Sexual transmission of human T-cell lymphotropic virus type 1

dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorPAIVA, Arthur
dc.contributor.authorCASSEB, Jorge
dc.date.accessioned2015-02-06T20:12:06Z
dc.date.available2015-02-06T20:12:06Z
dc.date.issued2014
dc.description.abstractHuman T-cell lymphotropic virus type 1 (HTLV-1) is endemic in many parts of the world and is primarily transmitted through sexual intercourse or from mother to child. Sexual transmission occurs more efficiently from men to women than women to men and might be enhanced by sexually transmitted diseases that cause ulcers and result in mucosal ruptures, such as syphilis, herpes simplex type 2 (HSV-2), and chancroid. Other sexually transmitted diseases might result in the recruitment of inflammatory cells and could increase the risk of HTLV-1 acquisition and transmission. Additionally, factors that are associated with higher transmission risks include the presence of antibodies against the viral oncoprotein Tax (anti-Tax), a higher proviral load in peripheral blood lymphocytes, and increased cervicovaginal or seminal secretions. Seminal fluid has been reported to increase HTLV replication and transmission, whereas male circumcision and neutralizing antibodies might have a protective effect. Recently, free virions were discovered in plasma, which reveals a possible new mode of HTLV replication. It is unclear how this discovery might affect the routes of HTLV transmission, particularly sexual transmission, because HTLV transmission rates are significantly higher from men to women than women to men.
dc.description.indexMEDLINE
dc.description.sponsorshipFundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP)
dc.description.sponsorshipFundacao Faculdade de Medicina (FFM)
dc.identifier.citationREVISTA DA SOCIEDADE BRASILEIRA DE MEDICINA TROPICAL, v.47, n.3, p.265-274, 2014
dc.identifier.doi10.1590/0037-8682-0232-2013
dc.identifier.issn0037-8682
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/8846
dc.language.isoeng
dc.publisherSOC BRASILEIRA MEDICINA TROPICAL
dc.relation.ispartofRevista da Sociedade Brasileira de Medicina Tropical
dc.rightsopenAccess
dc.rights.holderCopyright SOC BRASILEIRA MEDICINA TROPICAL
dc.subjectDeltaretrovirus
dc.subjectHuman T-cell lymphotropic virus type 1
dc.subjectSexually transmitted diseases
dc.subject.otherhtlv-ii infection
dc.subject.othermyelopathy/tropical spastic paraparesis
dc.subject.otherintravenous-drug-users
dc.subject.otherproviral dna load
dc.subject.otherleukemia-virus
dc.subject.otherrisk-factors
dc.subject.othermolecular epidemiology
dc.subject.otherasymptomatic carriers
dc.subject.othertransmitted-diseases
dc.subject.otherfemale prostitutes
dc.subject.wosTropical Medicine
dc.titleSexual transmission of human T-cell lymphotropic virus type 1
dc.typearticle
dc.type.categoryreview
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.citation.scopus45
hcfmusp.contributor.author-fmusphcARTHUR MAIA PAIVA
hcfmusp.contributor.author-fmusphcJORGE SIMAO DO ROSARIO CASSEB
hcfmusp.description.beginpage265
hcfmusp.description.endpage274
hcfmusp.description.issue3
hcfmusp.description.volume47
hcfmusp.origemWOS
hcfmusp.origem.scieloSCIELO:S0037-86822014000300265
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hcfmusp.origem.wosWOS:000340294800002
hcfmusp.publisher.cityBRASILIA
hcfmusp.publisher.countryBRAZIL
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