Lymphocyte disturbance and functional assessment of the [Asp521Asn] ZAP70 mutation

Copyright © 2023 Elsevier Inc. All rights reserved.

Bibliographische Detailangaben
Veröffentlicht in:Clinical immunology (Orlando, Fla.). - 1999. - 247(2023) vom: 23. Feb., Seite 109236
1. Verfasser: Lin, Yung-Feng (VerfasserIn)
Weitere Verfasser: Lee, Wen-I, Ho, Ching-Huang, Chen, Shih-Hsiang, Hsu, Mei-Hsin, Wu, Ren-Chin, Lee, Wan-Fang, Jaing, Tang-Her, Huang, Jing-Long, Tsai, Shih-Feng
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2023
Zugriff auf das übergeordnete Werk:Clinical immunology (Orlando, Fla.)
Schlagworte:Journal Article Research Support, Non-U.S. Gov't Autoimmune Combined T and B immunodeficiency Hematopoietic stem cell transplantation Immune dysregulation Omenn syndrome ZAP70 ZAP-70 Protein-Tyrosine Kinase EC 2.7.10.2 mehr... Receptors, Antigen, T-Cell, alpha-beta Receptors, Antigen, T-Cell
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520 |a Activated zeta-chain-associated protein kinase 70 (ZAP70) phosphorylates the TCRαβ:CD3:zeta complex to diversify and amplify TCR signaling. Patients with ZAP70 mutations can present with phenotypes of immune dysregulation as well as infection. We identified the first Taiwanese boy with the [Asp521Asn] ZAP70 mutation who presented with recurrent pneumonia, inflammatory bowel disease-like diarrhea, transient hematuria and autoimmune hepatitis. He had isolated CD8 lymphopenia, eosinophilia, hypogammaglobulinemia, and impaired lymphocyte proliferation. Downstream CD3/CD28 signaling, phosphorylation of AKT, ZAP70 and Ca2+ influx were decreased in [Asp521Asn] ZAP70 lymphocytes. Immunophenotyping analysis revealed expansion of transitional B and CD21-low B cells, Th2-skewing T follicular helper cells, but lower Treg cells. The Asp521Asn-ZAP70 hindered TCR-CD3 downstream phosphorylation and disturbed lymphocyte subgroup "profiles" leading to autoimmunity/autoinflammation. Further large-scale studies are warranted to clarify this lymphocyte disturbance. The prognosis significantly depends on hematopoietic stem cell transplantation, but not the genotype, the presence of opportunistic infections or immune dysregulation 
650 4 |a Journal Article 
650 4 |a Research Support, Non-U.S. Gov't 
650 4 |a Autoimmune 
650 4 |a Combined T and B immunodeficiency 
650 4 |a Hematopoietic stem cell transplantation 
650 4 |a Immune dysregulation 
650 4 |a Omenn syndrome 
650 4 |a ZAP70 
650 7 |a ZAP-70 Protein-Tyrosine Kinase  |2 NLM 
650 7 |a EC 2.7.10.2  |2 NLM 
650 7 |a Receptors, Antigen, T-Cell, alpha-beta  |2 NLM 
650 7 |a Receptors, Antigen, T-Cell  |2 NLM 
700 1 |a Lee, Wen-I  |e verfasserin  |4 aut 
700 1 |a Ho, Ching-Huang  |e verfasserin  |4 aut 
700 1 |a Chen, Shih-Hsiang  |e verfasserin  |4 aut 
700 1 |a Hsu, Mei-Hsin  |e verfasserin  |4 aut 
700 1 |a Wu, Ren-Chin  |e verfasserin  |4 aut 
700 1 |a Lee, Wan-Fang  |e verfasserin  |4 aut 
700 1 |a Jaing, Tang-Her  |e verfasserin  |4 aut 
700 1 |a Huang, Jing-Long  |e verfasserin  |4 aut 
700 1 |a Tsai, Shih-Feng  |e verfasserin  |4 aut 
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