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Clinical, molecular, and cellular immunologic findings in patients with SP110-associated veno-occlusive disease with immunodeficiency syndrome

Identifieur interne : 005D94 ( Main/Exploration ); précédent : 005D93; suivant : 005D95

Clinical, molecular, and cellular immunologic findings in patients with SP110-associated veno-occlusive disease with immunodeficiency syndrome

Auteurs : Simon T. Cliffe [Australie] ; Donald B. Bloch [États-Unis] ; Santi Suryani [Australie] ; Erik-Jan Kamsteeg [Pays-Bas] ; Danielle T. Avery [Australie] ; Umaimainthan Palendira [Australie] ; Joseph A. Church [États-Unis] ; Brynn K. Wainstein [Australie] ; Antonino Trizzino [Italie] ; Gerard Lefranc [France] ; Carlo Akatcherian [Liban] ; Andre Megarbane [Liban] ; Christian Gilissen [Pays-Bas] ; Despina Moshous [France] ; Janine Reichenbach [Suisse] ; Siraj Misbah [Royaume-Uni] ; Uli Salzer [Allemagne] ; Mario Abinun [Australie] ; Peck Y. Ong [États-Unis] ; Polina Stepensky [Jordanie] ; Ezia Ruga [Italie] ; John B. Ziegler [Australie] ; Melanie Wong [Australie] ; Stuart G. Tangye [Australie] ; Robert Lindeman [Australie] ; Michael F. Buckley [Australie] ; Tony Roscioli [Australie]

Source :

RBID : Pascal:12-0379589

Descripteurs français

English descriptors

Abstract

Background: Mutations in the SP110 gene result in infantile onset of the autosomal recessive primary immunodeficiency disease veno-occlusive disease with immunodeficiency syndrome (VODI), which is characterized by hypogammaglobulinemia, T-cell dysfunction, and a high frequency of hepatic venoocclusive disease. Objectives: We sought to further characterize the clinical features, B-lineage cellular immunologic findings, and molecular pathogenesis of this disorder in 9 patients with new diagnoses, including 4 novel mutations from families of Italian, Hispanic, and Arabic ethnic origin. Methods: Methods used include clinical review; Sanger DNA sequencing of the SP110 gene; determination of transfected mutant protein function by using immunofluorescent studies in Hep-2 cells; quantitation of B-cell subsets by means of flow cytometry; assessments of B-cell function after stimulation with CD40 ligand, IL-21, or both; and differential gene expression array studies of EBV-transformed B cells. Results: We confirm the major diagnostic criteria and the clinical utility of SP110 mutation testing for the diagnosis of VODI. Analysis of 4 new alleles confirms that VODI is caused by reduced functional SP110 protein levels, Detailed B-cell immunophenotyping demonstrated that Sp110 deficiency compromises the ability of human B cells to respond to T cell- dependent stimuli and differentiate into immunoglobulin-secreting cells in vitro. Expression microarray studies have identified pathways involved in B-lymphocyte differentiation and macrophage function. Conclusion: These studies show that a range of mutations in SP110 that cause decreased SP110 protein levels and impaired late B-cell differentiation cause VODI and that the condition is not restricted to the Lebanese population.


