Ohtsu T, Tsugane S, Tobinai K, Shimoyama M, Nanri S, Watanabe S
Department of Internal Medicine, National Cancer Center Hospital, Tokyo.
Jpn J Cancer Res. 1987 Dec;78(12):1347-53.
This study was performed to estimate human T-cell leukemia-lymphoma virus type-I (HTLV-I) infection and human immunodeficiency virus (HIV) infection in Japanese immigrant colonies in Bolivia, where no seroepidemiological study of HTLV-I or HIV has ever been reported, among 647 healthy adults and children of Japanese descent and Bolivian natives living in the same colonies. The overall prevalence of HTLV-I antibody was 12.6% (59/469) among Japanese immigrant populations, but increased with age, being 16.2% (49/303) among adults and 6.0% (10/166) among children; no significant difference in relation to sex was noted. The first generation immigrants (issei) from Kyushu, the large southwestern island of Japan where adult T-cell leukemia (ATL) is endemic, had 19.0% (49/258) HTLV-I seroprevalence, while issei from outside Kyushu had none (0/39). Among Bolivian members of the community, consisting mostly of Indians and persons of Spanish descent, the HTLV-I seroprevalence was 4.3% (7/164) overall, 2.4% (1/42) among adults and 4.9% (6/122) among children. No antibody to HIV was detected among Japanese or Bolivian populations. The results of this study show that: (1) there is a considerable number of HTLV-I carriers among Japanese immigrant populations in Bolivia, especially among immigrants from Kyushu, (2) there exist some HTLV-I carriers among Bolivian natives, raising the possibility of HTLV-I transmission by co-habitation with Japanese immigrants, (3) HIV is far from endemic in this district of Bolivia, at present.
本研究旨在评估在玻利维亚的日本移民聚居地中人类嗜T淋巴细胞病毒I型(HTLV-I)感染和人类免疫缺陷病毒(HIV)感染情况。此前尚无关于该聚居地HTLV-I或HIV血清流行病学研究的报道。研究对象为居住在同一聚居地的647名日本裔健康成人和儿童以及玻利维亚本地人。日本移民人群中HTLV-I抗体总体阳性率为12.6%(59/469),但随年龄增长而升高,成人中为16.2%(49/303),儿童中为6.0%(10/166);未发现性别差异有统计学意义。来自日本西南部大岛九州(成人T细胞白血病(ATL)流行地区)的第一代移民(一世)HTLV-I血清阳性率为19.0%(49/258),而来自九州以外地区的一世则无一例阳性(0/39)。在主要由印第安人和西班牙裔组成的社区玻利维亚成员中,HTLV-I血清总体阳性率为4.3%(7/164),成人中为2.4%(1/42),儿童中为4.9%(6/122)。在日本或玻利维亚人群中均未检测到HIV抗体。本研究结果表明:(1)在玻利维亚的日本移民人群中有相当数量的HTLV-I携带者,尤其是来自九州的移民;(2)玻利维亚本地人中也存在一些HTLV-I携带者,这增加了与日本移民同居导致HTLV-I传播的可能性;(3)目前在玻利维亚的这个地区HIV远未流行。