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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.
IMMUNOBIOLOGY Abnormal interleukin-7 function in common variable immunodeficiencyFrom 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
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