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The Journal of Immunology, 2003, 170: 2711-2718.
Copyright © 2003 by The American Association of Immunologists

T Cell Repertoire Development in Humans with SCID After Nonablative Allogeneic Marrow Transplantation 1

Marcella Sarzotti2,*, Dhavalkumar D. Patel*,{dagger}, Xiaojing Li*, Daniel A. Ozaki*, Shui Cao*, Scott Langdon*, Roberta E. Parrott{ddagger}, Katherine Coyne{ddagger} and Rebecca H. Buckley*,{dagger},{ddagger}

Departments of * Immunology, {dagger} Medicine, and {ddagger} Pediatrics, Duke University Medical Center, Durham, NC 27710

Transplantation of HLA-identical or haploidentical T cell-depleted allogeneic bone marrow (BM) into SCID infants results in thymus-dependent T cell development in the recipients. Immunoscope analysis of the TCR V{beta} repertoire was performed on 15 SCID patients given BM transplants. Before and within the first 100 days after bone marrow transplantation (BMT), patients’ PBMC displayed an oligoclonal or skewed T cell repertoire, low TCR excision circles (TREC) values, and a predominance of CD45RO+ T cells. In contrast, the presence of high numbers of CD45RA+ cells in the circulation of SCID patients >100 days post-BMT correlated with active T cell output by the thymus as revealed by high TREC values and a polyclonal T cell repertoire demonstrated by a Gaussian distribution of V{beta}-specific peaks. Ten years after BMT, we observed a decrease of the normal polyclonal T cell repertoire and an increase of a more skewed T cell repertoire. A decline of TREC levels and a decrease in the number of CD45RA+ cells beyond 10 years after BMT was concomitant with the detection of oligoclonal CD3+CD8+CD45RO+ cells. The switch from a polyclonal to a more skewed repertoire, observed in the CD3+CD8+CD45RO+ T cell subset, is a phenomenon that occurs normally with decreased thymic output during aging, but not as rapidly as in this patient population. We conclude that a normal T cell repertoire develops in SCID patients as a result of thymic output and the repertoire remains highly diverse for the first 10 years after BMT. The TCR diversity positively correlates in these patients with TREC levels.




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