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<name sortKey="Wainstein, Brynn K" sort="Wainstein, Brynn K" uniqKey="Wainstein B" first="Brynn K." last="Wainstein">Brynn K. Wainstein</name>
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<name sortKey="Gilissen, Christian" sort="Gilissen, Christian" uniqKey="Gilissen C" first="Christian" last="Gilissen">Christian Gilissen</name>
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<name sortKey="Moshous, Despina" sort="Moshous, Despina" uniqKey="Moshous D" first="Despina" last="Moshous">Despina Moshous</name>
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<s1>Faculté de Médecine René Descartes, Université Paris Descartes, Site Necker, IFR94, Paris, and Assistance Publique-Hôpitaux de Paris, Hôpital Necker-Enfants Malades, Unité d'Immunologie et d'Hématologie Pédiatriques</s1>
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<region type="region">Île-de-France</region>
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<name sortKey="Reichenbach, Janine" sort="Reichenbach, Janine" uniqKey="Reichenbach J" first="Janine" last="Reichenbach">Janine Reichenbach</name>
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<s1>Division of Immunology/Haematology/BMT and the Children's Research Centre, University Children's Hospital Zurich, and the Zurich Centre for Integrative Human Physiology (ZIHP), University of Zurich</s1>
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<name sortKey="Misbah, Siraj" sort="Misbah, Siraj" uniqKey="Misbah S" first="Siraj" last="Misbah">Siraj Misbah</name>
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<s1>Department of Clinical Immunology, Oxford Centre for Clinical Immunology, John Radcliffe Hospital</s1>
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<name sortKey="Salzer, Uli" sort="Salzer, Uli" uniqKey="Salzer U" first="Uli" last="Salzer">Uli Salzer</name>
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<name sortKey="Abinun, Mario" sort="Abinun, Mario" uniqKey="Abinun M" first="Mario" last="Abinun">Mario Abinun</name>
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<name sortKey="Ong, Peck Y" sort="Ong, Peck Y" uniqKey="Ong P" first="Peck Y." last="Ong">Peck Y. Ong</name>
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<name sortKey="Stepensky, Polina" sort="Stepensky, Polina" uniqKey="Stepensky P" first="Polina" last="Stepensky">Polina Stepensky</name>
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<country>Jordanie</country>
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<name sortKey="Ruga, Ezia" sort="Ruga, Ezia" uniqKey="Ruga E" first="Ezia" last="Ruga">Ezia Ruga</name>
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<name sortKey="Ziegler, John B" sort="Ziegler, John B" uniqKey="Ziegler J" first="John B." last="Ziegler">John B. Ziegler</name>
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<s1>Department of Immunology & Infectious Diseases. Sydney Children's Hospital</s1>
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<wicri:noRegion>Department of Immunology & Infectious Diseases. Sydney Children's Hospital</wicri:noRegion>
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<name sortKey="Wong, Melanie" sort="Wong, Melanie" uniqKey="Wong M" first="Melanie" last="Wong">Melanie Wong</name>
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<s1>Department of Allergy, Immunology and Infectious Diseases, the Children's Hospital, Westmead</s1>
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<name sortKey="Tangye, Stuart G" sort="Tangye, Stuart G" uniqKey="Tangye S" first="Stuart G." last="Tangye">Stuart G. Tangye</name>
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<name sortKey="Lindeman, Robert" sort="Lindeman, Robert" uniqKey="Lindeman R" first="Robert" last="Lindeman">Robert Lindeman</name>
