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Blood, 1 December 2006, Vol. 108, No. 12, pp. 3769-3776.
Prepublished online as a Blood First Edition Paper on August 8, 2006; DOI 10.1182/blood-2006-03-008839.


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IMMUNOBIOLOGY

c-Rel plays a key role in deficient activation of B cells from a non–X-linked hyper-IgM patient

Kristina T. Lu, Frank L. Sinquett, Rebecca L. Dryer, Charles Song, and Lori R. Covey

From the Department of Cell Biology and Neuroscience, Rutgers, The State University of New Jersey, Piscataway; and Harbor General Hospital, University of California–Los Angeles, Torrance.

Our previous results demonstrated that B cells from a patient (pt1) with non–X-linked hyper-IgM syndrome (HIGM) possess an atypical CD23lo phenotype that is unaffected by CD40-mediated activation. To investigate the molecular mechanism underlying defective CD23 expression in pt1 B cells, we used lymphoblastoid cell lines that express LMP1 under the control of a tetracycline-inducible promoter (LCLtet). Our analysis revealed that the CD23lo phenotype in the pt1-LCLtet cells is a direct consequence of diminished CD23 transcription. We demonstrate a marked decrease in c-Rel–containing complexes that bind to the proximal CD23a/b promoters in pt1-LCLtet extracts, resulting from an overall lower expression of c-Rel in pt1-LCLtet cells. Analysis of c-Rel mRNA revealed relatively equal amounts in pt1-LCLtet and control LCLtet cells, indicating that diminished c-Rel protein expression is unrelated to decreased transcription. Finally, a critical role for c-Rel in CD23 regulation was demonstrated by effectively altering c-Rel expression that resulted in the direct modulation of CD23 surface expression. Collectively, these findings demonstrate that low levels of c-Rel are the underlying cause of aberrant CD23 expression in pt1 B cells and are likely to play a critical role in the pathophysiology of this form of HIGM.


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