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Blood, 1 April 2005, Vol. 105, No. 7, pp. 2887-2890.
Prepublished online as a Blood First Edition Paper on December 14, 2004; DOI 10.1182/blood-2004-06-2423.


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IMMUNOBIOLOGY
Brief report

Abnormal interleukin-7 function in common variable immunodeficiency

Are Martin Holm, Pål Aukrust, Jan Kristian Damås, Fredrik Müller, Bente Halvorsen, and Stig S. Frøland

From the Section of Clinical Immunology and Infectious Diseases, Medical Department; the Research Institute for Internal Medicine; and the Department of Microbiology, Rikshospitalet/The National Hospital, Oslo, Norway.

Common variable immunodeficiency (CVID) is characterized by low levels of circulating immunoglobulins, leading to frequent infections, particularly of the respiratory tract. Frequently, T-cell abnormalities are observed. Interleukin-7 (IL-7) is involved in the homeostasis of lymphocytes, and may be elevated in lymphopenia. Mutations of genes related to IL-7 may lead to severe immunodeficiency disorders. We report elevated plasma levels of circulating IL-7 in a subgroup of CVID. These patients have increased numbers of circulating CD8+ T cells with decreased apoptosis and a predominance of CC chemokine receptor 7- (CCR7-) effector-memory T cells. Moreover, in some of these patients there is impaired response to IL-7 as assessed by in vitro proliferation and secretion of interferon {gamma} and transforming growth factor {beta}. These findings suggest novel pathogenic mechanisms and specific targets for further research in CVID.


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