Expansion of immunoglobulin-secreting cells and defects in B cell tolerance in Rag-dependent immunodeficiency.
Expansion of immunoglobulin-secreting cells and defects in B cell tolerance in Rag-dependent immunodeficiency.
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DOI:
10.1084/jem.20091927
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发表时间:
2010-07-05
期刊:
影响因子:
--
通讯作者:
Notarangelo LD
中科院分区:
文献类型:
--
作者:
Walter JE;Rucci F;Patrizi L;Recher M;Regenass S;Paganini T;Keszei M;Pessach I;Lang PA;Poliani PL;Giliani S;Al-Herz W;Cowan MJ;Puck JM;Bleesing J;Niehues T;Schuetz C;Malech H;DeRavin SS;Facchetti F;Gennery AR;Andersson E;Kamani NR;Sekiguchi J;Alenezi HM;Chinen J;Dbaibo G;ElGhazali G;Fontana A;Pasic S;Detre C;Terhorst C;Alt FW;Notarangelo LD
The contribution of B cells to the pathology of Omenn syndrome and leaky severe combined immunodeficiency (SCID) has not been previously investigated. We have studied a mut/mut mouse model of leaky SCID with a homozygous Rag1 S723C mutation that impairs, but does not abrogate, V(D)J recombination activity. In spite of a severe block at the pro–B cell stage and profound B cell lymphopenia, significant serum levels of immunoglobulin (Ig) G, IgM, IgA, and IgE and a high proportion of Ig-secreting cells were detected in mut/mut mice. Antibody responses to trinitrophenyl (TNP)-Ficoll and production of high-affinity antibodies to TNP–keyhole limpet hemocyanin were severely impaired, even after adoptive transfer of wild-type CD4+ T cells. Mut/mut mice produced high amounts of low-affinity self-reactive antibodies and showed significant lymphocytic infiltrates in peripheral tissues. Autoantibody production was associated with impaired receptor editing and increased serum B cell–activating factor (BAFF) concentrations. Autoantibodies and elevated BAFF levels were also identified in patients with Omenn syndrome and leaky SCID as a result of hypomorphic RAG mutations. These data indicate that the stochastic generation of an autoreactive B cell repertoire, which is associated with defects in central and peripheral checkpoints of B cell tolerance, is an important, previously unrecognized, aspect of immunodeficiencies associated with hypomorphic RAG mutations.
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影响因子:
32.4
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Cariappa, A;Tang, M;Pillai, S
通讯作者:
Pillai, S
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