Homozygous loss of ICOS is associated with adult-onset common variable immunodeficiency

No genetic defect is known to cause common variable immunodeficiency (CVID), a heterogeneous human disorder leading to adult-onset panhypogammaglobulinemia. In a search for CVID candidate proteins, we found four of 32 patients to lack ICOS, the “inducible costimulator” on activated T cells, due to a...

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Veröffentlicht in:Nature immunology 2003-03, Vol.4 (3), p.261-268
Hauptverfasser: Grimbacher, Bodo, Hutloff, Andreas, Schlesier, Michael, Glocker, Erik, Warnatz, Klaus, Dräger, Ruth, Eibel, Hermann, Fischer, Beate, Schäffer, Alejandro A., Mages, Hans W., Kroczek, Richard A., Peter, Hans H.
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container_end_page 268
container_issue 3
container_start_page 261
container_title Nature immunology
container_volume 4
creator Grimbacher, Bodo
Hutloff, Andreas
Schlesier, Michael
Glocker, Erik
Warnatz, Klaus
Dräger, Ruth
Eibel, Hermann
Fischer, Beate
Schäffer, Alejandro A.
Mages, Hans W.
Kroczek, Richard A.
Peter, Hans H.
description No genetic defect is known to cause common variable immunodeficiency (CVID), a heterogeneous human disorder leading to adult-onset panhypogammaglobulinemia. In a search for CVID candidate proteins, we found four of 32 patients to lack ICOS, the “inducible costimulator” on activated T cells, due to an inherited homozygous deletion in the ICOS gene. T cells from these individuals were normal with regard to subset distribution, activation, cytokine production and proliferation. In contrast, naive, switched and memory B cells were reduced. The phenotype of human ICOS deficiency, which differs in key aspects from that of the ICOS −/− mouse, suggests a critical involvement of ICOS in T cell help for late B cell differentiation, class-switching and memory B cell generation.
doi_str_mv 10.1038/ni902
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subjects Antigens, Differentiation, T-Lymphocyte - genetics
B-Lymphocytes - physiology
Biomedical and Life Sciences
Biomedicine
CD28 Antigens - immunology
Cell differentiation
Cell Differentiation - immunology
Common Variable Immunodeficiency - genetics
Homozygote
Humans
Immunoglobulin A - blood
Immunoglobulin G - blood
Immunoglobulin M - blood
Immunologic Memory - immunology
Immunology
Inducible T-Cell Co-Stimulator Protein
Infectious Diseases
Receptors, Antigen, T-Cell - immunology
Sequence Deletion
T-Lymphocytes - physiology
title Homozygous loss of ICOS is associated with adult-onset common variable immunodeficiency
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