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Blood, 15 July 2005, Vol. 106, No. 2, pp. 626-634.
Prepublished online as a Blood First Edition Paper on April 7, 2005; DOI 10.1182/blood-2004-05-2051.


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Submitted June 10, 2004
Accepted March 29, 2005

Defective VAV expression and impaired F-actin reorganization in a subset of common variable immunodeficiency patients with T-cell defects

Silvia ROSSI PACCANI, Marianna BONCRISTIANO, Laura PATRUSSI, Cristina ULIVIERI, Andreas WACK, Silvia VALENSIN, Tim R HIRST, Amedeo AMEDEI, Gianfranco DEL PRETE, John L TELFORD, Mario M D'ELIOS, and Cosima T BALDARI*

Department of Evolutionary Biology, University of Siena, Siena, Italy
School of Molecular & Microbial Biosciences, The University of Sydney, Sidney, Australia
Department of Internal Medicine and Immunoallergology, University of Florence, Florence, Italy
Chiron Research Center, Siena, Italy

* Corresponding author; email: baldari{at}unisi.it.

Common variable immunodeficiency (CVID) is a primary immune disorder characterized by impaired antibody production, which is in many instances secondary to defective T-cell function (T-CVID). We have previously identified a subset of T-CVID patients characterized by defective TCR-dependent protein tyrosine phosphorylation. In these patients ZAP-70 fails to be recruited to the TCR as the result of impaired CD3{zeta} phosphorylation, which is however not dependent on defective Lck expression or activity. Here we show that neither Fyn or CD45 are affected in these patients. On the other hand, T-CVID T-cells show dramatic defects in the Vav/Rac pathway controlling F-actin dynamics. A significant deficiency in Vav protein was indeed observed, which in three out of four T-CVID patients was associated with reduced Vav1 mRNA levels. The impairment in Vav expression correlated with defective F-actin reorganization in response to TCR/CD28 coengagement. Furthermore, TCR/CD28 dependent upregulation of lipid rafts at the cell surface, which requires F-actin dynamics, was impaired in these patients. The actin cytoskeleton defect could be reversed by reconstitution of Vav1 expression in the patients' T-cells. The results provide the demonstration of an essential role of Vav in human T-cells and strongly suggest Vav insufficiency in T-CVID.


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