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Blood, 1 August 2005, Vol. 106, No. 3, pp. 1048-1053. Prepublished online as a Blood First Edition Paper on April 19, 2005; DOI 10.1182/blood-2004-11-4350.
Submitted November 15, 2004
Laboratory of Virus Immunology, Institute for Virus Research, Kyoto University, Kyoto, Japan * Corresponding author; email: mmatsuok{at}virus.kyoto-u.ac.jp.
Human T-cell leukemia virus type I (HTLV-I) is a causative agent of neoplastic disease, adult T-cell leukemia (ATL). Although the encoding viral proteins play an important role in oncogenesis, the role of the HTLV-I proviral integration site remains unsolved. We determined the integration sites of HTLV-I proviruses in ATL cells and HTLV-I-infected cells in asymptomatic carriers. In carrier and ATL cells, HTLV-I provirus was integrated into the transcriptional unit at frequencies of 26.8 (15/56) and 33.9% (20/59), respectively, which were equivalent to the frequency calculated based on random integration (33.2%). In addition, HTLV-I provirus was prone to integration near the transcriptional start sites in leukemic cells (p=0.006), and the transcriptional direction of the provirus was in accordance with that of integrated cellular genes in 70% of cases. More importantly, the integration sites in the carrier cells favored the alphoid repetitive sequences (11/56: 20%) whereas in leukemic cells they disfavored these sequences (2/59: 3.4%). Taken together, during natural course from carrier to onset of ATL, HTLV-I infected cells with integration sites favorable for viral gene transcription are susceptible to malignant transformation due to increased viral gene expression.
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