Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
19
pubmed:dateCreated
2010-11-12
pubmed:abstractText
Approximately 3% of all human T-lymphotropic virus type 1 (HTLV-1)-infected persons will develop a disabling inflammatory disease of the central nervous system known as HTLV-1-associated myelopathy/tropical spastic paraparesis, against which there is currently no efficient treatment. As correlation exists between the proviral load (PVL) and the clinical status of the carrier, it is thought that diminishing the PVL could prevent later occurrence of the disease. We have conducted a study combining valproate, an inhibitor of histone deacetylases, and azidothymidine, an inhibitor of reverse transcriptase, in a series of baboons naturally infected with simian T-lymphotropic virus type 1 (STLV-1), whose PVL was equivalent to that of HTLV-1 asymptomatic carriers. We show that the combination of drugs caused a strong decrease in the PVL and prevented the transient rise in PVL that is seen after treatment with histone deacetylases alone. We then demonstrate that the PVL decline was associated with an increase in the STLV-1-specific cytotoxic T-cell population. We conclude that combined treatment with valproate to induce viral expression and azidothymidine to prevent viral propagation is a safe and effective means to decrease PVL in vivo. Such treatments may be useful to reduce the risk of HAM/TSP in asymptomatic carriers with a high PVL.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
1528-0020
pubmed:author
pubmed:issnType
Electronic
pubmed:day
11
pubmed:volume
116
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
3802-8
pubmed:meshHeading
pubmed-meshheading:20587783-Animals, pubmed-meshheading:20587783-Antiretroviral Therapy, Highly Active, pubmed-meshheading:20587783-Antiviral Agents, pubmed-meshheading:20587783-CD8-Positive T-Lymphocytes, pubmed-meshheading:20587783-Deltaretrovirus Infections, pubmed-meshheading:20587783-Disease Models, Animal, pubmed-meshheading:20587783-Drug Therapy, Combination, pubmed-meshheading:20587783-Female, pubmed-meshheading:20587783-HTLV-I Infections, pubmed-meshheading:20587783-Histone Deacetylase Inhibitors, pubmed-meshheading:20587783-Humans, pubmed-meshheading:20587783-Male, pubmed-meshheading:20587783-Monkey Diseases, pubmed-meshheading:20587783-Papio, pubmed-meshheading:20587783-Paraparesis, Tropical Spastic, pubmed-meshheading:20587783-Reverse Transcriptase Inhibitors, pubmed-meshheading:20587783-Simian T-lymphotropic virus 1, pubmed-meshheading:20587783-T-Lymphocyte Subsets, pubmed-meshheading:20587783-Valproic Acid, pubmed-meshheading:20587783-Viral Load, pubmed-meshheading:20587783-Zidovudine
pubmed:year
2010
pubmed:articleTitle
Highly active antiretroviral treatment against STLV-1 infection combining reverse transcriptase and HDAC inhibitors.
pubmed:affiliation
Unité d'Epidémiologie et Physiopathologie des Virus Oncogènes, Centre National de la Recherche Scientifique (CNRS) URA 3015, Institut Pasteur, Paris, France.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't