Tuppin P, Gessain A, Kazanji M, Mahieux R, Cosnefroy J Y, Tekaia F, Georges-Courbot M C, Georges A, de Thé G
Unité d'Epidémiologie des Virus Oncogènes, Institut Pasteur, Paris, France.
J Med Virol. 1996 Jan;48(1):22-32. doi: 10.1002/(SICI)1096-9071(199601)48:1<22::AID-JMV4>3.0.CO;2-N.
Following the observation of an HTLV-II seropositive 60-year-old woman living in Gabon (Central Africa), a serologic and molecular study of her family members was conducted in an attempt to determine the duration of the HTLV-II infection and the modes of transmission of the virus. Among 41 family members, five were HTLV-I seropositive and 7 exhibited specific HTLV-II antibodies in their sera as demonstrated by high immunofluorescence titers on C19 cells and/or specific Western-blot pattern. The second husband of the index case and two of his sisters were infected by the virus, suggesting the presence of HTLV-II in this family over two generations. Sequence analysis of an amplified fragment of 172 nucleotides within the gp21 of the env region (6469-6640) of four HTLV-II infected individuals revealed a new HTLV-II molecular variant of the subtype b diverging from the prototypes NRA and G12 by seven (4.1%) and five (2.9%) bases substitutions, respectively. Molecular analysis of the total env gene (1462 bp) and fragments of the pol and pX regions confirmed that this new African variant was the most divergent HTLV-II subtype b yet described, exhibiting 2.3% of nucleotide substitutions in the env gene (33 bases) as compared to the two HTLV-II b prototypes. These data demonstrate, for the first time in Africa, intrafamilial both mother-to-child transmission and sexual transmission between spouses of an HTLV-II b molecular variant, and also suggest that this virus has been present in Gabon for a long period of time.
在观察到一名居住在加蓬(中非)的60岁HTLV-II血清阳性女性后,对其家庭成员进行了血清学和分子学研究,以确定HTLV-II感染的持续时间和病毒传播方式。在41名家庭成员中,5人HTLV-I血清阳性,7人血清中呈现出特异性HTLV-II抗体,这通过C19细胞上的高免疫荧光滴度和/或特异性蛋白质印迹图谱得以证实。该索引病例的第二任丈夫及其两名姐妹感染了该病毒,这表明在这个家族中HTLV-II存在了两代人。对4名HTLV-II感染个体env区域(6469 - 6640)的gp21内172个核苷酸的扩增片段进行序列分析,发现了一种新的HTLV-II分子变异体,属于b亚型,与原型NRA和G12分别有7个(4.1%)和5个(2.9%)碱基替换。对整个env基因(1462 bp)以及pol和pX区域的片段进行分子分析证实,这种新的非洲变异体是迄今所描述的最具差异的HTLV-II b亚型,与两种HTLV-II b原型相比,其env基因中核苷酸替换率为2.3%(33个碱基)。这些数据首次在非洲证明了HTLV-II b分子变异体在家族内存在母婴传播和配偶间性传播,同时也表明该病毒在加蓬已经存在了很长时间。