Document 0393 DOCN M9610393 TI Elevated levels of iC3b and C4d, but not Bb, complement fragments from plasma of persons infected with human T cell leukemia virus (HTLV) with HTLV-I-associated myelopathy/tropical spastic paraparesis. DT 9601 AU Saarloos MN; Koenig RE; Spear GT; Department of Immunology/Microbiology, Rush Medical Center,; Chicago, Illinois 60612, USA. SO J Infect Dis. 1995 Oct;172(4):1095-7. Unique Identifier : AIDSLINE MED/96029382 AB Plasma levels of complement (C) fragments iC3b, C4d, and Bb from human T cell leukemia virus (HTLV)-positive subjects with HTLV-I-associated myelopathy (HAM)/tropical spastic paraparesis (TSP) were analyzed by EIA. Both iC3b and C4d levels were significantly elevated in persons with HAM/TSP. These levels were similar to those in patients with human immunodeficiency virus (HIV) infection or rheumatoid arthritis (RA), who are known to have increased C fragments. Bb levels in persons with HAM/TSP wer unaffected, suggesting that C activation occurred only via the classical pathway. This differed from findings in HIV-infected or RA patients, who had elevated levels of Bb. The results showed an increase in C activation in persons with HAM/TSP and activation via the classical pathway, likely mediated by virus or immune complexes. It is possible that the C activation observed in these subjects contributed to the inflammatory pathogenesis of HAM/TSP. DE Arthritis, Rheumatoid/BLOOD Comparative Study Complement 3b/*ANALYSIS Complement 4/*ANALYSIS Human HIV Infections/BLOOD HTLV-BLV Infections HTLV-I Infections Paraparesis, Tropical Spastic/*BLOOD Peptide Fragments/*ANALYSIS Support, U.S. Gov't, P.H.S. JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).