Essex M, McLane M F, Kanki P, Allan J, Kitchen L, Lee T H
Cancer Res. 1985 Sep;45(9 Suppl):4534s-4538s.
T-lymphotropic retroviruses of cats cause lymphopenia and immunosuppression and represent the major cause of death in that species. Similarly HTLV-I which is T4 tropic is associated with an increased risk for development of infectious disease in regions where the virus is endemic. Since HTLV-I is also believed to be transmitted by blood and by sexual intercourse we considered the possibility that a variant form of HTLV might cause AIDS. The identification of cross-reactive antibodies to HTLV-I-MA in a third or more of the AIDS patients and in suspicious blood donors that donated to transfusion-associated cases of AIDS eventually led to the recognition of HTLV-III, the causative agent of AIDS. The protein most associated with lymphocyte immortalization or transformation in the case of HTLV-I is p42. The proteins of HTLV-I encoded by the amino terminus of the env gene designated gp61 and gp45 are the most immunogenic antigens of this virus. Similarly those encoded by the amino terminus of the env gene HTLV-III designated gp160 and gp120 appear to be the most immunogenic markers for this agent. Almost all AIDS patients, ARC patients, and asymptomatic hemophiliacs have detectable antibodies to gp120 and gp160. HTLV-III related agents designated STLV-III have been found in macaque monkeys that develop simian AIDS and high prevalence rates of antibodies to STLV-III can be found in healthy African green monkeys. We hypothesize that the STLV-III of African green monkeys could represent a recent source of the virus to have infected humans in central Africa where the human epidemic probably began. The recognition that up to one million people may already be infected with HTLV-III in the United States alone indicates the need for development of a vaccine. The availability of primate species infected with the serologically related STLV-III agents that either resist disease development (African green monkeys) or succumb to an AIDS-type syndrome (rhesus) provide models that should aid in our attempts to develop such vaccines.
猫的嗜T淋巴细胞逆转录病毒可导致淋巴细胞减少和免疫抑制,是该物种死亡的主要原因。同样,嗜T4细胞的人类嗜T淋巴细胞病毒I型(HTLV-I)在该病毒流行的地区与传染病发生风险增加有关。由于HTLV-I也被认为可通过血液和性行为传播,我们推测HTLV的一种变异形式可能导致艾滋病。在三分之一或更多的艾滋病患者以及与输血相关艾滋病病例的可疑献血者中发现了针对HTLV-I-MA的交叉反应抗体,最终促使人们识别出艾滋病的病原体——HTLV-III。在HTLV-I的情况下,与淋巴细胞永生化或转化最相关的蛋白质是p42。由env基因氨基末端编码的HTLV-I蛋白质,即gp61和gp45,是该病毒最具免疫原性的抗原。同样,由env基因HTLV-III氨基末端编码的蛋白质,即gp160和gp120,似乎是该病原体最具免疫原性的标志物。几乎所有艾滋病患者、艾滋病相关综合征(ARC)患者和无症状血友病患者都能检测到针对gp120和gp160的抗体。在患猿猴艾滋病的猕猴中发现了与HTLV-III相关的病原体,即猴嗜T淋巴细胞病毒III型(STLV-III),并且在健康的非洲绿猴中可发现高流行率的针对STLV-III的抗体。我们推测非洲绿猴的STLV-III可能是该病毒近期感染人类的源头,人类疫情可能始于非洲中部。仅在美国就有多达100万人可能已感染HTLV-III这一认识表明需要研发疫苗。感染血清学相关的STLV-III病原体的灵长类动物物种,有的能抵抗疾病发展(非洲绿猴),有的会患上艾滋病样综合征(恒河猴),这些可提供模型,有助于我们研发此类疫苗。