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Prepublished online as a Blood First Edition Paper on May 13, 2002; DOI 10.1182/blood-2001-12-0252.
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Blood, 15 August 2002, Vol. 100, No. 4, pp. 1496-1498
BRIEF REPORT
A subject with a novel type I bare lymphocyte syndrome has
tapasin deficiency due to deletion of 4 exons by Alu-mediated
recombination
Toshio Yabe,
Sumiyo Kawamura,
Masako Sato,
Koichi Kashiwase,
Hidenori Tanaka,
Yoshihide Ishikawa,
Yoji Asao,
Junko Oyama,
Kazuma Tsuruta,
Katsushi Tokunaga,
Kenji Tadokoro, and
Takeo Juji
From the Japanese Red Cross Central Blood Center,
Tokyo, Japan; the Tokyo Metropolitan Blood Center, Japan;
Kumamoto Blood Center, Japan; Department of Human Genetics, Graduate
School of Medicine, University of Tokyo, Japan; and the Kashima Clinic,
Kumamoto, Japan.
HLA class I expression depends on the formation of a
peptide-loading complex composed of class I heavy chain;
2-microglobulin; the transporter associated with antigen
processing (TAP); and tapasin, which links TAP to the heavy
chain. Defects in TAP result in a class I deficiency called the
type I bare lymphocyte syndrome (BLS). In the present study, we
examined a subject with a novel type I BLS who does not exhibit
apparent TAP abnormalities but who has a tapasin defect. The
subject's TAPASIN gene has a 7.4-kilobase deletion
between introns 3 and 7; an Alu repeat-mediated unequal homologous
recombination may be the cause of the deletion. No tapasin
polypeptide was detected in the subject's cells. The cell surface
class I expression level in tapasin-deficient cells was markedly
reduced but the reduction was not as profound as in TAP-deficient cells. These results suggest that tapasin deficiency is another cause of type I BLS.

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