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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.


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Submitted June 28, 2004
Accepted November 30, 2004

Abnormal interleukin-7 function in common variable immunodeficiency

Are M Holm*, Pal Aukrust, Jan K Damas, Fredrik Muller, Bente Halvorsen, and Stig S Froland

Section of Clinical Immunology and Infectious Diseases, Medical Department, Rikshospitalet/The National Hospital, Oslo, Norway
Section of Clinical Immunology and Infectious Diseases, Medical Department, Rikshospitalet/The National Hospital, Oslo, Norway; Research Institute for Internal Medicine, Rikshospitalet/The National Hospital, Oslo, Norway
Research Institute for Internal Medicine, Rikshospitalet/The National Hospital, Oslo, Norway
Research Institute for Internal Medicine, Rikshospitalet/The National Hospital, Oslo, Norway; Department of Microbiology, Rikshospitalet/The National Hospital, Oslo, Norway

* Corresponding author; email: a.m.holm{at}medisin.uio.no.

Common Variable Immunodeficiency 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 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 {gamma} and transforming growth factor {beta}. These findings suggest novel pathogenic mechanisms and specific targets for further research in CVID.


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