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<name sortKey="Buckley, Michael F" sort="Buckley, Michael F" uniqKey="Buckley M" first="Michael F." last="Buckley">Michael F. Buckley</name>
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<name sortKey="Roscioli, Tony" sort="Roscioli, Tony" uniqKey="Roscioli T" first="Tony" last="Roscioli">Tony Roscioli</name>
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<settlement type="city">Sydney</settlement>
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<title xml:lang="en" level="a">Clinical, molecular, and cellular immunologic findings in patients with SP110-associated veno-occlusive disease with immunodeficiency syndrome</title>
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<sZ>25 aut.</sZ>
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<name sortKey="Bloch, Donald B" sort="Bloch, Donald B" uniqKey="Bloch D" first="Donald B." last="Bloch">Donald B. Bloch</name>
<affiliation wicri:level="3">
<inist:fA14 i1="02">
<s1>Centre for Immunology and Inflammatory Diseases, Massachusetts General Hospital, Boston and Harvard Medical School</s1>
<s2>Boston</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName>
<settlement type="city">Boston</settlement>
<region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Suryani, Santi" sort="Suryani, Santi" uniqKey="Suryani S" first="Santi" last="Suryani">Santi Suryani</name>
<affiliation wicri:level="3">
<inist:fA14 i1="03">
<s1>Immunology Program, Garvan Institute of Medical Research and St Vincent's Clinical School, University of New South Wales</s1>
<s2>Sydney</s2>
<s3>AUS</s3>
<sZ>3 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>24 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<placeName>
<settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Kamsteeg, Erik Jan" sort="Kamsteeg, Erik Jan" uniqKey="Kamsteeg E" first="Erik-Jan" last="Kamsteeg">Erik-Jan Kamsteeg</name>
<affiliation wicri:level="3">
<inist:fA14 i1="04">
<s1>Department of Human Genetics, Radboud University Nijmegen Medical Centre</s1>
<s2>Nijmegen</s2>
<s3>NLD</s3>
<sZ>4 aut.</sZ>
<sZ>13 aut.</sZ>
</inist:fA14>
<country>Pays-Bas</country>
<placeName>
<settlement type="city">Nimègue</settlement>
<region type="province" nuts="2">Gueldre</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Avery, Danielle T" sort="Avery, Danielle T" uniqKey="Avery D" first="Danielle T." last="Avery">Danielle T. Avery</name>
<affiliation wicri:level="3">
<inist:fA14 i1="03">
<s1>Immunology Program, Garvan Institute of Medical Research and St Vincent's Clinical School, University of New South Wales</s1>
<s2>Sydney</s2>
<s3>AUS</s3>
<sZ>3 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>24 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<placeName>
<settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Palendira, Umaimainthan" sort="Palendira, Umaimainthan" uniqKey="Palendira U" first="Umaimainthan" last="Palendira">Umaimainthan Palendira</name>
<affiliation wicri:level="3">
<inist:fA14 i1="03">
<s1>Immunology Program, Garvan Institute of Medical Research and St Vincent's Clinical School, University of New South Wales</s1>
<s2>Sydney</s2>
<s3>AUS</s3>
<sZ>3 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>24 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<placeName>
<settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Church, Joseph A" sort="Church, Joseph A" uniqKey="Church J" first="Joseph A." last="Church">Joseph A. Church</name>
<affiliation wicri:level="1">
<inist:fA14 i1="05">
<s1>Division of Clinical Immunology and Allergy, Childrens Hospital Los Angeles</s1>
<s3>USA</s3>
<sZ>7 aut.</sZ>
<sZ>19 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Division of Clinical Immunology and Allergy, Childrens Hospital Los Angeles</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Wainstein, Brynn K" sort="Wainstein, Brynn K" uniqKey="Wainstein B" first="Brynn K." last="Wainstein">Brynn K. Wainstein</name>
