Evidence map›Paper›PMID 34907908›Full record

ArticleThe Journal of clinical investigation2021

HTLV-1 infection promotes excessive T cell activation and transformation into adult T cell leukemia/lymphoma.

Benjy Jy Tan, Kenji Sugata, Omnia Reda, Misaki Matsuo, Kyosuke Uchiyama, Paola Miyazato, Vincent Hahaut, Makoto Yamagishi, Kaoru Uchimaru, Yutaka Suzuki and 10 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
3.1field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 64 citations in OpenAlex.

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  18. Advances in Single-Cell Sequencing for Infectious Diseases: Progress and Perspectives.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  19. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 8 institutions in 5 countries.

Benjy Jy TanDivision of Genomics and Transcriptomics, Joint Research Center for Human Retrovirus Infection.
Kenji SugataDivision of Genomics and Transcriptomics, Joint Research Center for Human Retrovirus Infection.
Omnia RedaDivision of Genomics and Transcriptomics, Joint Research Center for Human Retrovirus Infection.
Misaki MatsuoDivision of Genomics and Transcriptomics, Joint Research Center for Human Retrovirus Infection.
Kyosuke UchiyamaSchool of Medicine, Kumamoto University, Kumamoto, Japan.
Paola MiyazatoInternational Research Center for Medical Sciences (IRCMS), and.
Vincent HahautInstitute of Molecular and Clinical Ophthalmology Basel, Basel, Switzerland.
Makoto YamagishiLaboratory of Tumor Cell Biology, Department of Computational Biology and Medical Sciences and.
Kaoru UchimaruLaboratory of Tumor Cell Biology, Department of Computational Biology and Medical Sciences and.
Yutaka SuzukiLaboratory of Systems Genomics, Department of Computational Biology and Medical Sciences, Graduate School of Frontier Sciences, The University of Tokyo, Tokyo, Japan.
Takamasa UenoDivision of Infection and Immunity, Joint Research Center for Human Retrovirus Infection, Kumamoto University, Kumamoto, Japan.
Hitoshi SuzushimaDepartment of Hematology, Kumamoto Shinto General Hospital, Kumamoto, Japan.
Hiroo KatsuyaInternational Research Center for Medical Sciences (IRCMS), and.
Masahito TokunagaDepartment of Hematology, Imamura General Hospital, Kagoshima, Japan.
Yoshikazu UchiyamaDivision of Informative Clinical Sciences, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan.
Hideaki NakamuraDepartment of Transfusion Medicine and.
Eisaburo SueokaDepartment of Clinical Laboratory Medicine, Faculty of Medicine, Saga University, Saga, Japan.
Atae UtsunomiyaDepartment of Hematology, Imamura General Hospital, Kagoshima, Japan.
Masahiro OnoInternational Research Center for Medical Sciences (IRCMS), and.
Yorifumi SatouDivision of Genomics and Transcriptomics, Joint Research Center for Human Retrovirus Infection.
Joint Center for Structural Genomics · USKumamoto University · JPSaga University · JPImamura Hospital · JPImperial College London · GBKagoshima University · JPThe University of Tokyo · JPUniversity of Basel · CH

Funding

Medical Research Council MR/S000208/1
6 · The paper itself

Abstract

Human T cell leukemia virus type 1 (HTLV-1) mainly infects CD4+ T cells and induces chronic, persistent infection in infected individuals, with some developing adult T cell leukemia/lymphoma (ATL). HTLV-1 alters cellular differentiation, activation, and survival; however, it is unknown whether and how these changes contribute to the malignant transformation of infected cells. In this study, we used single-cell RNA-sequencing and T cell receptor-sequencing to investigate the differentiation and HTLV-1-mediated transformation of T cells. We analyzed 87,742 PBMCs from 12 infected and 3 uninfected individuals. Using multiple independent bioinformatics methods, we demonstrated the seamless transition of naive T cells into activated T cells, whereby HTLV-1-infected cells in an activated state further transformed into ATL cells, which are characterized as clonally expanded, highly activated T cells. Notably, the greater the activation state of ATL cells, the more they acquire Treg signatures. Intriguingly, the expression of HLA class II genes in HTLV-1-infected cells was uniquely induced by the viral protein Tax and further upregulated in ATL cells. Functional assays revealed that HTLV-1-infected cells upregulated HLA class II molecules and acted as tolerogenic antigen-presenting cells to induce anergy of antigen-specific T cells. In conclusion, our study revealed the in vivo mechanisms of HTLV-1-mediated transformation and immune escape at the single-cell level.

Indexed as

Lymphocyte ActivationCell Transformation, ViralFemaleGene Products, taxHLA AntigensHumansHuman T-lymphotropic virus 1Leukemia-Lymphoma, Adult T-CellMaleT-LymphocytesGene Products, taxHLA Antigenstax protein, Human T-lymphotrophic virus 1Infectious diseaseLeukemiasMHC class 2T cellsVirology

Identifiers

PMID34907908
PMCPMC8670839
OpenAlexW4200560825

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.