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Epidemiology of human T-lymphotropic virus type 1 among blood donors and general population in Iran: a meta-analysis

    Milad Azami

    Medical Student, Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran

    ,
    Gholamreza Badfar

    Assistant Professor, Department of Pediatrics, Behbahan Faculty of Medical Sciences, Behbahan, Iran

    ,
    Elham Esmaeli

    Department of Microbiology & Clinical Microbiology Research Center, Ilam University of Medical Sciences, Ilam, Iran

    ,
    Moslem Moslemirad

    School of Nursing & Midwifery, Yasuj University of Medical Science, Yasuj, Iran

    &
    Shoboo Rahmati

    *Author for correspondence: Tel.: +99186475488;

    E-mail Address: shoboorahmati2014@gmail.com

    Msc Epidemiology, School of Public Health, Ilam University of Medical Sciences, Ilam, Iran

    Published Online:https://doi.org/10.2217/fvl-2018-0015

    Aim: The present meta-analysis aims to assess the epidemiology of human T-lymphotropic virus type 1 (HTLV-1) among blood donors and general population in Iran. Methods: The present study was designed according to PRISMA guidelines. Results: The prevalence of HTLV-1 in 34 studies with a sample size of 3,626,364 blood donors was 0.20% (95% CI: 0.15–0.26) and the prevalence of this virus among men and women blood donors was 0.20% (95% CI: 0.15–0.27) and 0.64% (95% CI: 0.13–3.01), respectively and the female-male odds ratio was 3.13 (1.35–7.25, p = 0.008). In five studies consisting of 4763 individuals, the prevalence of HTLV-1 among the general population who lived in the main HTLV-1 endemic regions (Khorasan provinces, in northeastern Iran) was 2.5% (95% CI: 1.3–4.7) and the prevalence of this virus among men and women was 2.4% (95% CI: 0.8–7.1) and 3.4% (95% CI: 2.0–5.7), respectively. According to the systematic review, the prevalence of HTLV-1 in general population living in non-endemic regions of HTLV-1 was reported to be 0.07% to 1.8%. Conclusion: Considering the high prevalence of HTLV-1 in the main HTLV-1 endemic regions of Iran, persistent prevention programs are required in blood transfusion centers in these regions.