<affiliation wicri:level="1">
<inist:fA14 i1="06">
<s1>Department of Immunology & Infectious Diseases. Sydney Children's Hospital</s1>
<s3>AUS</s3>
<sZ>8 aut.</sZ>
<sZ>22 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<wicri:noRegion>Department of Immunology & Infectious Diseases. Sydney Children's Hospital</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Trizzino, Antonino" sort="Trizzino, Antonino" uniqKey="Trizzino A" first="Antonino" last="Trizzino">Antonino Trizzino</name>
<affiliation wicri:level="1">
<inist:fA14 i1="07">
<s1>Pediatric Hematology Oncology, Ospedale dei Bambini "G. Di Cristina," ARNAS Civico</s1>
<s2>Palermo</s2>
<s3>ITA</s3>
<sZ>9 aut.</sZ>
</inist:fA14>
<country>Italie</country>
<wicri:noRegion>Palermo</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Lefranc, Gerard" sort="Lefranc, Gerard" uniqKey="Lefranc G" first="Gerard" last="Lefranc">Gerard Lefranc</name>
<affiliation wicri:level="4">
<inist:fA14 i1="08">
<s1>Institute of Human Genetics, CNRS, UPR 1142, and Université Montpellier 2</s1>
<s2>Montpellier</s2>
<s3>FRA</s3>
<sZ>10 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName>
<region type="region">Occitanie (région administrative)</region>
<region type="old region">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
<settlement type="city">Montpellier</settlement>
</placeName>
<orgName type="university">Université Montpellier 2</orgName>
</affiliation>
</author>
<author>
<name sortKey="Akatcherian, Carlo" sort="Akatcherian, Carlo" uniqKey="Akatcherian C" first="Carlo" last="Akatcherian">Carlo Akatcherian</name>
<affiliation wicri:level="1">
<inist:fA14 i1="09">
<s1>Department of Pediatrics, Hospital Hôtel-Dieu de France, Saint Joseph University</s1>
<s2>Beirut</s2>
<s3>LBN</s3>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>Liban</country>
<wicri:noRegion>Beirut</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Megarbane, Andre" sort="Megarbane, Andre" uniqKey="Megarbane A" first="Andre" last="Megarbane">Andre Megarbane</name>
<affiliation wicri:level="1">
<inist:fA14 i1="10">
<s1>Medical Genetics Unit, Faculty of Medicine, Saint Joseph University</s1>
<s2>Beirut</s2>
<s3>LBN</s3>
<sZ>12 aut.</sZ>
</inist:fA14>
<country>Liban</country>
<wicri:noRegion>Beirut</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Gilissen, Christian" sort="Gilissen, Christian" uniqKey="Gilissen C" first="Christian" last="Gilissen">Christian Gilissen</name>
<affiliation wicri:level="3">
<inist:fA14 i1="04">
<s1>Department of Human Genetics, Radboud University Nijmegen Medical Centre</s1>
<s2>Nijmegen</s2>
<s3>NLD</s3>
<sZ>4 aut.</sZ>
<sZ>13 aut.</sZ>
</inist:fA14>
<country>Pays-Bas</country>
<placeName>
<settlement type="city">Nimègue</settlement>
<region type="province" nuts="2">Gueldre</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Moshous, Despina" sort="Moshous, Despina" uniqKey="Moshous D" first="Despina" last="Moshous">Despina Moshous</name>
<affiliation wicri:level="4">
<inist:fA14 i1="11">
<s1>Faculté de Médecine René Descartes, Université Paris Descartes, Site Necker, IFR94, Paris, and Assistance Publique-Hôpitaux de Paris, Hôpital Necker-Enfants Malades, Unité d'Immunologie et d'Hématologie Pédiatriques</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>14 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
<settlement type="city">Paris</settlement>
</placeName>
<orgName type="university">Université Paris-Descartes</orgName>
</affiliation>
</author>
<author>
<name sortKey="Reichenbach, Janine" sort="Reichenbach, Janine" uniqKey="Reichenbach J" first="Janine" last="Reichenbach">Janine Reichenbach</name>
<affiliation wicri:level="4">
<inist:fA14 i1="12">
