How HTLV‑1 switches on and leads to adult T‑cell leukemia

Project 3: Epigenomic Regulation of HTLV-1 Reactivation & Pathogenesis

NIH-funded research Washington University · NIH-11198132

Researchers are studying how switches in the HTLV‑1 virus's DNA can wake the virus and contribute to adult T‑cell leukemia in people infected with HTLV‑1.

Quick facts

Grant typeP01 program project
Study typeNIH-funded research
Funding institutionWashington University NIH-funded
Lab location1 site (Saint Louis, United States)
Project IDNIH-11198132 on NIH RePORTER

What this research studies

If I had HTLV‑1, this project would look at how viral DNA 'switches'—a viral enhancer and a protein binding site for CTCF—control when the virus wakes up. The team will test these elements using cells in culture, rabbits, and humanized immunodeficient mice and will compare those results to samples taken from people with HTLV‑1 or ATLL. They will use multi‑omic methods (DNA methylation, histone marks, gene expression) and track proviral and T‑cell receptor clonality to see how the virus persists and drives cancer. The researchers will also examine proteins like cohesin to see whether changing them alters viral reactivation.

Who could benefit from this research

Good fit: People infected with HTLV‑1, including those with or at risk for adult T‑cell leukemia/lymphoma, are the primary candidates to contribute clinical samples or join related studies.

Not a fit: People without HTLV‑1 infection or with unrelated medical conditions are unlikely to receive direct benefit from this work.

Why it matters

Potential benefit: Could identify molecular targets to prevent HTLV‑1 reactivation or guide new treatments for adult T‑cell leukemia/lymphoma.

How similar studies have performed: Previous studies showed CTCF influences HTLV‑1 gene expression, but combining enhancer/insulator mechanisms across animal models and human clinical samples is a relatively new approach.

Where this research is happening

Saint Louis, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.