Abstract |
Patients with primary immunodeficiency disorders were evaluated for three aspects of natural defense: natural killer (NK) cells which lyse HSV-infected fibroblasts [NK(HSV-FS)], NK cells which lyse K562 tumor targets [NK(K562)], and interferon-alpha generation. In addition, capacity to make interferon upon challenge with other commonly used inducers was also evaluated. Most patients with severe combined immunodeficiency disease (SCID) and deficits of both T- and B-cell function demonstrated normal NK function with one or both targets. Six of eight SCID patients generated interferon-alpha at or below the lower limit of normal while only two made clearly normal levels. Six of 10 patients with Wiskott-Aldrich syndrome (WAS) had normal NK(K562) and five of 10 generated normal levels of interferon-alpha but all had severely deficient NK(HSV-FS). Patients with Bruton's agammaglobulinemia demonstrated normal NK and interferon generation, as did patients with common variable immunodeficiency, even when subdivided into patients with T-cell proliferative deficiencies and those with only hypogammaglobulinemia. Natural defense parameters may help categorize patients with SCID and WAS and help define these heterogeneous diseases.
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Authors | C Messina, D Kirkpatrick, P A Fitzgerald, R J O'Reilly, F P Siegal, C Cunningham-Rundles, M Blaese, J Oleske, S Pahwa, C Lopez |
Journal | Clinical immunology and immunopathology
(Clin Immunol Immunopathol)
Vol. 39
Issue 3
Pg. 394-404
(Jun 1986)
ISSN: 0090-1229 [Print] United States |
PMID | 3698344
(Publication Type: Journal Article, Research Support, U.S. Gov't, P.H.S.)
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Chemical References |
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Topics |
- Agammaglobulinemia
(immunology)
- Humans
- Immunity, Cellular
- Immunity, Innate
- Immunologic Deficiency Syndromes
(immunology)
- Interferon Type I
(biosynthesis)
- Killer Cells, Natural
(immunology)
- Wiskott-Aldrich Syndrome
(immunology)
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