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Blood, 15 November 2008, Vol. 112, No. 10, pp. 4158-4169. Prepublished online as a Blood First Edition Paper on August 7, 2008; DOI 10.1182/blood-2008-02-140814.
IMMUNOBIOLOGY Wiskott-Aldrich syndrome protein deficiency in B cells results in impaired peripheral homeostasis1 Department of Pediatrics, Seattle Children's Hospital Research Institute, WA; 2 Center for Cellular and Molecular Therapy, GIGA-R, University of Liege, Liege, Belgium; 3 Lymphocyte Interaction Laboratory, Cancer Research UK London Research Institute, London, United Kingdom; 4 Centre for Immunodeficiency, University College London and Great Ormond Street Hospital for Children National Health Service (NHS) Trust, London, United Kingdom; and 5 Department of Immunology, University of Washington School of Medicine, Seattle
To more precisely identify the B-cell phenotype in Wiskott-Aldrich syndrome (WAS), we used 3 distinct murine in vivo models to define the cell intrinsic requirements for WAS protein (WASp) in central versus peripheral B-cell development. Whereas WASp is dispensable for early bone marrow B-cell development, WASp deficiency results in a marked reduction in each of the major mature peripheral B-cell subsets, exerting the greatest impact on marginal zone and B1a B cells. Using in vivo bromodeoxyuridine labeling and in vitro functional assays, we show that these deficits reflect altered peripheral homeostasis, partially resulting from an impairment in integrin function, rather than a developmental defect. Consistent with these observations, we also show that: (1) WASp expression levels increase with cell maturity, peaking in those subsets exhibiting the greatest sensitivity to WASp deficiency; (2) WASp+ murine B cells exhibit a marked selective advantage beginning at the late transitional B-cell stage; and (3) a similar in vivo selective advantage is manifest by mature WASp+ human B cells. Together, our data provide a better understanding of the clinical phenotype of WAS and suggest that gene therapy might be a useful approach to rescue altered B-cell homeostasis in this disease.
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