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  • Wiskott-Aldrich syndrome pr...
    Humblet-Baron, Stephanie; Sather, Blythe; Anover, Stephanie; Becker-Herman, Shirly; Kasprowicz, Debora J; Khim, Socheath; Nguyen, Thuc; Hudkins-Loya, Kelly; Alpers, Charles E; Ziegler, Steve F; Ochs, Hans; Torgerson, Troy; Campbell, Daniel J; Rawlings, David J

    The Journal of clinical investigation, 02/2007, Letnik: 117, Številka: 2
    Journal Article, Web Resource

    Wiskott-Aldrich syndrome protein (WASp) is essential for optimal T cell activation. Patients with WAS exhibit both immunodeficiency and a marked susceptibility to systemic autoimmunity. We investigated whether alterations in Treg function might explain these paradoxical observations. While WASp-deficient (WASp(-/-)) mice exhibited normal thymic Treg generation, the competitive fitness of peripheral Tregs was severely compromised. The total percentage of forkhead box P3-positive (Foxp3(+)) Tregs among CD4(+) T cells was reduced, and WASp(-/-) Tregs were rapidly outcompeted by WASp(+) Tregs in vivo. These findings correlated with reduced expression of markers associated with self-antigen-driven peripheral Treg activation and homing to inflamed tissue. Consistent with these findings, WASp(-/-) Tregs showed a reduced ability to control aberrant T cell activation and autoimmune pathology in Foxp3(-/-)Scurfy (sf) mice. Finally, WASp(+) Tregs exhibited a marked selective advantage in vivo in a WAS patient with a spontaneous revertant mutation, indicating that altered Treg fitness likely explains the autoimmune features in human WAS.