Tachibana N, Okayama A, Murai K, Shioiri S, Shishime E, Ishizaki J, Tsuda K
Second Department of Medicine, Miyazaki Medical College.
Kansenshogaku Zasshi. 1990 May;64(5):570-4. doi: 10.11150/kansenshogakuzasshi1970.64.570.
Antibody for HTLV-I in sera from 11,224 residents in Miyazaki Prefecture, Japan, was determined by indirect immunofluorescent antibody method to compare age- and sex-specific antibody prevalence among three geographically divided areas of the prefecture. There was a significant difference in the positive rate of older age groups among three areas, 9.0% for the northern part, 14.5% for the southern part and 8.4% for Miyazaki City, in spite of little variation in younger age groups. A marked rise of positive rate in the southern part at the age of 40th was observed, which suggests that changes of some conditions for mother-to-child transmission happened in the time of their birth. Six seroconversions were observed by the follow-up study for five years of the 971 residents. They were between 28 and 38 years of age, four men and two women. This may provide another reason for the increase in antibody positive rate by age in the adult. However, it could not be investigated if the seroconversion was caused by a horizontal transmission from their spouse. The possibility of the long latency of the virus in man as in the experimental animal may also have to be considered.
采用间接免疫荧光抗体法检测了日本宫崎县11224名居民血清中的HTLV-I抗体,以比较该县三个地理区域的年龄和性别特异性抗体流行情况。尽管年轻人群体差异不大,但三个区域老年组的阳性率存在显著差异,北部为9.0%,南部为14.5%,宫崎市为8.4%。在南部地区观察到40岁时阳性率显著上升,这表明在他们出生时母婴传播的某些条件发生了变化。对971名居民进行了为期五年的随访研究,观察到6例血清转化。他们年龄在28至38岁之间,4名男性和2名女性。这可能是成人抗体阳性率随年龄增加的另一个原因。然而,无法调查血清转化是否由配偶的水平传播引起。也可能需要考虑病毒在人体内与实验动物一样存在长期潜伏期的可能性。