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What's Next
- Adult T cell leukemia: a tale of two T cells

Obviously the involvement of CD4+ cells in the development of ATLL is indisputable, and uncovering the underlying molecular events in this cell type will have a profound impact on our understanding of this disease. However, the role of HTLV-1–infected CD8+ T cells in disease development is less clear. Is it possible that the infection and expansion of CD8+ cells plays a helper role in the selection of specific CD4+ cell clones? In fact, what is the dynamic relationship between the two cell populations over the course of disease development? Is there a patient-specific variation in the ratios of the infected cell types that might explain why one patient may develop ATLL and another individual develops HAM/TSP? It is predictable that future work will seek to uncover the dynamics of multiple virus-infected cell populations and what impact these forces have on the selection and manifestation of HTLV-1–related diseases.


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