Human T-cell leukemia virus type 1: oncogenic potential and vaccine development strategies

The human T-cell lymphotropic virus type 1 (HTLV-1) is a highly oncogenic retrovirus recognized as the causative agent of adult T-cell leukemia/lymphoma (ATLL) and HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP). Among the key risk factors for ATLL development are high proviral l...

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Main Authors: Jorge Vasconez-Gonzalez, Isaac A. Suárez-Sangucho, Esteban Acosta-Muñoz, Luis Paz y Miño, Domenic Borja-Mendoza, John Altamirano Alexander-Castillo, Julia Saa, Natasha Salazar-Calvopiña, Paúl Cárdenas, Andrés López-Cortés, Esteban Ortiz-Prado
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Cellular and Infection Microbiology
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Online Access:https://www.frontiersin.org/articles/10.3389/fcimb.2025.1587802/full
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author Jorge Vasconez-Gonzalez
Isaac A. Suárez-Sangucho
Esteban Acosta-Muñoz
Luis Paz y Miño
Domenic Borja-Mendoza
John Altamirano Alexander-Castillo
Julia Saa
Natasha Salazar-Calvopiña
Paúl Cárdenas
Andrés López-Cortés
Esteban Ortiz-Prado
author_facet Jorge Vasconez-Gonzalez
Isaac A. Suárez-Sangucho
Esteban Acosta-Muñoz
Luis Paz y Miño
Domenic Borja-Mendoza
John Altamirano Alexander-Castillo
Julia Saa
Natasha Salazar-Calvopiña
Paúl Cárdenas
Andrés López-Cortés
Esteban Ortiz-Prado
author_sort Jorge Vasconez-Gonzalez
collection DOAJ
description The human T-cell lymphotropic virus type 1 (HTLV-1) is a highly oncogenic retrovirus recognized as the causative agent of adult T-cell leukemia/lymphoma (ATLL) and HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP). Among the key risk factors for ATLL development are high proviral load, reduced anti-Tax immune responses, and elevated levels of soluble interleukin-2 receptor. Unlike classical oncogenic viruses, HTLV-1 does not encode proto-oncogenes but instead drives cellular transformation through a combination of mechanisms, including viral gene dysregulation, chromatin remodeling, epigenetic reprogramming, persistent clonal expansion, immune evasion, and RNA-based modifications. Despite growing understanding of these molecular pathways, an effective prophylactic vaccine against HTLV-1 remains unavailable. However, several vaccine strategies including viral vector platforms, mRNA-based candidates, peptide vaccines, and dendritic cell-based approaches have shown promise in preclinical models. In this review, we provide a comprehensive synthesis of current knowledge on HTLV-1 oncogenesis, highlight the roles of viral proteins such as Tax and HBZ in immune evasion, and critically examine the state of vaccine development efforts aimed at controlling this neglected human retrovirus.
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publishDate 2025-08-01
publisher Frontiers Media S.A.
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spelling doaj-art-2e9df2d124ef41f2ad0c990f928f58df2025-08-20T03:36:44ZengFrontiers Media S.A.Frontiers in Cellular and Infection Microbiology2235-29882025-08-011510.3389/fcimb.2025.15878021587802Human T-cell leukemia virus type 1: oncogenic potential and vaccine development strategiesJorge Vasconez-Gonzalez0Isaac A. Suárez-Sangucho1Esteban Acosta-Muñoz2Luis Paz y Miño3Domenic Borja-Mendoza4John Altamirano Alexander-Castillo5Julia Saa6Natasha Salazar-Calvopiña7Paúl Cárdenas8Andrés López-Cortés9Esteban Ortiz-Prado10One Health Research Group, Faculty of Health Science, Universidad de Las Americas, Quito, EcuadorOne Health Research Group, Faculty of Health Science, Universidad de Las Americas, Quito, EcuadorOne Health Research Group, Faculty of Health Science, Universidad de Las Americas, Quito, EcuadorOne Health Research Group, Faculty of Health Science, Universidad de Las Americas, Quito, EcuadorOne Health Research Group, Faculty of Health Science, Universidad de Las Americas, Quito, EcuadorOne Health Research Group, Faculty of Health Science, Universidad de Las Americas, Quito, EcuadorOne Health Research Group, Faculty of Health Science, Universidad de Las Americas, Quito, EcuadorOne Health Research Group, Faculty of Health Science, Universidad de Las Americas, Quito, EcuadorInstitute of Microbiology, Universidad San Francisco de Quito, Quito, EcuadorCancer Research Group (CRG), Faculty of Medicine, Universidad de Las Américas, Quito, EcuadorOne Health Research Group, Faculty of Health Science, Universidad de Las Americas, Quito, EcuadorThe human T-cell lymphotropic virus type 1 (HTLV-1) is a highly oncogenic retrovirus recognized as the causative agent of adult T-cell leukemia/lymphoma (ATLL) and HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP). Among the key risk factors for ATLL development are high proviral load, reduced anti-Tax immune responses, and elevated levels of soluble interleukin-2 receptor. Unlike classical oncogenic viruses, HTLV-1 does not encode proto-oncogenes but instead drives cellular transformation through a combination of mechanisms, including viral gene dysregulation, chromatin remodeling, epigenetic reprogramming, persistent clonal expansion, immune evasion, and RNA-based modifications. Despite growing understanding of these molecular pathways, an effective prophylactic vaccine against HTLV-1 remains unavailable. However, several vaccine strategies including viral vector platforms, mRNA-based candidates, peptide vaccines, and dendritic cell-based approaches have shown promise in preclinical models. In this review, we provide a comprehensive synthesis of current knowledge on HTLV-1 oncogenesis, highlight the roles of viral proteins such as Tax and HBZ in immune evasion, and critically examine the state of vaccine development efforts aimed at controlling this neglected human retrovirus.https://www.frontiersin.org/articles/10.3389/fcimb.2025.1587802/fullHTLV-1human T-cell leukemia virus type 1oncogenesisviral oncogenesimmune evasionretrovirus
spellingShingle Jorge Vasconez-Gonzalez
Isaac A. Suárez-Sangucho
Esteban Acosta-Muñoz
Luis Paz y Miño
Domenic Borja-Mendoza
John Altamirano Alexander-Castillo
Julia Saa
Natasha Salazar-Calvopiña
Paúl Cárdenas
Andrés López-Cortés
Esteban Ortiz-Prado
Human T-cell leukemia virus type 1: oncogenic potential and vaccine development strategies
Frontiers in Cellular and Infection Microbiology
HTLV-1
human T-cell leukemia virus type 1
oncogenesis
viral oncogenes
immune evasion
retrovirus
title Human T-cell leukemia virus type 1: oncogenic potential and vaccine development strategies
title_full Human T-cell leukemia virus type 1: oncogenic potential and vaccine development strategies
title_fullStr Human T-cell leukemia virus type 1: oncogenic potential and vaccine development strategies
title_full_unstemmed Human T-cell leukemia virus type 1: oncogenic potential and vaccine development strategies
title_short Human T-cell leukemia virus type 1: oncogenic potential and vaccine development strategies
title_sort human t cell leukemia virus type 1 oncogenic potential and vaccine development strategies
topic HTLV-1
human T-cell leukemia virus type 1
oncogenesis
viral oncogenes
immune evasion
retrovirus
url https://www.frontiersin.org/articles/10.3389/fcimb.2025.1587802/full
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