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Blood, 15 December 2007, Vol. 110, No. 13, pp. 4285-4292.
Prepublished online as a Blood First Edition Paper on August 27, 2007; DOI 10.1182/blood-2007-05-088286.


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Submitted May 3, 2007
Accepted August 6, 2007

Perforin-dependent apoptosis functionally compensates Fas-deficiency in Activation-induced cell-death of human T-lymphocytes

Veronique Mateo, Michael Menager, Genevieve de Saint-Basile, Marie-Claude Stolzenberg, Bertrand Roquelaure, Nicolas Andre, Benoit Florkin, Francoise le Deist, Capucine Picard, Alain Fischer, and Frederic Rieux-Laucat*

INSERM, U768; Universite Rene Descartes-Paris 5, Hopital Necker-Enfants Malades, Paris, France
Centre d'etude des deficites Immunitaires, Assistance Publique - Hopitaux de Paris, Hopital Necker-Enfants Malades, Paris, France
Multidisciplinary Department of Pediatrics, Children Hospital of La Timone, Marseille, France
Departement de pediatrie, Centre Hospitalier Universitaire de Liege, Liege, Belgium
Departement de Microbiologie et d'Immunologie, Centre Hospitalier Universitaire Sainte-Justine, Montreal, Quebec, Canada
Unite d'Immunologie et Hematologie Pediatrique, Assistance Publique - Hopitaux de Paris, Hopital Necker-Enfants Malades, Paris, France

* Corresponding author; email: rieux{at}necker.fr.

Activation-Induced Cell Death (AICD) is involved in peripheral tolerance by controlling the expansion of repeatedly stimulated T cells via an apoptotic Fas (CD95; APO-1)-dependent pathway. The TNFRSF-6 gene encoding Fas is mutated in children suffering Autoimmune Lymphoproliferative Syndrome (ALPS), characterized by lymphoproliferation and autoimmunity. In this study, we examined AICD in Fas deficient T-cells from ALPS patients. We showed that primary activated Fas-deficient T-cells die by apoptosis after repeated TCR stimulation despite resistance to Fas-mediated cell death. This Fas-independent AICD was found to be mediated through a cytotoxic granules-dependent pathway as it is inhibited by compounds that inactivated the cytotoxic-granules content. Cytotoxic granules-mediated AICD was also detected in normal T-lymphocytes though to a lesser extent. As expected, the cytotoxic granules-dependent AICD was abolished in T cells from Rab27a- or perforin-deficient patients that exhibited defective granules-dependent cytotoxicity. Supporting an in-vivo relevance of the cytotoxic granules-dependent AICD in ALPS patients, we detected increased number of circulating T lymphocytes expressing granzymes A and B. Altogether, these data indicated that the cytotoxic granules-dependent cell-death in ALPS may compensate for Fas-deficiency in T lymphocytes. Furthermore, they identified a novel AICD pathway as a unique alternative to Fas apoptosis in human peripheral T-lymphocytes.


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A. Bristeau-Leprince, V. Mateo, A. Lim, A. Magerus-Chatinet, E. Solary, A. Fischer, F. Rieux-Laucat, and M.-L. Gougeon
Human TCR {alpha}/{beta}+ CD4-CD8- Double-Negative T Cells in Patients with Autoimmune Lymphoproliferative Syndrome Express Restricted V{beta} TCR Diversity and Are Clonally Related to CD8+ T Cells
J. Immunol., July 1, 2008; 181(1): 440 - 448.
[Abstract] [Full Text] [PDF]



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