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Clinical and Diagnostic Laboratory Immunology, November 1999, p. 856-860, Vol. 6, No. 6
Sackler Faculty of Medicine,
Received 29 January 1999/Returned for modification 25 March
1999/Accepted 18 August 1999
The mechanisms responsible for common variable immunodeficiency
syndrome (CVID) are as yet unknown. In the present study, we show that
the B-cell dysfunction in a subset of CVID patients is caused by
defective protein tyrosine phosphorylation (PTP). We demonstrated that
the PTP level and immunoglobulin (Ig) secretion malfunctions can be
successfully repaired when normal plasma membrane components are
implanted into these patients' B cells. Stimulation of CVID patients'
peripheral blood mononucleated cells with anti-Ig antibody revealed
that 7 of 11 patients had lower PTP levels than those found in the
normal donor cells. Plasma membrane implantation to the cells of these
patients resulted in elevated PTP levels which reached normal levels
upon stimulation with anti-human Ig antibody. The results revealed two
distinct groups of CVID patients. The first group included patients
whose B cells expressed low PTP levels after Ig stimulation. In these
patients the plasma membrane implantation restored the normal PTP level
as well as the ability to secrete IgM and/or IgG after B-cell
stimulation. In the second group, patients whose B cells expressed a
normal PTP level after Ig stimulation, with no restoration of their
ability to secrete Ig upon plasma membrane implantation and
lipopolysaccharide stimulation. We conclude that the first group has an
early signal transduction defect located in the B-cell plasma membrane,
while in the second group the defect is located elsewhere.
1071-412X/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Identification of a Subset of Common Variable Immunodeficiency
Patients with Impaired B-Cell Protein Tyrosine
Phosphorylation
*
Corresponding author. Mailing address: Department of
Human Microbiology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 69978 Israel. Phone: 972-3-640-9920. Fax: 972-3-640-9160. E-mail: zanbar{at}post.tau.ac.il.
Clinical and Diagnostic Laboratory Immunology, November 1999, p. 856-860, Vol. 6, No. 6
1071-412X/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
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