PMID- 25079909 OWN - NLM STAT- MEDLINE DCOM- 20150112 LR - 20220129 IS - 1365-2249 (Electronic) IS - 0009-9104 (Print) IS - 0009-9104 (Linking) VI - 178 IP - 3 DP - 2014 Dec TI - A mutation in X-linked inhibitor of apoptosis (G466X) leads to memory inflation of Epstein-Barr virus-specific T cells. PG - 470-82 LID - 10.1111/cei.12427 [doi] AB - Mutations in the X-linked inhibitor of apoptosis (XIAP) gene have been associated with XLP-like disease, including recurrent Epstein-Barr virus (EBV)-related haemophagocytic lymphohystiocytosis (HLH), but the immunopathogenic bases of EBV-related disease in XIAP deficiency is unknown. We present the first analysis of EBV-specific T cell responses in functional XIAP deficiency. In a family of patients with a novel mutation in XIAP (G466X) leading to a late-truncated protein and varying clinical features, we identified gradual hypogammaglobulinaemia and large expansions of T cell subsets, including a prominent CD4(+) CD8(+) population. Extensive ex-vivo analyses showed that the expanded T cell subsets were dominated by EBV-specific cells with conserved cytotoxic, proliferative and interferon (IFN)-gamma secretion capacity. The EBV load in blood fluctuated and was occasionally very high, indicating that the XIAP(G466X) mutation could impact upon EBV latency. XIAP deficiency may unravel a new immunopathogenic mechanism in EBV-associated disease. CI - (c) 2014 British Society for Immunology. FAU - Lopez-Granados, E AU - Lopez-Granados E AD - Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK; Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK. FAU - Stacey, M AU - Stacey M FAU - Kienzler, A-K AU - Kienzler AK FAU - Sierro, S AU - Sierro S FAU - Willberg, C B AU - Willberg CB FAU - Fox, C P AU - Fox CP FAU - Rigaud, S AU - Rigaud S FAU - Long, H M AU - Long HM FAU - Hislop, A D AU - Hislop AD FAU - Rickinson, A B AU - Rickinson AB FAU - Patel, S AU - Patel S FAU - Latour, S AU - Latour S FAU - Klenerman, P AU - Klenerman P FAU - Chapel, H AU - Chapel H LA - eng GR - 091663/WT_/Wellcome Trust/United Kingdom GR - G0901755/MRC_/Medical Research Council/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Clin Exp Immunol JT - Clinical and experimental immunology JID - 0057202 RN - 0 (X-Linked Inhibitor of Apoptosis Protein) RN - 0 (XIAP protein, human) RN - 82115-62-6 (Interferon-gamma) SB - IM MH - Cells, Cultured MH - Haplotypes MH - Herpesvirus 4, Human/*immunology MH - Humans MH - *Immunologic Memory MH - Interferon-gamma/biosynthesis MH - *Mutation MH - T-Lymphocytes/*immunology MH - Viral Load MH - X-Linked Inhibitor of Apoptosis Protein/*genetics PMC - PMC4238874 OTO - NOTNLM OT - T cells OT - cytotoxic T cells OT - immunodeficiency diseases OT - viral EDAT- 2014/08/01 06:00 MHDA- 2015/01/13 06:00 PMCR- 2015/12/01 CRDT- 2014/08/01 06:00 PHST- 2014/07/26 00:00 [accepted] PHST- 2014/08/01 06:00 [entrez] PHST- 2014/08/01 06:00 [pubmed] PHST- 2015/01/13 06:00 [medline] PHST- 2015/12/01 00:00 [pmc-release] AID - 10.1111/cei.12427 [doi] PST - ppublish SO - Clin Exp Immunol. 2014 Dec;178(3):470-82. doi: 10.1111/cei.12427.