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Department of Microbiology and Molecular Genetics, New England Regional Primate Research Center, Harvard Medical School, Southborough, MA 01772; and
Department of Pediatrics and Molecular Medicine, University of Massachusetts Medical School, Worcester, MA 01655
The molecular basis of X-linked lymphoproliferative (XLP) disease
has been attributed to mutations in the signaling lymphocytic
activation molecule-associated protein (SAP), an src homology 2
domain-containing intracellular signaling molecule known to interact
with the lymphocyte-activating surface receptors signaling lymphocytic
activation molecule and 2B4. To investigate the effect of SAP defects
on TCR signal transduction, herpesvirus saimiri-immortalized CD4 Th
cells from XLP patients and normal healthy individuals were examined
for their response to TCR stimulation. CD4 T cells of XLP patients
displayed elevated levels of tyrosine phosphorylation compared with CD4
T cells from healthy individuals. In addition, downstream
serine/threonine kinases are constitutively active in CD4 T cells of
XLP patients. In contrast, TCR-mediated activation of Akt,
c-Jun-NH2-terminal kinases, and extracellular
signal-regulated kinases in XLP CD4 T cells was transient and rapidly
diminished when compared with that in control CD4 T cells.
Consequently, XLP CD4 T cells exhibited severe defects in up-regulation
of IL-2 and IFN-
cytokine production upon TCR stimulation and in
MLRs. Finally, SAP specifically interacted with a 75-kDa
tyrosine-phosphorylated protein upon TCR stimulation. These results
demonstrate that CD4 T cells from XLP patients exhibit aberrant TCR
signal transduction and that the defect in SAP function is likely
responsible for this phenotype.
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