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Blood, 15 October 2000, Vol. 96, No. 8, pp. 2803-2807

IMMUNOBIOLOGY

A partial deficiency of interleukin-7Ralpha is sufficient to abrogate T-cell development and cause severe combined immunodeficiency

Chaim M. Roifman, Junyan Zhang, David Chitayat, and Nigel Sharfe

From the Divisions of Immunology/Allergy and Clinical Genetics, Department of Paediatrics, The Infection, Immunity, Injury and Repair Program, Research Institute, The Hospital for Sick Children and The University of Toronto, Canada.

Both in vitro and in vivo studies established that interleukin 7 (IL-7) is essential for differentiation of immature T cells and B cells but not natural killer (NK) cells in the mouse. In humans, although both T-cell and B-cell progenitors express the functional IL-7 receptor that consists of IL-7Ralpha and the gamma common (gamma c) chain, this lymphocyte receptor system is critical for T lineage but not for B lineage development. Indeed, complete gamma c deficiency like IL-7Ralpha deficiency results in the arrest of T-cell but not B-cell development (T-B+ SCID). However, partial deficiency of gamma c caused by missense mutations results in a T+B+ phenotype and a delay of clinical presentation. It was therefore plausible to assume that partial deficiency of IL-7Ralpha , like partial gamma c deficiency may lead to a milder clinical and immunologic phenotype. A P132S mutation in the IL-7Ralpha was identified in 3 patients with severe combined immunodeficiency (SCID) within an extensively consanguineous family. Substitution of proline with serine in the extracellular portion of IL-7Ralpha did not affect IL-7Ralpha messenger RNA (mRNA) and protein expression, but severely compromised affinity to IL-7, resulting in defective signal transduction. In response to IL-7 stimulation, Jak-3 phosphorylation was markedly reduced in both patient cells as well as in COS cells reconstituted with mutant IL-7Ralpha . Surprisingly, this partial deficiency of IL-7Ralpha resulted in a severe phenotype, including markedly reduced circulating T cells while sparing B-cell numbers similar to gamma c chain deficiency. However, unlike the previously reported cases, serum immunoglobulins were virtually absent. Further, unlike gamma c deficiency, NK cell numbers and function was preserved. Despite the partial deficiency, clinical presentation was indistinguishable from a complete gamma c deficiency, including severe and persistent viral and protozoal infections and failure to thrive. Unlike partial gamma c deficiency, a partial deficiency of IL-7Ralpha results in an arrest of T-cell development, leading to typical severe combined immunodeficiency. This underscores the critical role of IL-7Ralpha chain in the differentiation of T cells.

© 2000 by The American Society of Hematology.
 

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