Molecular and cellular pathogenesis of X‐linked lymphoproliferative disease

KE Nichols, CS Ma, JL Cannons… - Immunological …, 2005 - Wiley Online Library
Immunological reviews, 2005Wiley Online Library
X‐linked lymphoproliferative disease (XLP) is an inherited immune defect caused by
mutations in the Src homology 2 domain‐containing gene 1A, which encodes the adapter
protein, signaling lymphocytic activation molecule (SLAM)‐associated protein (SAP). SAP is
expressed in T cells, natural killer (NK) cells, and NKT cells, where it binds to the
cytoplasmic domain of the surface receptor SLAM (CD150) and the related receptors, 2B4
(CD244), CD84, Ly9 (CD229), NK‐T‐B‐antigen, and CD2‐like receptor‐activating cytotoxic …
Summary
X‐linked lymphoproliferative disease (XLP) is an inherited immune defect caused by mutations in the Src homology 2 domain‐containing gene 1A, which encodes the adapter protein, signaling lymphocytic activation molecule (SLAM)‐associated protein (SAP). SAP is expressed in T cells, natural killer (NK) cells, and NKT cells, where it binds to the cytoplasmic domain of the surface receptor SLAM (CD150) and the related receptors, 2B4 (CD244), CD84, Ly9 (CD229), NK‐T‐B‐antigen, and CD2‐like receptor‐activating cytotoxic T cells. SAP also binds to the Src family tyrosine kinase Fyn and recruits it to SLAM, which leads to the generation of downstream phosphotyrosine signals. While the roles of the SLAM family receptors are only beginning to be understood, experiments suggest that these molecules regulate important aspects of lymphocyte function, such as proliferation, cytokine secretion, cytotoxicity, and antibody production. Thus, in XLP patients who lack functional SAP, the SLAM family receptors may not signal properly. This property likely contributes to the phenotypes of XLP, including fulminant infectious mononucleosis, lymphoma, and hypogammaglobulinemia. Further studies of SAP and the SLAM family receptors will provide insights into XLP and elucidate the signaling events regulating lymphocyte ontogeny and function.
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