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A primary T-cell immunodeficiency associated with defective transmembrane
calcium influx
F Le Deist, C Hivroz, M Partiseti, C Thomas, HA Buc, M Oleastro, B Belohradsky, D Choquet and A Fischer
INSERM U132, Hopital Necker Enfants Malades, Paris, France.
We investigated a T-cell activation deficiency in a 3-month-old boy with
protracted diarrhea, serious cytomegalovirus pneumonia, and a family
history (in a brother) of cytomegalovirus infection and toxoplasmosis. In
spite of detection of normal number of peripheral lymphocytes, T cells did
not proliferate after activation by anti-CD3 and anti-CD2 antibodies,
although proliferation induced by antigens was detectable. We sought to
determine the origin of this defect as it potentially represented a
valuable tool to analyze T-cell physiology. T- cell activation by anti-CD3
antibody or phytohemagglutinin (PHA) led to reduced interleukin-2 (IL-2)
production and abnormal nuclear factor- activated T cell (NF-AT; a complex
regulating the IL-2 gene transcription) binding activity to a specific
oligonucleotide. T-cell proliferation was restored by IL-2. Early events of
T-cell activation, such as anti-CD3 antibody-induced cellular protein
tyrosine phosphorylation, p59fyn and p56lck kinase activities, and
phosphoinositide turnover, were found to be normal. In contrast, anti- CD3
antibody-induced Ca2+ flux was grossly abnormal. Release from endoplasmic
reticulum stores was detectable as tested in the presence of anti-CD3
antibody or thapsigargin after cell membrane depolarization in a K+ rich
medium, whereas extracellular entry of Ca2+ was defective. The latter
abnormality was not secondary to defective K+ channel function, which was
found to be normal. A similar defect was found in other hematopoietic cell
lineages and in fibroblasts as evaluated by both cytometry and digital
video imaging experiments at a single-cell level. This primary T-cell
immunodeficiency appears, thus, to be due to defective Ca2+ entry through
the plasma membrane. The same abnormality did not alter B-cell
proliferation, platelet function, and polymorphonuclear neutrophil (PMN)
function. Elucidation of the mechanism underlying this defect would help to
understand the physiology of Ca2+ mobilization in T cells.
Volume 85,
Issue 4,
pp. 1053-1062,
02/15/1995
Copyright © 1995 by The American Society of Hematology

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