کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3256951 | 1207380 | 2013 | 6 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Intronic SH2D1A mutation with impaired SAP expression and agammaglobulinemia Intronic SH2D1A mutation with impaired SAP expression and agammaglobulinemia](/preview/png/3256951.png)
X-linked lymphoproliferative (XLP) disease is a primary immunodeficiency syndrome associated with the inability to control Epstein-Barr virus (EBV), lymphoma, and hypogammaglobulinemia. XLP is caused by mutations in the SH2D1A gene, which encodes the SLAM-associated protein (SAP), or in the BIRC4 gene, which encodes the X-linked inhibitor of apoptosis protein (XIAP).Here we report a patient with recurrent respiratory tract infections and early onset agammaglobulinemia who carried a unique disease-causing intronic loss-of-function mutation in SH2D1A. The intronic mutation affected SH2D1A gene transcription but not mRNA splicing, and led to markedly reduced level of SAP protein. Despite undetectable serum immunoglobulins, the patient's B cells replicated and differentiated into antibody producing cells normally in vitro.
► Immunologic features of a patient with agammaglobulinemia and normal B cell numbers are reported.
► An intronic mutation in SH2D1A was found to result in loss of SAP protein expression.
► Patients with intronic SH2D1A mutations may lack typical clinical features of XLP.
Journal: Clinical Immunology - Volume 146, Issue 2, February 2013, Pages 84–89