Arthritis Rheum 1983, 26:712–720.PubMedCrossRefGoogle Scholar
  13. 13.
    Firestein GS, Zvaifler NJ: How important are T cells in chronic rheumatoid synovitis? Arthritis Rheum 1990, 33:768–773.PubMedCrossRefGoogle Scholar
  14. 14.
    Kato T, Kurokawa M, Masuko-Hongo K, et al.: T cell clonality in synovial fluid of patients with rheumatoid arthritis: persistent but fluctuant oligoclonal T cell expansion. J Immunol 1997, 159:5143–5149.PubMedGoogle Scholar
  15. 15.
    Ikeda Y, Masuko K, Nakai Y, et al.: High frequency of identical T cell clonotypes in synovial tissues of rheumatoid arthritis patients suggest the occurrence of common antigen-driven immune responses. Arthritis Rheum 1996, 39:446–453.PubMedCrossRefGoogle Scholar
  16. 16.
    Hasunuma T, Hoa TTM, Aono H, et al.: Induction of Fasdependent apoptosis in synovial T cells of patients with rheumatoid arthritis. Internat Immunol 1996, 8:1595–11602.CrossRefGoogle Scholar
  17. 17.
    Hoa TTM, Hasunuma T, Aono H, et al.: Novel mechanism of selective apoptosis im synovial T cells of patients with rheumatoid arthritis. J Rheumatol 1996, 23:1332–1337.PubMedGoogle Scholar
  18. 18.
    Gessain A, Barin F, Vernant JC, et al.: Antibodies to human T-lymphotropic virus type-I in patients with tropical spastic paraparesis. Lancet 1985, II:407–410.CrossRefGoogle Scholar
  19. 19.
    Osame M, Matsumoto M, Usuku K, et al.: Chronic progressive myelopathy associated with elevated antibodies to human T-lymphotropic virus I and adult T-cell leukemia-like cells. Ann Neurol 1987, 21:117–122.PubMedCrossRefGoogle Scholar
  20. 20.
    Williams AE, Fang CT, Slamon DJ, et al.: Seroprevalence and epidemiological correlates of HTLV-I infection in US blood donors. Science 1988, 240:643–646.PubMedCrossRefGoogle Scholar
  21. 21.
    Lee HH, Weiss SH, Brown LS, et al.: Patterns of HIV-I and HTLV-I/II in intravenous drug abusers from the middle Atlantic and central regions of the USA. J Inf Dis 1999, 162:347–352.Google Scholar
  22. 22.
    Nishioka K, Nakajima T, Hasunuma T, et al.: Rheumatic manifestations of human leukemia virus infection. Rheumat Dis Clin N Am 1993, 19:489–503.Google Scholar
  23. 23.
    McCallum RM, Patel DD, Moore JO, et al.: Arthritis syndromes associated with HTLV-I infection. Med Clin N Am 1997, 81:261–276.This paper is the most concise review currently available of epidemiologic, clinical, immunologic, and experimental research studies linking HTLV-I, and HTLV-I Tax, in particular, with arthritis.PubMedCrossRefGoogle Scholar
  24. 24.
    Eguchi K, Origuchi T, Takeshima H, et al.: High seroprevalence of anti-HTLV-I antibodies in rheumatoid arthritis. Arthritis Rheum 1996, 39:463–466.PubMedCrossRefGoogle Scholar
  25. 25.
    Sato K, Maruyama I, Maruyama Y, et al.: Arthritis in patients infected with human T lymphotropic virus type-I: clinical and immunopathologic features. Arthritis Rheum 1991, 34:715–721.CrossRefGoogle Scholar
  26. 26.
    Terada K, Katamine S, Eguchi K, et al.: Sjögren’s syndrome in an HTLV-I endemic area in Japan: high seroprevalence and preferential occurrence of IgA class antibodies to HTLV-I in saliva. Lancet 1994, 344:1116–1119.PubMedCrossRefGoogle Scholar
  27. 27.
    Mochizuki M, Aono A, Ikeda E, et al.: HTLV-I uveitis. J Acquir Immune Defic Syndr Hum Retrovirol 1996, 13(suppl 1):S50-S56.PubMedCrossRefGoogle Scholar
  28. 28.
    Poiesz BJ, Ruscetti FW, Gazdar AF, et al.: Detection and isolation of type-C retrovirus particles from fresh and cultured lymphocytes of a patient with cutaneous T-cell lymphoma. Proc Natl Acad Sci USA 1980, 77:7415–7419.PubMedCrossRefGoogle Scholar
  29. 29.
