Molecular detection of human T-lymphotropic virus type 1 infection among oncology patients in Germany: A retrospective view

PLoS One. 2019 May 28;14(5):e0217560. doi: 10.1371/journal.pone.0217560. eCollection 2019.

Abstract

Human T-cell lymphotropic virus (HTLV) belongs to a larger group of primate T-cell lymphotropic viruses (PTLVs) within the family Retroviridae. It is estimated that 10 to 20 million people worldwide may be infected with HTLV-1. Although most of them are asymptomatic, around 5% of infected individuals may develop either HTLV-1 Associated Myelopathy/Tropical Spastic Paraparesis (HAM/TSP) or Adult T-cell Leukaemia/Lymphoma (ATLL). Public Health authorities in many countries have implemented routine blood-donor tests for HTLV-specific antibodies; but this is not the case for Germany since the reported prevalence is very low (7/100,000). With the aim to evaluate retrospectively the presence of HTLV-1 among oncology patients in this country, samples stored at the Universitätsklinikum Freiburg, were analyzed. For this purpose, two different nested-PCR (n-PCR) protocols have been modified and set up for HTLV-1 detection. One positive case was detected by n-PCR among 406 samples (0,25%) in a period of 5 years (2008-2012) corresponding to a T-Cell Lymphoma. Despite the low prevalence, this virus is circulating in Germany, probably due to the increasing numbers of immigrants in these last years. Physicians should consider HTLV-1 infection and suspect it taking in account the ethnic and relation to endemic regions regardless the patient's residence.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Blood Donors*
  • Female
  • Germany
  • Human T-lymphotropic virus 1 / genetics*
  • Humans
  • Leukemia-Lymphoma, Adult T-Cell / epidemiology
  • Leukemia-Lymphoma, Adult T-Cell / genetics*
  • Male
  • Middle Aged
  • Paraparesis, Tropical Spastic / epidemiology
  • Paraparesis, Tropical Spastic / genetics*
  • Polymerase Chain Reaction*
  • Retrospective Studies

Grants and funding

The authors are grateful for the funding support by the International Cooperation Project MINCYT-BMBF 2014 (Bilateral project Argentina-Germany AL/14/08-01DN15025) (MB and PF); National Scientific and Technical Research Council (CONICET: PICT 20161033) (MB) and German Academic Exchange Service (DAAD) for the scholarship (MR). The article processing charge was funded by the German Research Foundation (DFG) and the University of Freiburg in the funding program Open Access Publishing. The funders had no role in the study design, the collection, analysis and interpretation of the data, nor in the decision to publish, or preparation of the manuscript.