Plasma proteome analysis in HTLV-1-associated myelopathy/tropical spastic paraparesis.

BACKGROUND: Human T lymphotropic virus Type 1 (HTLV-1) causes a chronic inflammatory disease of the central nervous system known as HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM) which resembles chronic spinal forms of multiple sclerosis (MS). The pathogenesis of HAM remains uncerta...

Full description

Bibliographic Details
Main Authors: Kirk, P, Witkover, A, Courtney, A, Lewin, A, Wait, R, Stumpf, M, Richardson, S, Taylor, G, Bangham, C
Format: Journal article
Language:English
Published: 2011
_version_ 1826274673322622976
author Kirk, P
Witkover, A
Courtney, A
Lewin, A
Wait, R
Stumpf, M
Richardson, S
Taylor, G
Bangham, C
author_facet Kirk, P
Witkover, A
Courtney, A
Lewin, A
Wait, R
Stumpf, M
Richardson, S
Taylor, G
Bangham, C
author_sort Kirk, P
collection OXFORD
description BACKGROUND: Human T lymphotropic virus Type 1 (HTLV-1) causes a chronic inflammatory disease of the central nervous system known as HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM) which resembles chronic spinal forms of multiple sclerosis (MS). The pathogenesis of HAM remains uncertain. To aid in the differential diagnosis of HAM and to identify pathogenetic mechanisms, we analysed the plasma proteome in asymptomatic HTLV-1 carriers (ACs), patients with HAM, uninfected controls, and patients with MS. We used surface-enhanced laser desorption-ionization (SELDI) mass spectrometry to analyse the plasma proteome in 68 HTLV-1-infected individuals (in two non-overlapping sets, each comprising 17 patients with HAM and 17 ACs), 16 uninfected controls, and 11 patients with secondary progressive MS. Candidate biomarkers were identified by tandem Q-TOF mass spectrometry. RESULTS: The concentrations of three plasma proteins--high [β2-microglobulin], high [Calgranulin B], and low [apolipoprotein A2]--were specifically associated with HAM, independently of proviral load. The plasma [β2-microglobulin] was positively correlated with disease severity. CONCLUSIONS: The results indicate that monocytes are activated by contact with activated endothelium in HAM. Using β2-microglobulin and Calgranulin B alone we derive a diagnostic algorithm that correctly classified the disease status (presence or absence of HAM) in 81% of HTLV-1-infected subjects in the cohort.
first_indexed 2024-03-06T22:47:02Z
format Journal article
id oxford-uuid:5d86a05f-ea88-4ed1-bcd1-f48ac803f469
institution University of Oxford
language English
last_indexed 2024-03-06T22:47:02Z
publishDate 2011
record_format dspace
spelling oxford-uuid:5d86a05f-ea88-4ed1-bcd1-f48ac803f4692022-03-26T17:35:00ZPlasma proteome analysis in HTLV-1-associated myelopathy/tropical spastic paraparesis.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:5d86a05f-ea88-4ed1-bcd1-f48ac803f469EnglishSymplectic Elements at Oxford2011Kirk, PWitkover, ACourtney, ALewin, AWait, RStumpf, MRichardson, STaylor, GBangham, CBACKGROUND: Human T lymphotropic virus Type 1 (HTLV-1) causes a chronic inflammatory disease of the central nervous system known as HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM) which resembles chronic spinal forms of multiple sclerosis (MS). The pathogenesis of HAM remains uncertain. To aid in the differential diagnosis of HAM and to identify pathogenetic mechanisms, we analysed the plasma proteome in asymptomatic HTLV-1 carriers (ACs), patients with HAM, uninfected controls, and patients with MS. We used surface-enhanced laser desorption-ionization (SELDI) mass spectrometry to analyse the plasma proteome in 68 HTLV-1-infected individuals (in two non-overlapping sets, each comprising 17 patients with HAM and 17 ACs), 16 uninfected controls, and 11 patients with secondary progressive MS. Candidate biomarkers were identified by tandem Q-TOF mass spectrometry. RESULTS: The concentrations of three plasma proteins--high [β2-microglobulin], high [Calgranulin B], and low [apolipoprotein A2]--were specifically associated with HAM, independently of proviral load. The plasma [β2-microglobulin] was positively correlated with disease severity. CONCLUSIONS: The results indicate that monocytes are activated by contact with activated endothelium in HAM. Using β2-microglobulin and Calgranulin B alone we derive a diagnostic algorithm that correctly classified the disease status (presence or absence of HAM) in 81% of HTLV-1-infected subjects in the cohort.
spellingShingle Kirk, P
Witkover, A
Courtney, A
Lewin, A
Wait, R
Stumpf, M
Richardson, S
Taylor, G
Bangham, C
Plasma proteome analysis in HTLV-1-associated myelopathy/tropical spastic paraparesis.
title Plasma proteome analysis in HTLV-1-associated myelopathy/tropical spastic paraparesis.
title_full Plasma proteome analysis in HTLV-1-associated myelopathy/tropical spastic paraparesis.
title_fullStr Plasma proteome analysis in HTLV-1-associated myelopathy/tropical spastic paraparesis.
title_full_unstemmed Plasma proteome analysis in HTLV-1-associated myelopathy/tropical spastic paraparesis.
title_short Plasma proteome analysis in HTLV-1-associated myelopathy/tropical spastic paraparesis.
title_sort plasma proteome analysis in htlv 1 associated myelopathy tropical spastic paraparesis
work_keys_str_mv AT kirkp plasmaproteomeanalysisinhtlv1associatedmyelopathytropicalspasticparaparesis
AT witkovera plasmaproteomeanalysisinhtlv1associatedmyelopathytropicalspasticparaparesis
AT courtneya plasmaproteomeanalysisinhtlv1associatedmyelopathytropicalspasticparaparesis
AT lewina plasmaproteomeanalysisinhtlv1associatedmyelopathytropicalspasticparaparesis
AT waitr plasmaproteomeanalysisinhtlv1associatedmyelopathytropicalspasticparaparesis
AT stumpfm plasmaproteomeanalysisinhtlv1associatedmyelopathytropicalspasticparaparesis
AT richardsons plasmaproteomeanalysisinhtlv1associatedmyelopathytropicalspasticparaparesis
AT taylorg plasmaproteomeanalysisinhtlv1associatedmyelopathytropicalspasticparaparesis
AT banghamc plasmaproteomeanalysisinhtlv1associatedmyelopathytropicalspasticparaparesis