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Proviral Features of Human T Cell Leukemia Virus Type 1 in Carriers with Indeterminate Western Blot Analysis Results.


ABSTRACT: Western blotting (WB) for human T cell leukemia virus type 1 (HTLV-1) is performed to confirm anti-HTLV-1 antibodies detected at the initial screening of blood donors and in pregnant women. However, the frequent occurrence of indeterminate results is a problem with this test. We therefore assessed the cause of indeterminate WB results by analyzing HTLV-1 provirus genomic sequences. A quantitative PCR assay measuring HTLV-1 provirus in WB-indeterminate samples revealed that the median proviral load was approximately 100-fold lower than that of WB-positive samples (0.01 versus 0.71 copy/100 cells). Phylogenic analysis of the complete HTLV-1 genomes of WB-indeterminate samples did not identify any specific phylogenetic groups. When we analyzed the nucleotide changes in 19 HTLV-1 isolates from WB-indeterminate samples, we identified 135 single nucleotide substitutions, composed of four types, G to A (29%), C to T (19%), T to C (19%), and A to G (16%). In the most frequent G-to-A substitution, 64% occurred at GG dinucleotides, indicating that APOBEC3G is responsible for mutagenesis in WB-indeterminate samples. Moreover, interestingly, five WB-indeterminate isolates had nonsense mutations in Pol and/or Tax, Env, p12, and p30. These findings suggest that WB-indeterminate carriers have low production of viral antigens because of a combination of a low proviral load and mutations in the provirus, which may interfere with host recognition of HTLV-1 antigens.

SUBMITTER: Kuramitsu M 

PROVIDER: S-EPMC5648719 | biostudies-literature | 2017 Sep

REPOSITORIES: biostudies-literature

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Proviral Features of Human T Cell Leukemia Virus Type 1 in Carriers with Indeterminate Western Blot Analysis Results.

Kuramitsu Madoka M   Sekizuka Tsuyoshi T   Yamochi Tadanori T   Firouzi Sanaz S   Sato Tomoo T   Umeki Kazumi K   Sasaki Daisuke D   Hasegawa Hiroo H   Kubota Ryuji R   Sobata Rieko R   Matsumoto Chieko C   Kaneko Noriaki N   Momose Haruka H   Araki Kumiko K   Saito Masumichi M   Nosaka Kisato K   Utsunomiya Atae A   Koh Ki-Ryang KR   Ogata Masao M   Uchimaru Kaoru K   Iwanaga Masako M   Sagara Yasuko Y   Yamano Yoshihisa Y   Okayama Akihiko A   Miura Kiyonori K   Satake Masahiro M   Saito Shigeru S   Itabashi Kazuo K   Yamaguchi Kazunari K   Kuroda Makoto M   Watanabe Toshiki T   Okuma Kazu K   Hamaguchi Isao I  

Journal of clinical microbiology 20170712 9


Western blotting (WB) for human T cell leukemia virus type 1 (HTLV-1) is performed to confirm anti-HTLV-1 antibodies detected at the initial screening of blood donors and in pregnant women. However, the frequent occurrence of indeterminate results is a problem with this test. We therefore assessed the cause of indeterminate WB results by analyzing HTLV-1 provirus genomic sequences. A quantitative PCR assay measuring HTLV-1 provirus in WB-indeterminate samples revealed that the median proviral lo  ...[more]

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