Aims-To study the expression of the human T lymphotropic virus (HTLV)
Tax gene in peripheral blood mononuclear cells. Methods-Blood was coll
ected from 72 patients with lymphoproliferative disorders. Serum from
all patients was assayed for antibodies directed against HTLV-I struct
ural proteins by ELISA and western blotting. RNA was purified from fre
sh blood cells and amplified by reverse transcription polymerase chain
reaction (RT-PCR). After Southern blotting, the PCR products were hyb
ridised with a F-32 end-labelled probe specific for the Tax gene. Resu
lts-All samples were seronegative. A specific band for the Tax gene wa
s found in five samples. Each of the patients positive for Tax gene ex
pression had a different type of lymphoproliferative disorder. Conclus
ions-Infection by HTLV-I cannot be assessed solely by immunological as
says, particularly when only disrupted virions are used. Sensitive mol
ecular biology assays are essential for detecting viral gene expressio
n in fresh blood cells.