Evidence map›Paper›PMID 40910358›Full record

ArticleJournal of medical virology2025

Persistent Human T-Lymphotropic Virus Type 1 (HTLV-1) Infection in the Placenta of Pregnant Women.

Gabriela Prates, Xiaoyi Li, Victor Folgosi, George Souza, Sandy Teixeira, Carlos Apoliano, Fernanda Grassi, Jacielma Freire, Jerusa Smid, Michel E Haziot and 7 more

Abstract read
In one paragraph

Article in Journal of medical virology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Observational
  3. Article
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

17 authors.

Gabriela PratesLaboratory of Dermatology and Immunodeficiencies, Department of Dermatology, University of São Paulo Medical School, São Paulo, Brazil.ORCID 0000-0003-3728-9621
Xiaoyi LiUNC HIV Cure Center, University of North Carolina, Chapel Hill, North Carolina, USA.
Victor FolgosiLaboratory of Dermatology and Immunodeficiencies, Department of Dermatology, University of São Paulo Medical School, São Paulo, Brazil.
George SouzaLaboratory of Dermatology and Immunodeficiencies, Department of Dermatology, University of São Paulo Medical School, São Paulo, Brazil.
Sandy TeixeiraLaboratory of Dermatology and Immunodeficiencies, Department of Dermatology, University of São Paulo Medical School, São Paulo, Brazil.
Carlos ApolianoLaboratory of Dermatology and Immunodeficiencies, Department of Dermatology, University of São Paulo Medical School, São Paulo, Brazil.
Fernanda GrassiGonçalo Moniz Institute, Oswaldo Cruz Foundation (FIOCRUZ), Salvador, Bahia, Brazil.
Jacielma FreireClimério de Oliveira Maternity Hospital Bahia, Federal University of Bahia (UFABA), Bahia, Brazil.
Jerusa SmidInstitute of Infectious Diseases "Emilio Ribas" (IIER) de São Paulo, São Paulo, SP, Brazil.
Michel E HaziotInstitute of Infectious Diseases "Emilio Ribas" (IIER) de São Paulo, São Paulo, SP, Brazil.
Rosa Maria N MarcussoInstitute of Infectious Diseases "Emilio Ribas" (IIER) de São Paulo, São Paulo, SP, Brazil.
Augusto C P de OliveiraInstitute of Infectious Diseases "Emilio Ribas" (IIER) de São Paulo, São Paulo, SP, Brazil.
Hongjie ChenUNC HIV Cure Center, University of North Carolina, Chapel Hill, North Carolina, USA.
Tatiane AssoneDepartamento de Medicina Legal, Bioética, Medicina do Trabalho e Medicina Física e Reabilitação, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Yuyang TangUNC HIV Cure Center, University of North Carolina, Chapel Hill, North Carolina, USA.
Guochun JiangUNC HIV Cure Center, University of North Carolina, Chapel Hill, North Carolina, USA.ORCID 0000-0003-1911-5089
Jorge CassebLaboratory of Dermatology and Immunodeficiencies, Department of Dermatology, University of São Paulo Medical School, São Paulo, Brazil.

Funding

Defining the HIV reservoir and latency mechanism in human brain myeloid cellsR01MH136852 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Guochun Jiang · 2024 to 2026
$2.3M
Characterize replication competent myeloid reservoirs in the central nervous systemR21MH128034 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI JIANG, GUOCHUN · 2021 to 2022
$443k
Novel Epigenetic Marks for HIV Latency Entry and ReversalR21AI167709 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI JIANG, GUOCHUN · 2023 to 2024
$428k
NIAID NIH HHS R21 AI167709NIMH NIH HHS R01 MH136852NIMH NIH HHS R21 MH128034This study was supported by the National Institute of Mental Health, Fundação de Amparo à Pesquisa do Estado de São Paulo, and the National Institute of Allergy and Infectious Diseases.
6 · The paper itself

Abstract

Mother-to-child transmission (MTCT) is the primary route of human T-lymphotropic virus type 1 (HTLV-1) infection. Although formula feeding reduces breastfeeding-associated transmission, MTCT still occurs, implicating pregnancy or delivery as key transmission windows. In this study, placental tissues from nine HTLV-1-positive mothers were analyzed using DNA/RNAscope, revealing low HTLV-1 DNA and RNA levels and a low RNA/DNA ratio, consistent with latent infection in the placenta and potentially explaining the low MTCT rate. Elevated interferon (IFN)-β levels were observed in infected placentas compared to seronegative controls, while IFNα, IFNγ, and IFITM expression remained unchanged. Concurrently, sustained IFNβ expression in infected placentas suggests its dual roles in HTLV-1 pathogenesis: suppressing viral replication while potentially disrupting placental homeostasis through chronic inflammation. In vitro modeling using BeWo cells or primary trophoblasts cocultured with HTLV-1-infected MT-2 cells demonstrated syncytin-1-mediated viral entry, confirmed by HTLV-1 p19 detection in both trophoblasts. Of note, HTLV-1 transmission was abolished by a syncytin-1-specific fusion inhibitor HRB1, underscoring syncytin-1's essential role in cell-to-cell transmission of HTLV-1. Thus, this study identifies syncytin-1 as a therapeutic target to block vertical transmission and highlights the need to balance antiviral responses with placental integrity in HTLV-1 management.

Indexed as

HTLV-I InfectionsHuman T-lymphotropic virus 1PlacentaPregnancy Complications, InfectiousAdultCell LineDNA, ViralFemaleGene Products, envHumansInfectious Disease Transmission, VerticalInterferon-betaPregnancyPregnancy ProteinsRNA, ViralTrophoblastsDNA, ViralGene Products, envInterferon-betaPregnancy ProteinsRNA, ViralsyncytinHERV‐W1 EnvHTLV‐1IFNβplacentaspontaneous abortionssyncytin‐1

Identifiers

PMID40910358
PMCPMC12412083

What OpenQuestion holds

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Registered trials

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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.