<s1>Division of Immunology/Haematology/BMT and the Children's Research Centre, University Children's Hospital Zurich, and the Zurich Centre for Integrative Human Physiology (ZIHP), University of Zurich</s1>
<s3>CHE</s3>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<placeName>
<settlement type="city">Zurich</settlement>
<region nuts="3" type="region">Canton de Zurich</region>
</placeName>
<orgName type="university">Université de Zurich</orgName>
</affiliation>
</author>
<author>
<name sortKey="Misbah, Siraj" sort="Misbah, Siraj" uniqKey="Misbah S" first="Siraj" last="Misbah">Siraj Misbah</name>
<affiliation wicri:level="3">
<inist:fA14 i1="13">
<s1>Department of Clinical Immunology, Oxford Centre for Clinical Immunology, John Radcliffe Hospital</s1>
<s2>Oxford</s2>
<s3>GBR</s3>
<sZ>16 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
<placeName>
<settlement type="city">Oxford</settlement>
<region type="country">Angleterre</region>
<region type="comté" nuts="2">Oxfordshire</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Salzer, Uli" sort="Salzer, Uli" uniqKey="Salzer U" first="Uli" last="Salzer">Uli Salzer</name>
<affiliation wicri:level="1">
<inist:fA14 i1="14">
<s1>Centre of Chronic Immunodeficiency (CCI), University Medical Center Freiburg and University of Freiburg</s1>
<s3>DEU</s3>
<sZ>17 aut.</sZ>
</inist:fA14>
<country>Allemagne</country>
<wicri:noRegion>University Medical Center Freiburg and University of Freiburg</wicri:noRegion>
<wicri:noRegion>Centre of Chronic Immunodeficiency (CCI), University Medical Center Freiburg and University of Freiburg</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Abinun, Mario" sort="Abinun, Mario" uniqKey="Abinun M" first="Mario" last="Abinun">Mario Abinun</name>
<affiliation wicri:level="1">
<inist:fA14 i1="15">
<s1>Department of Paediatric Immunology, Newcastle General Hospital</s1>
<s3>AUS</s3>
<sZ>18 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<wicri:noRegion>Department of Paediatric Immunology, Newcastle General Hospital</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Ong, Peck Y" sort="Ong, Peck Y" uniqKey="Ong P" first="Peck Y." last="Ong">Peck Y. Ong</name>
<affiliation wicri:level="1">
<inist:fA14 i1="05">
<s1>Division of Clinical Immunology and Allergy, Childrens Hospital Los Angeles</s1>
<s3>USA</s3>
<sZ>7 aut.</sZ>
<sZ>19 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Division of Clinical Immunology and Allergy, Childrens Hospital Los Angeles</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Stepensky, Polina" sort="Stepensky, Polina" uniqKey="Stepensky P" first="Polina" last="Stepensky">Polina Stepensky</name>
<affiliation wicri:level="1">
<inist:fA14 i1="16">
<s1>Pediatric Hematology-Oncology and BMT, Hadassah University Hospital.</s1>
<s2>Jerusalem</s2>
<s3>JOR</s3>
<sZ>20 aut.</sZ>
</inist:fA14>
<country>Jordanie</country>
<wicri:noRegion>Jerusalem</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Ruga, Ezia" sort="Ruga, Ezia" uniqKey="Ruga E" first="Ezia" last="Ruga">Ezia Ruga</name>
<affiliation wicri:level="1">
<inist:fA14 i1="17">
<s1>Department of Pediatrics, University of Padova</s1>
<s2>Padua</s2>
<s3>ITA</s3>
<sZ>21 aut.</sZ>
</inist:fA14>
<country>Italie</country>
<wicri:noRegion>Padua</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Ziegler, John B" sort="Ziegler, John B" uniqKey="Ziegler J" first="John B." last="Ziegler">John B. Ziegler</name>
<affiliation wicri:level="1">
<inist:fA14 i1="06">
<s1>Department of Immunology & Infectious Diseases. Sydney Children's Hospital</s1>
<s3>AUS</s3>
<sZ>8 aut.</sZ>
<sZ>22 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<wicri:noRegion>Department of Immunology & Infectious Diseases. Sydney Children's Hospital</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Wong, Melanie" sort="Wong, Melanie" uniqKey="Wong M" first="Melanie" last="Wong">Melanie Wong</name>
