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Blood, 15 October 2004, Vol. 104, No. 8, pp. 2441-2443. Prepublished online as a Blood First Edition Paper on June 29, 2004; DOI 10.1182/blood-2004-04-1325.
IMMUNOBIOLOGY Common variable immunodeficiency is associated with defective functions of dendritic cellsFrom the Institut National de la Santé et de la Recherche Médicale (INSERM) Unité 430 and Université Pierre et Marie Curie, Institut des Cordeliers, Paris, France; the Department of Clinical Immunopathology, Hôpital Saint Louis, Paris, France; the Department of Hematology and Centre National de la Recherche Scientifique (CNRS) Unité Mixte de Recherche 8603, Hôpital Necker, Paris, France; the Department of Immunology, Royal Free Medical School, London, United Kingdom; Service d'Immunologie Clinique, Hôpital Henri Mondor, Créteil Cedex, France; and the Immunology Outpatient Clinic, Schwarzspanierstrasse, Vienna, Austria.
Common variable immunodeficiency (CVID) is characterized by hypogammaglobulinemia and defects in T-cell functions that could be primary or secondary. We addressed whether CVID is associated with impairment in the dendritic cell (DC) compartment, as DCs play a central role in the development of adaptive immunity. We demonstrate that DCs from CVID patients display severely perturbed differentiation, maturation, and function, and express markedly reduced levels of the costimulatory molecules that are critical for T-cell stimulation. Patients' DCs induced weak proliferation of allogeneic T cells and produced significantly low amounts of interleukin-12 (IL-12) upon CD40 signaling. Multiple defects in the immune system, including malfunctioning of DCs, appear to be prominent features of CVID patients. Impairment in both the innate and adaptive compartments of the immune system may thus cumulatively account for the inability of CVID patients to eradicate pathogens through conventional immune pathways, thus resulting in an increased risk for recurrent bacterial infections.
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