B cells and monocytes are not developmentally affected in a case of reticular dysgenesis

Clin Exp Immunol. 1997 Dec;110(3):392-6. doi: 10.1046/j.1365-2249.1997.4341453.x.

Abstract

We report a patient with reticular dysgenesis (RD) who received an HLA-identical marrow graft and remained free of infection in spite of incomplete haematological recovery. Mixed chimerism was achieved and resulted from the presence of autologous B cells and monocytes and grafting of donor T cells. Granulocyte recovery was impaired. The B cells were CD5+ (B1 cells) and appeared to be functional, since serum immunoglobulin levels became normal after the graft. The findings described here suggest that in some cases the defect selectively affects different cell types, including the more abundant leucocyte populations, granulocytes and T lymphocytes. However, B cells and monocytes appear to be relatively spared in this case of RD. Furthermore, the present case may provide insight into the mechanism involved in the expansion of distinct B cell subpopulations (B1 and B2 cells).

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • B-Lymphocytes / physiology*
  • Child, Preschool
  • Genotype
  • Hematopoiesis*
  • Humans
  • Male
  • Monocytes / physiology*
  • Phenotype
  • Severe Combined Immunodeficiency / blood*