Student Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
Department of Microbiology, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
Mol Neurobiol. 2023 Jul;60(7):3839-3854. doi: 10.1007/s12035-023-03303-0. Epub 2023 Mar 22.
Human T lymphotropic virus-associated myelopathy/tropical spastic paraparesis (HTLV/TSP), also known as HTLV-associated myelopathy/tropical spastic paraparesis (HAM/TSP), and multiple sclerosis (MS) are chronic debilitating diseases of the central nervous system; although the etiology of which is different, similarities have been observed between these two demyelinating diseases, especially in clinical manifestation and immunopathogenesis. Exorbitant response of the immune system to the virus and neurons in CNS is the causative agent of HAM/TSP and MS, respectively. Helper T lymphocyte-17 cells (Th17s), a component of the immune system, which have a proven role in immunity and autoimmunity, mediate protection against bacterial/fungal infections. The role of these cells has been reviewed in several CNS diseases. A pivotal role for Th17s is presented in demyelination, even more axial than Th1s, during MS. The effect of Th17s is not well determined in HTLV-1-associated infections; however, the evidence that we have supplied in this review illustrates the attendance, also the role of Th17 cells during HAM/TSP. Furthermore, for better conception concerning the trace of these cells in HAM/TSP, a comparative characterization with MS, the resembling disease, has been applied here.
人类嗜 T 淋巴细胞病毒相关性脊髓病/热带痉挛性截瘫(HTLV/TSP),也称为 HTLV 相关性脊髓病/热带痉挛性截瘫(HAM/TSP),以及多发性硬化症(MS),是中枢神经系统的慢性衰弱性疾病;尽管病因不同,但这两种脱髓鞘疾病之间存在相似之处,尤其是在临床表现和免疫发病机制方面。免疫系统对病毒和中枢神经系统神经元的过度反应分别是 HAM/TSP 和 MS 的致病因素。辅助性 T 淋巴细胞 17 细胞(Th17s)是免疫系统的一个组成部分,在免疫和自身免疫中具有明确的作用,可介导对细菌/真菌感染的保护。这些细胞在几种中枢神经系统疾病中的作用已经被综述。Th17s 在多发性硬化症的脱髓鞘中发挥着重要作用,甚至比 Th1s 更为重要。Th17s 在 HTLV-1 相关性感染中的作用尚不清楚;然而,我们在本综述中提供的证据表明,在 HAM/TSP 期间,Th17 细胞也会参与其中。此外,为了更好地了解这些细胞在 HAM/TSP 中的踪迹,我们还应用了与相似疾病 MS 的比较特征化方法。