    References

    • 1 Mahieux R, Gessain A. The human HTLV-3 and HTLV-4 retroviruses: new members of the HTLV family. Pathol. Biol. 57(2), 161–166 (2009).
    • 2 Gessain A, Cassar O. Epidemiological aspects and world distribution of HTLV-1 infection. Front. Microbiol. 3, 388 (2012).
    • 3 Gessain A, Barin F, Vernant JC et al. Antibodies to human T-lymphotropic virus type-I in patients with tropical spastic paraparesis. Lancet 2(8452), 407–410 (1985).
    • 4 Hinuma Y, Nagata K, Hanaoka M et al. Adult T-cell leukemia: antigen in an ATL cell line and detection of antibodies to the antigen in human sera. Proc. Natl Acad. Sci. USA 78(10), 6476–6480 (1981).
    • 5 Saito M, Jain P, Tsukasaki K, Bangham CR. HTLV-1 infection and its associated diseases. Leuk. Res. Treat. 2012, 123637 (2012).
    • 6 Proietti FA, Carneiro-Proietti AB, Catalan-Soares BC et al. Global epidemiology of HTLV-1 infection and associated diseases. Oncogene 24(39), 6058–6068 (2005).
    • 7 Farid R, Shirdel A, Tabei SZ. Clinical manifestation of adult T cell lymphoma/leukemia associated with HTLV-1 in north-eastern Iran. Iran. J. Med. Sci. 17, 105–108 (1992).
    • 8 Farid Hosseini R, Parizadeh MJ, Ghafari J, Miri S, Nasirian A, Rafat Panah H. Seroepidemiology of HTLV-1 infection in Neishabour. Med. J. Mashhad Univ. Med. Sci. 47(4), 417–424 (2005).
    • 9 Meytes D, Schochat B, Lee H et al. Serological and molecular survey for HTLV-1 infection in a high-risk Middle Eastern group. Lancet 336(8730), 1533–1535 (1990).
    • 10 Rafatpanah R, Hedayati-Moghaddam MR, Fathimoghadam F et al. High prevalence of HTLV-1 infection in Mashhad, northeast Iran: a population-based seroepidemiology survey. J. Clin. Virol. 52(3), 172–176 (2011).
    • 11 Hedayati-Moghaddam MR, Fathimoghadam F, Eftekharzadeh Mashhadi I et al. Epidemiology of HTLV-1 in Neyshabour, northeast of Iran. Iran Red. Crescent Med. J. 13(6), 424–427 (2011).
    • 12 Rafatpanah H, Torkamani M, Valizadeh N et al. Prevalence and phylogenetic analysis of HTLV-1 in a segregated population in Iran. J. Med. Virol. 88(7), 1247–1253 (2016).
    • 13 Azarpazhooh M, Hasanpoor K, Ghanbari M et al. HTLV-1 prevalence in northeastern Iran, Sabzevar: an epidemiologic based study and phylogenetic analysis. AIDS Res Hum Retroviruses. 28(9), 1095–1101 (2012).
    • 14 Safai B, Huang JL, Boeri E et al. Prevalence of HTLV type I infection in Iran: a serological and genetic study. AIDS Res. Hum. Retroviruses 10, 1185–1190 (1996).
    • 15 Rezvan H, Ahmadi J, Farhadi M. A cluster of HTLV-1 infection in northeastern of Iran. Transfus. Today. 7, 8–9 (1996).
    • 16 Abbaszadegan MR, Gholamin M, Tabatabaee A et al. Prevalence of human T-lymphotropic virus type 1 among blood donors from Mashhad, Iran. J. Clin. Microbiol. 41(6), 2593–2595 (2003).
    • 17 Ghafouri M, Ameli MR. Transfusion transmitted viral infections in blood donors of south Khorasan. Sci. J. Iran Blood Transfus. Organ. 7(4), 242–248 (2011).
    • 18 Tavanai Sani A. Serologic prevalence of HTLV among blood donors in Mashhad (northeastern Iran). Arch. Iran. Med. 4(1), 25–26 (2011).
    • 19 Tarhini M, Kchour G, Sayadpour Zanjani D et al. Declining tendency of human T-cell leukaemia virus type I carrier rates among blood donors in Mashhad, Iran. Pathology 41(5), 498–9 (2009).
    • 20 Haghighi S, Jalalian M, Bazargani R et al. Co-infection between HTLV-1,2 and other transfusion transmissible viral infections in Mashhadi blood donors. Proceedings of the 1st International Congress on HTLV-1 and Associated Siseases in Iran. Mashhad, Iran, 18–20 February, 2010.
    • 21 Shahabi M, Sayadpour Zanjani D, Tehranian F. Seroindeterminate HTLV-1/II prevalence and characteristics in blood donors of Northeast of Iran. Proceedings of the 1st International Congress on HTLV-1 and Associated Diseases in Iran. Mashhad, Iran, 18–20 February, 2010.
    • 22 Sayadpour Zanjani D, Shahabi M, Talaei N, Afzalaghaee M, Tehranian F, Bazargani R. Molecular analysis of human T cell lymphotropic virus type 1 and 2 (HTLV-1/2) seroindeterminate blood donors from northeast Iran: evidence of proviral tax, env, and gag sequences. AIDS Res Hum Retroviruses. 26(12), 1–5 (2010).
    • 23 Rakhshan Masoudi Z, Yazdanparast E, Omidkhoda A, Zarei N, Firoozbakhat S, Zarei M. Frequency of human T-lymphotropic virus type 1,2 among blood donors from Karaj transfusion centre. Proceedings of the 1st International Congress on HTLV-1 and Associated Diseases in Iran. Mashhad, Iran, 18–20 February, 2010. P-30.
    • 24 Rostamzadeh Khameneh Z, Baradaran M et al. Survey of the seroprovalence of HTLV I/II in hemodialysis patients and blood donors in Urmia. Saudi J. Kidney Dis. Transpl. 19(5), 838–841 (2008).
    • 25 Falahi S, Sabahi F, Zeynali M et al. Incidince of human T-lymphotropic virus type 1 (HTLV-1) among blood donors from Ilam, Iran. Iran. J. Virol. 1(3), 11–14 (2008).
    • 26 PourKarim MR, KhamisiPour Gh R, Zandi K et al. Prevalence of anti-HTLV-1 & anti- HTLV-1I antibodies in blood donors in Bushehr province. Iran. South Med. J. 6(2), 161–164 (2004).
    • 27 Abedi F, Yavaian M, Shakibzadeh A et al. A pilot seroepidemiologic study of HTLV in thalassemia, hemophilia, and hemodialysed patients in Hormozgan. Med. J. Hormozgan Univ. 13(2), 75–80 (2009).
