Intrathymic restriction and peripheral expansion of the T-cell repertoire in Omenn syndrome

S Signorini, L Imberti, S Pirovano, A Villa… - Blood, The Journal …, 1999 - ashpublications.org
S Signorini, L Imberti, S Pirovano, A Villa, F Facchetti, M Ungari, F Bozzi, A Albertini…
Blood, The Journal of the American Society of Hematology, 1999ashpublications.org
Mutations in the human RAG genes that impair, but do not abolish, recombination activity
lead to Omenn syndrome, a severe primary immune deficiency that is associated with
clinical and pathological features of graft-versus-host disease and oligoclonal expansion of
activated, autologous T cells. We have analyzed the mechanisms accounting for peripheral
oligoclonality of the T-cell repertoire. Predominance of few T-cell receptor clonotypes (both
within TCRAB-and within TCRGD-expressing lymphocytes) is already detectable in the …
Mutations in the human RAG genes that impair, but do not abolish, recombination activity lead to Omenn syndrome, a severe primary immune deficiency that is associated with clinical and pathological features of graft-versus-host disease and oligoclonal expansion of activated, autologous T cells. We have analyzed the mechanisms accounting for peripheral oligoclonality of the T-cell repertoire. Predominance of few T-cell receptor clonotypes (both within TCRAB- and within TCRGD-expressing lymphocytes) is already detectable in the thymus and is further selected for in the periphery, with a different distribution of clonotypes in different tissues. These data indicate that oligoclonality of the T-cell repertoire in Omenn syndrome is due both to intrathymic restriction and to peripheral expansion. Moreover, the RAG genes defect that causes Omenn syndrome directly affects early stages of V(D)J recombination, but does not alter the process of double-strand-break DNA repair, including N and P nucleotide insertion.
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