Chronic progressive myelopathy associated with HTLV-I: oligoclonal IgG and anti-HTLV-I IgG antibodies in cerebrospinal fluid and serum

Neurology. 1989 Dec;39(12):1566-72. doi: 10.1212/wnl.39.12.1566.

Abstract

Among 22 patients with human T-lymphotropic virus type I (HTLV-I)-associated chronic progressive myelopathy, agarose isoelectric focusing (AIF) revealed oligoclonal IgG bands in 21: in 3 in CSF only; in 11 in CSF and to some extent in serum; and in 7, identical patterns in CSF and serum. By immunoblot after AIF of CSF and serum, we observed bands of anti-HTLV-I IgG antibodies in 19 patients: in 5 in CSF only; in 9 in CSF and partly in serum; and in 5, identical in CSF and serum. Oligoclonal anti-HTLV-I IgG antibody bands could only partly be traced to oligoclonal IgG bands. If, prior to AIF, serum and CSF were absorbed with HTLV-I antigen, practically all oligoclonal HTLV-I-specific IgG antibody activity was abolished, while the oligoclonal pattern of total IgG was affected only to a minor extent. Alongside with HTLV-I-specific oligoclonal B cell response, HTLV-I myelopathy is regularly accompanied by production of oligoclonal IgG of unknown antibody specificities.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Antibodies, Anti-Idiotypic / analysis
  • Antibodies, Anti-Idiotypic / cerebrospinal fluid*
  • Human T-lymphotropic virus 1 / immunology*
  • Humans
  • Immunoblotting
  • Immunoglobulin G / analysis
  • Immunoglobulin G / cerebrospinal fluid
  • Immunoglobulins / analysis
  • Middle Aged
  • Oligoclonal Bands
  • Paraparesis, Tropical Spastic / blood
  • Paraparesis, Tropical Spastic / cerebrospinal fluid*
  • Paraparesis, Tropical Spastic / diagnosis
  • Serologic Tests

Substances

  • Antibodies, Anti-Idiotypic
  • Immunoglobulin G
  • Immunoglobulins
  • Oligoclonal Bands