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MEETING ABSTRACT Open Access

NFkB activation promotes immune activation inHTLV-I-associated myelopathy / tropical spasticparaparesisMatthew McCormick1, Unsong Oh1, Dibyadeep Datta1, Richard Turner1, Kathryn Bobb2, Dileep Monie2,Drago R Sliskovic3, Jie Zhang2, Jeffrey Meshulam2, Steven Jacobson1*

From 15th International Conference on Human Retroviruses: HTLV and Related VirusesLeuven and Gembloux, Belgium. 5-8 June 2011

Evidence suggests that HTLV-I-induced immune activa-tion plays a key role in the pathogenesis of HAM/TSP.The HTLV-I-encoded transactivating protein Tax isknown to activate nuclear factor kappa B (NFkB), a keyhost signaling pathway regulating immune response, butthe contribution of the NFkB pathway to the immuneactivation associated with HAM/TSP has yet to be fullydefined. We examined NFkB activation in peripheral-blood mononuclear cells (PBMC) from subjects withHAM/TSP, and tested the effect of NFkB inhibition onkey ex vivo correlates of immune activation in HAM/TSP.We examined the role of NFkB activation during

immune activation associated with HAM/TSP by usingsmall molecule NFkB inhibitors, including a newlydeveloped selective inhibitor of NFkB, PBS-1086.NFkB activation was assessed in peripheral-blood

mononuclear cells (PBMC) from subjects with HAM/TSP and in healthy donors (HD). Nuclear translocationof the NFkB RelA was significantly higher in PBMCfrom subjects with HAM/TSP compared to HD(p=0.032) following short-term (20 h) culture, indicatingincreased activation of the NFkB pathway in HAM/TSP.Treatment with the small molecule inhibitor PBS-1086reduced NFkB activation (p<0.01). PBS-1086 reducedexpression of CD25 and CD69 in HAM/TSP PBMC aswell as phosphorylation of STAT5 in a dose-dependentmanner (p<0.01 for all). PBS-1086 also inhibited sponta-neous lymphoproliferation of HAM/TSP PBMC in adose-dependent manner (p=0.0286). PBS-1086 treatment

resulted in a mean proviral load reduction of 20% com-pared to untreated PBMC in a 72 h cultureThese results indicate that NFkB activation plays a cri-

tical upstream role in the immune activation associatedwith HAM/TSP, and identify the NFkB pathway as apotential therapeutic target for immune modulation inHAM/TSP.

Author details1Neuroimmunology Branch, National Institute of Neurological Diseases andStroke, National Institutes of Health, Bethesda, MD, USA. 2ProfectusBiosciences, Inc., Baltimore, MD, USA. 3IDSC, Chelsea, MI, 48118, USA.

Published: 6 June 2011

doi:10.1186/1742-4690-8-S1-A117Cite this article as: McCormick et al.: NFkB activation promotes immuneactivation in HTLV-I-associated myelopathy / tropical spasticparaparesis. Retrovirology 2011 8(Suppl 1):A117.

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* Correspondence: [email protected] Branch, National Institute of Neurological Diseases andStroke, National Institutes of Health, Bethesda, MD, USAFull list of author information is available at the end of the article

McCormick et al. Retrovirology 2011, 8(Suppl 1):A117http://www.retrovirology.com/content/8/S1/A117

© 2011 McCormick et al; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the CreativeCommons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, andreproduction in any medium, provided the original work is properly cited.

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