    • 28 Marvi MS, Jamili P, Safabakhsh HR et al. Survey of frequency and Geographical distribution Of HTLV infection among blood donors in Neyshabour blood bank, 2003–2009. Proceedings of the 7th Annual Research Conference of Eastern Medical Sciences Students. (2011), Mashhad, Iran. Abstract A–10–851–1.
    • 29 Karimi A, Nafici MR, Imani R. Comparison of human T-cell Leukemia virus type-I (HTLV-1) seroprevalence in high risk patients (thalassemia and hemodialysis) and healthy individuals from Charmahal-Bakhtiari province, iran. Kuwait Med. J. 39(3), 259–261 (2007).
    • 30 Karimi G, Zadsar M, Pourfathollah AA. Seroprevalence and geographical distribution of human T-lymphotropic virus type 1 among volunteer blood donors in endemic areas of Iran. Virol J. 14(1), 14 (2017).
    • 31 Safabakhsh H, Jalalian M, Karimi G. Seroepidemiology of human T-cell lymphotropic virus type-1 (HTLV1) in Mashhad. Glob. J. Health Sci. 6(5), 99–104 (2014).
    • 32 Hatami H, Karimi G, Safabakhsh H. Seroepidemiologic prevalence of HTLV in voluntary blood donors in Mashhad. Sci. J. Iran. Blood Transfus. Organ. 9(2), 149–159 (2012).
    • 33 Jamili P, Safabakhsh MS, Marvi H et al. Seroepidemiology of HTLV infection in Sabzevar blood donors from 2007 to 2008. J. Sabzevar Univ. Med. Sci. 20(4), 464–471 (2014).
    • 34 Safabakhsh HR, Karimi G, Hatami H. The prevalence of HTLV -1 infection in blood donation volunteers in Mashhad. J. Sch. Public Health Inst. Public Health Res. 11(4), 85–94 (2014).
    • 35 Maghsudlu M, Safabakhsh H, Jamili P. Seroepidemiology of human T-cell lymphotropic virus type-I in blood donors of Northeastern Iran, Sabzevar. Asian J. Transfus. Sci. 9(2), 203 (2015).
    • 36 Sayehmiri K, Tavan H, Sayehmiri F et al. Prevalence of epilepsy in Iran: a meta-analysis and systematic review. Iran. J. Child. Neurol. 8(4), 9-17 (2014).
    • 37 Moher D, Liberati A, Tetzlaff J et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J. Clin. Epidemiol. 62(10), 1006–1012 (2009).
    • 38 Tavan H, Sayehmiri K et al. Prevalence of peptic ulcer in Iran using the meta-analysis and systematic review. GOVARESH 20, 250–258 (2016).
    • 39 Sayehmiri K, Abangah G, Kalvandi G et al. Prevalence of peptic ulcer in Iran: systematic review and meta-analysis methods. J Res Med Sci. 23(1), 8– (2014).
    • 40 Wells GA, Shea B, O'Connell D, Peterson J, Welch V, Losos M et al. The Newcastle–Ottawa Scale (NOS) for Assessing the Quality of Nonrandomized Studies in Meta-Analyses (2011). http://www.ohri.ca/programs/clinical_epidemiology/oxford.asp
    • 41 Ades AE, Lu G, Higgins JP. The interpretation of random-effects meta-analysis in decision models. Med. Decis. Making. 25(6), 646–654 (2005).
    • 42 Borenstein M, Hedges LV, Higgins JPT et al. A basic introduction to fixed-effect and random-effects models for meta-analysis. Res. Synth. Methods 1(2), 97–111 (2010).
    • 43 Azami M, Khataee M, Bigam Bigdeli-Shamlo M et al. Prevalence and risk factors of hepatitis B infection in pregnant women of Iran: a systematic review and meta-analysis. IJOG. 19(18), 17–30 (2016).
    • 44 Gessain A. Epidemiology of HTLV-1 and associated diseases. In: Hollsberg P, Hafler DA (Eds). Human T cell Lymphotropic Virus Type I. Wiley and Sons, NY, USA, 33–50 (1996).
    • 45 Macía C, Vargas S, Mora AM et al. Seroprevalence of human T-lymphotropic virus in blood bank donors at Fundación Valle del Lili, Cali, Colombia, 2008–2014. Biomédica 36, 108–115 (2016).
    • 46 Niazi SK, Bhatti FA, Salamat N. Seroprevalence of human T-cell lymphotropic virus-1/2 in blood donors in northern Pakistan: implications for blood donor screening. J Coll Physicians Surg Pak. 25(12), 874–877 (2015).
    • 47 Li X, Chen Y, Wu Z et al. Prevalence of human T-lymphotropic virus type 1 infection among blood donors in mainland China: a meta-analysis. Int. J. Infect. Dis. 25, 94–9 (2014).
    • 48 Chang YB, Kaidarova Z, Hindes D et al. Seroprevalence and demographic determinants of human T-lymphotropic virus type 1 and 2 infections among first-time blood donors – United States, 2000–2009. J Infect Dis. 209(4), 523–531 (2014).
    • 49 Dayyani M, Hedayati-Moghaddam MR, Amini AR. HTLV-1 infection as a serious health issue among Iranian multi-transfused patients: evidence from a systematic review and meta-analysis. Iran J Blood Cancer. 7(2), 85–94 (2015).
    • 50 Proietti FA, Carneiro-Proietti AB, Catalan-Soares BC et al. Global epidemiology of HTLV-1 infection and associated diseases. Oncogene 24(39), 6058–6068 (2005).
    • 51 Matsuoka M, Jeang KT. Human T-cell leukemia virus type I at age 25: a progress report. Cancer Res. 65(11), 4467–4470 (2005).
    • 52 Verdonck K, González E, Van Dooren S et al. Human T-lymphotropic virus 1: recent knowledge about an ancient infection. Lancet Infect. Dis. 7(4), 266–281 (2007).
    • 53 Abolghasemi H, Maghsudlu M, Amini Kafi-Abad S et al. Introduction to iranian blood transfusion organization and blood safety in Iran. Iran. J. Public Health. 38(Suppl. 1), 82–87 (2009).
    • 54 Rezvan H, Abolghassemi H, Kafiabad SA. Transfusion-transmitted infections among multitransfused patients in Iran: a review. Transfus. Med. 17(6), 425–433 (2007).