<affiliation wicri:level="3">
<inist:fA14 i1="18">
<s1>Department of Allergy, Immunology and Infectious Diseases, the Children's Hospital, Westmead</s1>
<s2>Sydney</s2>
<s3>AUS</s3>
<sZ>23 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<placeName>
<settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Tangye, Stuart G" sort="Tangye, Stuart G" uniqKey="Tangye S" first="Stuart G." last="Tangye">Stuart G. Tangye</name>
<affiliation wicri:level="3">
<inist:fA14 i1="03">
<s1>Immunology Program, Garvan Institute of Medical Research and St Vincent's Clinical School, University of New South Wales</s1>
<s2>Sydney</s2>
<s3>AUS</s3>
<sZ>3 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>24 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<placeName>
<settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Lindeman, Robert" sort="Lindeman, Robert" uniqKey="Lindeman R" first="Robert" last="Lindeman">Robert Lindeman</name>
<affiliation wicri:level="3">
<inist:fA14 i1="01">
<s1>Department of Haematology and Genetics, Prince of Wales Hospital</s1>
<s2>Sydney</s2>
<s3>AUS</s3>
<sZ>1 aut.</sZ>
<sZ>25 aut.</sZ>
<sZ>26 aut.</sZ>
<sZ>27 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<placeName>
<settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Buckley, Michael F" sort="Buckley, Michael F" uniqKey="Buckley M" first="Michael F." last="Buckley">Michael F. Buckley</name>
<affiliation wicri:level="3">
<inist:fA14 i1="01">
<s1>Department of Haematology and Genetics, Prince of Wales Hospital</s1>
<s2>Sydney</s2>
<s3>AUS</s3>
<sZ>1 aut.</sZ>
<sZ>25 aut.</sZ>
<sZ>26 aut.</sZ>
<sZ>27 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<placeName>
<settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Roscioli, Tony" sort="Roscioli, Tony" uniqKey="Roscioli T" first="Tony" last="Roscioli">Tony Roscioli</name>
<affiliation wicri:level="3">
<inist:fA14 i1="01">
<s1>Department of Haematology and Genetics, Prince of Wales Hospital</s1>
<s2>Sydney</s2>
<s3>AUS</s3>
<sZ>1 aut.</sZ>
<sZ>25 aut.</sZ>
<sZ>26 aut.</sZ>
<sZ>27 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<placeName>
<settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
</placeName>
</affiliation>
<affiliation wicri:level="3">
<inist:fA14 i1="19">
<s1>School of Women and Children's Health, Sydney Children's Hospital and the University of New South Wales</s1>
<s2>Sydney</s2>
<s3>AUS</s3>
<sZ>27 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<placeName>
<settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
</placeName>
</affiliation>
</author>
</analytic>
<series>
<title level="j" type="main">Journal of allergy and clinical immunology</title>
<title level="j" type="abbreviated">J. allergy clin. immunol.</title>
<idno type="ISSN">0091-6749</idno>
<imprint>
<date when="2012">2012</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt>
<title level="j" type="main">Journal of allergy and clinical immunology</title>
<title level="j" type="abbreviated">J. allergy clin. immunol.</title>
<idno type="ISSN">0091-6749</idno>
</seriesStmt>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Agammaglobulinemia</term>
<term>Association</term>
<term>B-Lymphocyte</term>
<term>Cell</term>
<term>Cell proliferation</term>
<term>Human</term>
<term>Immune deficiency</term>
<term>Immunology</term>
<term>Immunopathology</term>
<term>Symptomatology</term>
<term>Venoocclusive disease</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Maladie veinoocclusive</term>
<term>Immunodéficit</term>
<term>Immunoglobulinopénie</term>
<term>Symptomatologie</term>
<term>Cellule</term>
<term>Homme</term>
<term>Association</term>
<term>Lymphocyte B</term>
<term>Multiplication cellulaire</term>
<term>Immunologie</term>
<term>Immunopathologie</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Homme</term>
