To investigate the mechanism of synovial hyperplasia by human T-lymphotropi
c virus type I (HTLV-1) infection, the enzymatic activity of telomerase and
expression of telomerase-related factors in HTLV-I infected synoviocytes w
ere examined. Cultured synoviocytes obtained from four patients with osteoa
rthritis (OA) and four with traumatic joint disease (TJD) were infected by
HTLV-1. Telomerase activity was detected by telomeric repeat amplification
protocol (TRAP) assay. Expression of telomerase-related mRNAs such as telom
erase reverse transcriptase (hTERT), telomerase RNA component (hTERC), and
telomeric repeat binding factor 2 (TRF2) were also examined. Telomerase act
ivity was detected in all HTLV-1-infected synoviocytes but not in uninfecte
d synoviocytes. A remarkable induction of hTERT mRNA was observed in four o
f eight HTLV-I-infected synoviocytes, whereas expressions of hTERC, TRF2, a
nd TEP-1 mRNAs were not changed. Our results clearly demonstrate that HTLV-
I upregulates telomerase activity in synoviocytes probably via upregulation
of hTERT activity. These findings suggest that telomerase activation in sy
noviocytes has an important role in upregulated proliferative activity of H
AAP synoviocytes.