Journal of medical virology 2017 02 16() doi 10.1002/jmv.24779
Recruitment of leukocytes by chemokines and chemokine receptors to CNS plays a crucial role in the induction of inflammatory response in HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP). In the present study, chemokine and chemokine receptors involved in trafficking of lymphocytes to the CNS were measured in HAM/TSP patients, HTLV-1 asymptomatic carriers (ACs), and healthy controls. The PVL, CCR6 and CXCR3 mRNA expression, and CXCL9 and CXCL10 protein levels were measured in all subjects. The PVL of HAM/TSP patients was higher than that of ACs (p = 0.02). CCR6 expression was higher in HAM/TSP patients and in ACs compared to the healthy controls (p= 0.005 and p = 0.04, respectively). A significant difference was observed in CCR6 expression when a combination of HAM/TSP patients and ACs were compared to the healthy individuals (p = 0.005). Furthermore, there was a significantly lower CXCR3 expression between HAM/TSP and control groups (p = 0.001), and between the ACs and healthy controls (p = 0.001). However, the increased CXCR3 expression in ACs compared to HAM/TSP patients was not significant. Furthermore, the CXCL10 protein levels in HAM/TSP patients was higher than in controls (p = 0.012), and CXCL9 protein levels was also higher in the HAM/TSP and ACs groups than in the controls (p = 0.001 and p = 0.004, respectively). In conclusion, it seems that decreased expression of CXCR3 and higher expression of CCR6 were associated with HTLV-1 infection, what indicate that these alterations may favor virus dissemination but not disease manifestation. This article is protected by copyright. All rights reserved.