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Blood, 1 December 2005, Vol. 106, No. 12, pp. 3895-3897.
Prepublished online as a Blood First Edition Paper on August 9, 2005; DOI 10.1182/blood-2005-06-2336.
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Submitted June 13, 2005
Accepted August 2, 2005
Analysis of T-cell repertoire diversity in Wiskott-Aldrich syndrome
Taizo Wada, Shepherd H Schurman, Elizabeth K Garabedian, Akihiro Yachie, and Fabio Candotti*
Genetics and Molecular Biology Branch and Medical Genetics Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA
Department of Laboratory Sciences, School of Health Sciences, Faculty of Medicine, Kanazawa University, Kanazawa, Japan
* Corresponding author; email: fabio{at}nhgri.nih.gov.
Wiskott-Aldrich syndrome (WAS) is an X-linked immunodeficiency characterized by thrombocytopenia, eczema, and variable degrees of impaired cellular and humoral immunity. Age-dependent T-cell lymphopenia has been described in WAS, however, the diversity of the T-cell compartment over time in these patients has not been characterized. We have used complementarity-determining region 3 (CDR3) size distribution analysis to assess T-cell receptor (TCR) V repertoire in 13 WAS patients. Diverse CDR3 size pattern was demonstrated in patients under 15 years of age regardless of the levels of WAS protein (WASP) expression. In contrast, older patients showed significantly higher skewing of TCRV repertoire as compared with healthy adults. We did not find correlation between clinical score and complexity of TCRV repertoire. These findings suggest that WASP deficiency does not limit thymic generation of a normal TCR and indicate that T-cell oligoclonality may contribute to the immunodeficiency in older WAS patients.

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