<term>Association</term>
<term>Immunologie</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">Background: Mutations in the SP110 gene result in infantile onset of the autosomal recessive primary immunodeficiency disease veno-occlusive disease with immunodeficiency syndrome (VODI), which is characterized by hypogammaglobulinemia, T-cell dysfunction, and a high frequency of hepatic venoocclusive disease. Objectives: We sought to further characterize the clinical features, B-lineage cellular immunologic findings, and molecular pathogenesis of this disorder in 9 patients with new diagnoses, including 4 novel mutations from families of Italian, Hispanic, and Arabic ethnic origin. Methods: Methods used include clinical review; Sanger DNA sequencing of the SP110 gene; determination of transfected mutant protein function by using immunofluorescent studies in Hep-2 cells; quantitation of B-cell subsets by means of flow cytometry; assessments of B-cell function after stimulation with CD40 ligand, IL-21, or both; and differential gene expression array studies of EBV-transformed B cells. Results: We confirm the major diagnostic criteria and the clinical utility of SP110 mutation testing for the diagnosis of VODI. Analysis of 4 new alleles confirms that VODI is caused by reduced functional SP110 protein levels, Detailed B-cell immunophenotyping demonstrated that Sp110 deficiency compromises the ability of human B cells to respond to T cell- dependent stimuli and differentiate into immunoglobulin-secreting cells in vitro. Expression microarray studies have identified pathways involved in B-lymphocyte differentiation and macrophage function. Conclusion: These studies show that a range of mutations in SP110 that cause decreased SP110 protein levels and impaired late B-cell differentiation cause VODI and that the condition is not restricted to the Lebanese population.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Allemagne</li>
<li>Australie</li>
<li>France</li>
<li>Italie</li>
<li>Jordanie</li>
<li>Liban</li>
<li>Pays-Bas</li>
<li>Royaume-Uni</li>
<li>Suisse</li>
<li>États-Unis</li>
</country>
<region>
<li>Angleterre</li>
<li>Canton de Zurich</li>
<li>Gueldre</li>
<li>Languedoc-Roussillon</li>
<li>Massachusetts</li>
<li>Nouvelle-Galles du Sud</li>
<li>Occitanie (région administrative)</li>
<li>Oxfordshire</li>
<li>Île-de-France</li>
</region>
<settlement>
<li>Boston</li>
<li>Montpellier</li>
<li>Nimègue</li>
<li>Oxford</li>
<li>Paris</li>
<li>Sydney</li>
<li>Zurich</li>
</settlement>
<orgName>
<li>Université Montpellier 2</li>
<li>Université Paris-Descartes</li>
<li>Université de Zurich</li>
</orgName>
</list>
<tree>
<country name="Australie">
<region name="Nouvelle-Galles du Sud">
<name sortKey="Cliffe, Simon T" sort="Cliffe, Simon T" uniqKey="Cliffe S" first="Simon T." last="Cliffe">Simon T. Cliffe</name>
</region>
<name sortKey="Abinun, Mario" sort="Abinun, Mario" uniqKey="Abinun M" first="Mario" last="Abinun">Mario Abinun</name>
<name sortKey="Avery, Danielle T" sort="Avery, Danielle T" uniqKey="Avery D" first="Danielle T." last="Avery">Danielle T. Avery</name>
<name sortKey="Buckley, Michael F" sort="Buckley, Michael F" uniqKey="Buckley M" first="Michael F." last="Buckley">Michael F. Buckley</name>
<name sortKey="Lindeman, Robert" sort="Lindeman, Robert" uniqKey="Lindeman R" first="Robert" last="Lindeman">Robert Lindeman</name>
<name sortKey="Palendira, Umaimainthan" sort="Palendira, Umaimainthan" uniqKey="Palendira U" first="Umaimainthan" last="Palendira">Umaimainthan Palendira</name>
<name sortKey="Roscioli, Tony" sort="Roscioli, Tony" uniqKey="Roscioli T" first="Tony" last="Roscioli">Tony Roscioli</name>
<name sortKey="Roscioli, Tony" sort="Roscioli, Tony" uniqKey="Roscioli T" first="Tony" last="Roscioli">Tony Roscioli</name>
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