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Clinical and Diagnostic Laboratory Immunology, Nov 1996, 722-726, Vol 3, No. 6
R Ameratunga, J McKee, J French, R Prestidge, W Fanslow and J Marbrook
The X-linked hyper-immunoglobulin M syndrome (XHIM) is a primary immune
deficiency disorder characterized by an inability to produce immunoglobulin
isotypes other than immunoglobulin M (IgM) and IgD. Recently, a B-cell
surface antigen (CD40) and its conjugate T-cell counterstructure (CD40
ligand) were shown to mediate immunoglobulin isotype switching in the
presence of cytokines such as interleukin 4. Most patients with XHIM have
been shown to have mutations of the extracellular domain of the CD40
ligand. Here we describe a novel point mutation of an intronic splice
acceptor site which results in a complex splicing defect of the CD40 ligand
in a patient with XHIM. In addition to two species of deleted transcripts,
wild-type transcripts were also detected in this individual. The
demonstration of wild-type CD40 ligand transcripts may be an explanation
for previous observations suggesting that some XHIM patients are able to
undergo immunoglobulin isotype switching in vivo.
Copyright © 1996 by the American Society for Microbiology. All rights reserved.
Molecular pathology of the X-linked hyper-immunoglobulin M syndrome: detection of wild-type transcripts in a patient with a complex splicing defect of the CD40 ligand
Department of Molecular Medicine, University of Auckland, New Zealand.
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