A human non-XLA immunodeficiency disease characterized by blockage of B cell development at an early proB cell stage.

A human non-XLA immunodeficiency disease characterized by blockage of B cell development at an early proB cell stage.
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一种人类非 XLA 免疫缺陷疾病,其特征是早期 proB 细胞阶段 B 细胞发育受阻。

DOI:
10.1172/jci118943
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发表时间:
1996
期刊:
The Journal of clinical investigation
影响因子:
--
通讯作者:
Claudine Schiff
Claudine Schiff
中科院分区:
--
文献类型:
--
作者:
Eric Meffre;F. Ledeist;G. Saint;A. Deville;M. Fougereau;Anne;Claudine Schiff

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We report a detailed analysis of a B cell defect affecting a patient girl born from first cousin parents, characterized by a severe non-X-linked agammaglobulinemia with a total absence of CD19- cells in the periphery. In the bone marrow, CD19 expression was also highly impaired, resulting in the absence of both B and preB compartments. By contrast, CD34+CD10+, CD34psiL+, and some CD19+CD10+ mostly CD34+ early proB cells were present, although diminished. Semiquantitative RT-PCR analysis performed on mononuclear bone marrow cells indicated that lambda-like, VpreB, Rag-1, Rag-2, and TdT transcripts expressed during proB cell stages were found at normal levels whereas E2A, CD10, Syk, Pax-5, CD19, Igalpha, Igbeta, VH-Cmu, and Vkappa-Ckappa transcripts characteristic of later stages were severely depressed. This phenotype resembles that of Pax-5 knock-out mice, but since the coding sequence of the patient Pax-5 cDNA was shown to be normal, the defect might rather result from an altered regulation of this gene. All these data indicate that the patient suffers from a new genetic defect that results in an arrest of differentiation within the proB cell compartment, i.e., earlier than X-linked agammaglobulinemia, before the onset of Ig gene rearrangements.
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