Evidence map›Paper›PMID 41157604›Full record

ReviewViruses2025

HTLV-1 and ATLL: Epidemiology, Oncogenesis, and Opportunities for Community-Informed Research in the United States.

Adrian Altieri, Sean Patrick Reilly, Abu Mansalay, Alan Soo-Beng Khoo, Nettie Johnson, Zafar K Khan, Amy Leader, Pooja Jain, Pierluigi Porcu

Abstract readReview
In one paragraph

Review in Viruses, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Adrian AltieriSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Sean Patrick ReillySidney Kimmel Comprehensive Cancer Center (SKCCC), Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.
Abu MansalayAfrican Cultural Alliance of North America (ACANA), Philadelphia, PA 19143, USA.
Alan Soo-Beng KhooSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA 19107, USA.ORCID 0000-0002-8268-5271
Nettie JohnsonAfrican Cultural Alliance of North America (ACANA), Philadelphia, PA 19143, USA.
Zafar K KhanDepartment of Microbiology and Immunology, Drexel University College of Medicine, Philadelphia, PA 19104, USA.
Amy LeaderSidney Kimmel Comprehensive Cancer Center (SKCCC), Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.
Pooja JainSidney Kimmel Comprehensive Cancer Center (SKCCC), Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.ORCID 0000-0001-8057-7835
Pierluigi PorcuSidney Kimmel Comprehensive Cancer Center (SKCCC), Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.ORCID 0000-0002-8056-023X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Human T-cell leukemia virus type 1 (HTLV-1), the first oncogenic human retrovirus, causes adult T-cell leukemia/lymphoma (ATLL), an aggressive neoplasm of mature CD4+ T-cells that is incurable in most patients and is associated with a median survival of less than 1 year. HTLV-1 also causes inflammatory disorders, including HTLV-associated myelopathy/tropical spastic paraparesis (HAM/TSP) and uveitis. The estimated lifetime risks of ATLL and HAM/TSP in HTLV-1 carriers are 3-5% and 0.25-1.8%, respectively. Although there is uncertainty about other health effects of HTLV-1, a recent meta-analysis showed an association between HTLV-1 and cardiovascular, cerebrovascular, and metabolic diseases and a 57% increased risk of early mortality in HTLV-1 carriers, independent of ATLL or HAM/TSP. Furthermore, emerging studies in endemic areas show that outcomes for common cancers, such as cervical cancer and lymphoma (non-ATLL), are inferior in HTLV-1 carriers compared to publicly reported data. Thus, the impact of HTLV-1 may be greater and more diverse than currently understood. This review provides an outline of the prevalence and impact of HTLV-1 and associated disorders in the US, focused on-but not limited to-ATLL, with an emphasis on the social determinants of health that can affect the success of screening and prevention strategies. We also discuss the mechanisms by which HTLV-1 drives the pathogenesis of ATLL and potential strategies for early diagnosis and intervention. Finally, we conclude by suggesting approaches to designing and implementing community-informed research initiatives in HTLV-1 and ATLL.

Indexed as

CarcinogenesisHTLV-I InfectionsHuman T-lymphotropic virus 1Leukemia-Lymphoma, Adult T-CellHumansUnited StatesHTLV-1infection and canceroncogenic virusesretroviruses

Identifiers

PMID41157604
PMCPMC12568196

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.