Intrathymic Restriction and Peripheral Expansion of the T-Cell Repertoire in Omenn Syndrome

Autor: Luigi D. Notarangelo, Anna Villa, Paolo Vezzoni, Silvia Pirovano, Fabio Bozzi, Alberto G. Ugazio, Alberto Albertini, Marco Ungari, Simona Signorini, Luisa Imberti, Fabio Facchetti
Rok vydání: 1999
Předmět:
Zdroj: Scopus-Elsevier
Europe PubMed Central
ISSN: 1528-0020
0006-4971
DOI: 10.1182/blood.v94.10.3468.422k34_3468_3478
Popis: Mutations in the human RAG genes that impair, but do not abolish, recombination activity lead to Omenn syndrome, a severe primary immune deficiency that is associated with clinical and pathological features of graft-versus-host disease and oligoclonal expansion of activated, autologous T cells. We have analyzed the mechanisms accounting for peripheral oligoclonality of the T-cell repertoire. Predominance of few T-cell receptor clonotypes (both within TCRAB- and within TCRGD-expressing lymphocytes) is already detectable in the thymus and is further selected for in the periphery, with a different distribution of clonotypes in different tissues. These data indicate that oligoclonality of the T-cell repertoire in Omenn syndrome is due both to intrathymic restriction and to peripheral expansion. Moreover, the RAG genes defect that causes Omenn syndrome directly affects early stages of V(D)J recombination, but does not alter the process of double-strand-break DNA repair, including N and P nucleotide insertion.
Databáze: OpenAIRE