CD4 and adult T-cell leukemia/lymphoma: The human T-lymphotropic virus (HTLV) type 1 infection is associated with the development of two main diseases: a malignancy of CD4+ T-cells named adult T-cell leukemia/lymphoma (ATLL) and the HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP) (1, 2), which is a chronic inflammatory neurodegenerative disease that affects mainly the upper motor neurons in the thoracic spinal cord (3, 4).