Abstract
Hypomorphic mutations in the zinc finger domain of NF-kappaB essential modulator (NEMO) cause X-linked hyper-IgM syndrome with ectodermal dysplasia (XHM-ED). Here we report that patient B cells are characterized by an absence of Ig somatic hypermutation (SHM) and defective class switch recombination (CSR) despite normal induction of activation-induced cytidine deaminase (AID) and Iepsilon-Cepsilon transcripts. This indicates that AID expression alone is insufficient to support neutralizing antibody responses. Furthermore, we show that patient B cells stimulated with CD40 ligand are impaired in both p65 and c-Rel activation, and whereas addition of IL-4 can enhance p65 activity, c-Rel activity remains deficient. This suggests that these NF-kappaB components have different activation requirements and that IL-4 can augment some but not all NEMO-dependent NF-kappaB signaling. Finally, using microarray analysis of patient B cells we identified downstream effects of impaired NF-kappaB activation and candidate factors that may be necessary for CSR and SHM in B cells.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Adolescent
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Adult
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B-Lymphocytes / cytology
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B-Lymphocytes / physiology*
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CD40 Antigens / metabolism*
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Carrier Proteins / genetics*
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Carrier Proteins / immunology*
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Cell Differentiation / physiology*
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Child, Preschool
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Cytidine Deaminase
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Cytosine Deaminase / genetics
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Cytosine Deaminase / metabolism
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Ectodermal Dysplasia / genetics
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Ectodermal Dysplasia / immunology
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Gene Expression Regulation
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Humans
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Hypergammaglobulinemia / genetics
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Hypergammaglobulinemia / immunology
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I-kappa B Kinase
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Immunoglobulin Class Switching / genetics
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Immunoglobulins / blood
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Interleukin-4 / metabolism
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Molecular Sequence Data
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Mutation*
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NF-kappa B / immunology
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Proto-Oncogene Proteins c-rel / genetics
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Proto-Oncogene Proteins c-rel / immunology*
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Somatic Hypermutation, Immunoglobulin / genetics
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Syndrome
Substances
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CD40 Antigens
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Carrier Proteins
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IKBKG protein, human
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Immunoglobulins
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NF-kappa B
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Proto-Oncogene Proteins c-rel
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Interleukin-4
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I-kappa B Kinase
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AICDA (activation-induced cytidine deaminase)
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Cytosine Deaminase
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Cytidine Deaminase