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Blood, Vol. 96 No. 3 (August 1), 2000:
pp. 1064-1069
B-cell-autonomous somatic mutation deficit following bone marrow
transplant
Annuska M. Glas,
Erwin H. N. van Montfort,
Jan Storek,
Emily-Gene N. Green,
Roy P. M. Drissen,
Viviane J. Bechtold,
J. Zachary Reilly,
Monja A. Dawson, and
Eric C. B. Milner
From the Virginia Mason Research Center and the Fred Hutchinson
Cancer Research Center, Seattle, WA.
Hematopoietic stem cell transplantation is characterized by a
prolonged period of humoral immunodeficiency. We have previously shown
that the deficiencies are probably not due to the failure to utilize
the appropriate V regions in the pre-immune repertoire. However, a
striking observation, which correlated with the absence of
immunoglobulin IgD cells and was consistent with a
defect in antigen-driven responses, was that rearrangements in bone
marrow transplant (BMT) recipients exhibited much less somatic mutation
than did rearrangements obtained from healthy subjects. In this paper,
we present evidence suggesting that naive B cells obtained from BMT
recipients lack the capacity to accumulate somatic mutations in a
T-cell-dependent manner compared with healthy subjects. This appears
to be a B-cell-autonomous deficit because T cells from some patients,
which were not able to support the accumulation of mutations in
autologous naive B cells, were able to support accumulation of
mutations in heterologous healthy-subject naive B cells.

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