    Yoshida M: Retroviruses: HTLV. In The Molecular Basis of Blood Diseases. Edited by Stamatoyannopoulos G, Nienhuis A, Majeris PW, Varmus H. Philadelphia: WB Saunders; 1994:929–941.Google Scholar
  30. 30.
    Gitlin SD, Dittmer J, Reid RL, et al.: The molecular biology of human T-cell leukemia virus. In Human Retroviruses. Edited by Cullen BR. New York: IRL Press/Oxford University Press;1993:159–192.Google Scholar
  31. 31.
    Seiki M, Eddy R, Shows TB, et al.: Nonspecific integration of the HTLV provirus genome into adult T-cell leukemia cells. Nature 1984, 309:640–642.PubMedCrossRefGoogle Scholar
  32. 32.
    Sodroski J, Rosen C, Goh WC, Haseltine W: A transcriptional activator protein encoded by the X-LOR region of the human T-cell leukemia virus. Science 1985, 228:1430–1434.PubMedCrossRefGoogle Scholar
  33. 33.
    Lanoix J, Lacoste J, Pepin N, Rice N, et al.: Overproduction of NFKB2 (lyt-10) and c-Rel: a mechanism for HTLV-I taxmediated trans-activation via the NF-kB signalling pathway. Oncogene 1994, 9:841–852.PubMedGoogle Scholar
  34. 34.
    Béraud C, Greene WC: Interaction of HTLV-I tax with the human proteasome: implication for NF-kB induction. J Acquir Immune Defic Syndr Hum Retrovirol 1996, 13(Suppl 1):S76-S84.PubMedCrossRefGoogle Scholar
  35. 35.
    Bex F, McDowall A, Burny A, et al.: The human T-cell leukemia virus Type-I transactivating protein Tax colocalizes in unique nuclear structures with NFkB proteins. J Virol 1997, 71:3484–3497.PubMedGoogle Scholar
  36. 36.
    Peebles RS, Maliszewski CR, Sato TA, et al.: Abnormal B cell function in HTLV-tax transgenic mice. Oncogene 1995, 10:1045–1051.PubMedGoogle Scholar
  37. 37.
    Lindholm PF, Reid RL, Brady JN: Extracellular tax1 protein stimulates tumor necrosis factor-b and immunoglobulin kappa light chain expression in lymphoid cells. J Virol 1992, 66:1294–1302.PubMedGoogle Scholar
  38. 38.
    Muller S, Boire G, Ossondo M, et al.: IgG autoantibody response in HTLV-I-infected patients. Clin Immunol Immunopathol 1995, 77:282–290.PubMedCrossRefGoogle Scholar
  39. 39.
    Ehrlich GD, Glaser JB, Abbott MA, et al.: Detection of anti-HTLV-I Tax antibodies in HTLV-I enzyme-linked immunosorbent assay negative individuals. Blood 1989, 74:1066–1072.This paper is important because it points out that other investigators have also detected individuals who have tax antibodies to the viral structural proteins.PubMedGoogle Scholar
  40. 40.
    Korber B, Okayama A, Donnelly R, et al.: Polymerase chain reaction analysis of defective human T-cell leukemia virus Type-I proviral genomes in leukemic cells of patients with Adult T-cell leukemia. J Virol 1991, 65:5471–5476.PubMedGoogle Scholar
  41. 41.
    Kamihira S, Toriya K, Amagasaki T, et al.: Antibodies against p40tax gene product of human T-Lymphotropic virus type I (HTLV-I) under various conditions of HTLV-I infection. Jpn J Cancer Res 1989, 80:1066–1071.PubMedGoogle Scholar
  42. 42.
    Pancake B, Zucker-Franklin D, Coutavas EE: The cutaneous T-cell lymphoma, mycosis fungoides, is a human T-cell lymphotrophic virus-associated disease: a study of 50 patients. J Clin Invest 1995, 95:545–554.This paper shows that individuals can harbor proviral DNA and mRNA related to the HTLV-I transforming/transregulatory gene of the virus, Tax, in their peripheral blood cells and anitbodies to the HTLV-I p40 tax protein in their sera, although lacking sequences an antibodies to the viral structural proteins, gag and env. This was first demonstrated in patients with the cutaneous T-cell lymphoma, mycosis fungoides, but seems to also pertain to about 8% of healthy blood donors. Such individuals have been termed "tax-only" positive.Google Scholar
  43. 43.
    Khan ZM, Sebenik M, Zucker-Franklin D: Localization of HTLV-I tax proviral sequences in skin biopsies of patients with mycosis fungoides by in situ polymerase chain reaction. J Invest Dermatol 1996, 106:667–672.PubMedCrossRefGoogle Scholar
  44. 44.
