title: Distribution of human T cell lymphotropic virus type 1 (HTLV-1) subtypes in Brazil: genetic characterization of LTR and tax region.
abstract: We report the molecular and epidemiological characterization of 128 human T cell lymphotropic virus type 1 (HTLV-1) isolates from Brazilian patients with different clinical manifestations of the infection. Thirty-two percent of the patients were asymptomatic, 44% had HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP), and 23% had adult T cell leukemia/lymphoma (ATLL). Phylogenetic analysis performed using part of the LTR region of the viral genome revealed that all Brazilian isolates belonged to the Cosmopolitan subtype, with the following distribution within the Transcontinental subgroup: 81.6% within the Latin American cluster and 15.8% outside the Latin American cluster. Two isolates belonged to the Japanese subgroup. Molecular analysis of the tax region showed a high nucleotide similarity ( approximately 99%) with 41 prototype sequences, including the ATK-1 isolate. The mean number of nucleotide substitutions ranged from 1 to 8. Five specific nucleotide substitutions, C7401T, T7914C, C7920T, C7982T, and G8231A, were highly conserved among the Brazilian isolates (79.6%), with a frequency ranging from 81.6% to 100% in the sample group and from 18.4% to 24.1% in the prototypes used, suggesting the existence of a molecular signature. These changes were not correlated with a specific clinical status of the patients and could be a molecular characteristic of the HTLV-1 strains that circulate in Brazil.
authors.affiliation: Molecular Biology Laboratory, Regional Blood Center of Ribeirão Preto, Ribeirão Preto 14051-140, Brazil. skashima@hemocentro.fmrp.usp.br
authors.forename: Simone
authors.initials: S
authors.lastname: Kashima
authors.forename: Luiz Carlos
authors.initials: LC
authors.lastname: Alcantara
authors.forename: Osvaldo Massaiti
authors.initials: OM
authors.lastname: Takayanagui
authors.forename: Marco Aurelio Valtas
authors.initials: MA
authors.lastname: Cunha
authors.forename: Bernardo Galvão
authors.initials: BG
authors.lastname: Castro
authors.forename: Maria Socorro
authors.initials: MS
authors.lastname: Pombo-de-Oliveira
authors.forename: Marco Antonio
authors.initials: MA
authors.lastname: Zago
authors.forename: Dimas Tadeu
authors.initials: DT
authors.lastname: Covas
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001938:Brazil / Q000453:epidemiology; D005260:Female; D016355:Genes, pX / Q000235:genetics*; D015490:HTLV-I Infections / Q000453:epidemiology; D015368:Human T-lymphotropic virus 1 / Q000235:genetics*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017720:Molecular Epidemiology; D008969:Molecular Sequence Data; D020079:Terminal Repeat Sequences / Q000235:genetics*