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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 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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