    Pancake BA, Wassef EH, Zucker-Franklin D: Demonstration of antibodies to HTLV-I tax in patients with the cutaneous T cell lymphoma, mycosis fungoides, who are seronegative for antibodies to the structural proteins of the virus. Blood 1996, 88:3004–3009.This paper shows that individuals can harbor proviral DNA and mRNA related to the HTLV-I transforming/transregulatory gene of the virus, Tax, in their peripheral blood cells and anitbodies to the HTLV-I p40 tax protein in their sera, although lacking sequences an antibodies to the viral structural proteins, gag and env. This was first demonstrated in patients with the cutaneous T-cell lymphoma, mycosis fungoides, but seems to also pertain to about 8% of healthy blood donors. Such individuals have been termed "tax-only" positive.PubMedGoogle Scholar
  45. 45.
    Yates JL, Guam N: Epstein-Barr virus-derived plasmids replicate only once per cell cycle and are not amplified after entry into cells. J Virol 1991; 65:483–488.PubMedGoogle Scholar
  46. 46.
    Haase SB, Calos MP: Replication control of autnomously replicating human sequences. Nucleic Acids Res 1991, 19:5053–5058.PubMedCrossRefGoogle Scholar
  47. 47.
    Wattel E, Vartanian JP, Pannetier C, et al.: Clonal expansion of human T-cell leukemia virus type I-infected cells in asymptomatic and symptomatic carriers without malignancy. J Virol 1995, 69:2863–2868.This report illustrates that PCR amplification of the HTLV-I integration sites can reveal that clonal expansion of HTLV-I-bearing T lymphocytes occurs in asymptomatic as well as symptomatic carriers of the virus.PubMedGoogle Scholar
  48. 48.
    Iwakura Y, Tosu M, Yoshida E, et al.: Induction of inflammatory arthropathy resembling rheumatoid arthritis in mice transgenic for HTLV-I. Science 1991, 253:1026–1028.se are important papers, because they show, that mice transgenic for tax encoding sequences alone—in the absence of the whole virus—develop arthropathy resembling human rheumatoid arthritis.PubMedCrossRefGoogle Scholar
  49. 49.
    Iwakura Y, Saijo S, Kioka Y, et al.: Autoimmunity induction by human T cell leukemia virus type I in transgenic mice that develop chronic inflammatory arthropathy resembling rheumatoid arthritis in humans. J Immunol 1995, 155:1588–1598.These are important papers, because they show, that mice transgenic for tax encoding sequences alone—in the absence of the whole virus—develop arthropathy resembling human rheumatoid arthritis.PubMedGoogle Scholar
  50. 50.
    Green JE, Hinrichs SH, Vogel J, et al.: Exocrinopathy resembling Sjögren’s syndrome in HTLV-I tax transgenic mice. Nature 1989, 341:72–74.PubMedCrossRefGoogle Scholar
  51. 51.
    Fujisawa K, Okamoto K, Asahara H, et al.: Evidence for autoantigens of env/tax proteins in human T-cell leukemia virus Type-I env-px transgenic mice. Arthritis Rheum 1998, 41:101–109.PubMedCrossRefGoogle Scholar
  52. 52.
    Stamenkovic I, Stegagno M, Wright KA, et al.: Clonal dominance among T-lymphocyte infiltrates in arthritis. Proc Nat Acad Sci USA 1988, 85:1179–1183.PubMedCrossRefGoogle Scholar
  53. 53.
    Marriott SJ, Lindholm PF, Reid RL, et al.: Soluble HTLV-I Tax1 protein stimulates proliferation of human peripheral blood lymphocytes. New Biologist 1991, 3:678–686.PubMedGoogle Scholar
  54. 54.
    Nakajima T, Aono H, Hasunuma T, et al.: Overgrowth of human synovial cells driven by the human T cell leukemia virus I tax gene. J Clin Invest 1993, 92:186–193.PubMedCrossRefGoogle Scholar
  55. 55.
    Aono H, Fujisawa K, Hasunuma T, et al.: Extracellular human T cell leukemia virus type-I Tax protein stimulates the proliferation of human synovial cells. Arthr Rheum 1998, 41:1995–2003.This paper shows that extracellular tax protein directly stimulates the proliferation of human synovial cells in vivo.CrossRefGoogle Scholar
  56. 56.
    Zucker-Franklin D, Pancake BA, Marmor M, Legler P: Re-examination of the T cell lymphotropic virus (HTLV-I/II) prevalence. Proc Nat Acad Sci USA 1997, 94:6403–6406.PubMedCrossRefGoogle Scholar
  57. 57.
    Zucker-Franklin D, Pancake BA: Human lymphotropic virus type I tax among American blood donors. Clin Diagn Lab Immunol 1998, 5:831–835.This is a particularly significant paper. It reported that HTLV-I Tax proviral DNA sequences as well as antibodies to p40 tax (the gene product of this sequence) have been detected in 8% of healthy blood donors, in the New York City area. As of this writing, this blood is still being used for transfusion, because the doctors have no antibodies to the structural proteins of the virus (ie, they are HTLV-I/II serologically negative on the basis of tests in current use.PubMedGoogle Scholar
  58. 58.
    Centers for Disease Control and Prevention Licensure of screening tests for antibody to human T lymphotropic virus Type-I Morbid Mortal Wkly Rep 1988, 37:736–740; 745–747.Google Scholar
  59. 59.
    Pancake BA, Zucker-Franklin D: The difficulty of detecting HTLV-proviral sequences in patients with mycosis fungoides. J Acquir Immune Defic Syndr Hum Retrovirol 1996, 13:314–319.PubMedGoogle Scholar
  60. 60.
    Arnett FC, Edworthy SM, Bloch DA, et al.: The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum 1987, 1:315–324.Google Scholar
  61. 61.
    Mariette X, Agbalika F, Daniel MT, et al.: Detection of HTLV-I tax gene in salivary gland epthelium from two patients with Sjögren’s syndrome. Arthritis Rheum 1993, 36:1423–1428.PubMedCrossRefGoogle Scholar
  62. 62.
    Sumida T, Yonaha F, Maeda T, et al.: Expression of sequences homologous to HTLV tax gene in labial salivary glands of Japanese patients with Sjögren’s syndrome. Arthritis Rheum 1994, 37:577–585.Tax sequences were detected in labial salivary gland epithelial cells in Japanese patients wit Sjögren’s syndrome.CrossRefGoogle Scholar
  63. 63.
    Cash JM, Klippel JH: Second line drug therapy for rheumatoid arthritis. N Engl J Med 1994, 330:1368–1375.PubMedCrossRefGoogle Scholar
  64. 64.
    Horneff G, Burmester GR, Emmrich F, et al.: Treatment of rheumatoid arthritis with an anti CD4 monoclonal antibody. Arthritis Rheum 1991, 34:129–140.PubMedCrossRefGoogle Scholar
  65. 65.
    Reiter C, Kakavand B, Rieber EP, et al.: Treatment of rheumatoid arthritis with monclonal CD4 antibody M-T151: clinical results and pharmacologic effects in an open study, including repeated administration. Arthritis Rheum 1991, 34:525–536.PubMedCrossRefGoogle Scholar
  66. 66.
    Wendling D, Wijdens J, Racadot E, et al.: Therapeutic use of monoclonal anti-CD4 antibody in rheumatoid arthritis. J Rheumatol 1991, 18:325–327.PubMedGoogle Scholar
  67. 67.
    Elliott MJ, Maini RN, Feldmann M, et al.: Treatment of rheumatoid arthritis with chimeric monoclonal antibodies to Tumor Necrosis Factor-a. Arthritis Rheum 1993, 36:1681–1690.PubMedCrossRefGoogle Scholar
  68. 68.
    Moreland LW, Schiff MH, Baumgartner SW, et al.: Etanercept therapy in rheumatoid arthritis, a randomized controlled trial. Ann Int Med 1999, 130:478–486.PubMedGoogle Scholar
  69. 69.
    Kitajima I, Shinohara T, Bilakovics J, et al.: Ablation of transplanted HTLV-I tax transformed tumors in mice by antisense inhibition of NFkB. Science 1992, 258:1792–1795.Tax-encoding proviral DNA sequences and mRNA were detected in isolated synovial cells from Japanese patients with HTLV-I-associated arthropathy.PubMedCrossRefGoogle Scholar
  70. 70.
    Maeda N, Hoshino H, Kushida S, et al.: Inhibition of syncytium formation by antisense oligonucleotide phosphorothioates complementary to tax mRNA of human T-cell leukemia virus type I (HTLV-I). Leukemia 1999, 3(suppl 3):42–44.Google Scholar
  71. 71.
    Gewirtz AM, Sokol DL, Ratajczak MZ: Nucleic acid therpeutics: state of the art and future prospects. Blood 1998, 92:712–736.PubMedGoogle Scholar

Copyright information

© Current Science Inc. 2000

Authors and Affiliations

  • Dorothea Zucker-Franklin
    • 1
  1. 1.Department of MedicineNew York University Medical CenterNew YorkUSA

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