2004
DOI: 10.1182/blood-2003-08-2632
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Defective B-cell-negative selection and terminal differentiation in the ICF syndrome

Abstract: IntroductionIn the bone marrow (BM), B-cell differentiation leads to generation of a broad repertoire of antibody-bearing cells in an antigenindependent manner. After ordered rearrangement of the heavy and light chain loci, immature B cells are the first B-cell subset to express a B-cell receptor (BCR), composed of a surface immunoglobulin M (IgM) and the Ig␣/Ig␤ signaling complex (reviewed in Meffre et al 1 ). This process yields a number of potentially self-reactive clones, which can be eliminated by apoptos… Show more

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Cited by 75 publications
(63 citation statements)
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References 58 publications
(93 reference statements)
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“…A similar association between 1qh/16qh instability and MN formation was observed in the present study. ICF lymphocytes exhibit an increased sensitivity to B-cell apoptosis after in vitro stimulation (Blanco-Betancourt et al 2004). They are also abnormally prone to apoptosis and non-apoptotic cell death following radiation-induced chromosome breakage .…”
Section: Icf Chromosome Damage and Apoptosismentioning
confidence: 99%
See 1 more Smart Citation
“…A similar association between 1qh/16qh instability and MN formation was observed in the present study. ICF lymphocytes exhibit an increased sensitivity to B-cell apoptosis after in vitro stimulation (Blanco-Betancourt et al 2004). They are also abnormally prone to apoptosis and non-apoptotic cell death following radiation-induced chromosome breakage .…”
Section: Icf Chromosome Damage and Apoptosismentioning
confidence: 99%
“…Immunologically, ICF patients show hypogammaglobulinaemia but with B-cells present (Ehrlich 2003). It has been suggested that this condition is mediated by the dysregulation of lymphogenesis genes (Ehrlich et al 2001) and defective B-cell differentiation, leading to the accumulation of immature B-cells with an increased rate of apoptosis upon in vitro activation (Blanco-Betancourt et al 2004). Because of a strong predisposition for systemic infectious diseases, the majority of ICF patients die before reaching their teens.…”
Section: Introductionmentioning
confidence: 99%
“…2 Studies on T-cell function are limited, and reported data suggest a normal proliferative response upon mitogenic stimulation, the capability to support Pokeweed mitogen (PWM)-induced immunoglobulin production by control B-cells and a somewhat increased degree of apoptosis. 3,4 Therefore, the relative contribution of an intrinsic B-cell defect and a defective T-cell function to the frequently observed dysgammaglobulinemia in patients with ICF syndrome remains to be elucidated.…”
Section: Introductionmentioning
confidence: 99%
“…Targeted deletion of either the maintenance Dnmt or the de novo Dnmt genes in mouse demonstrated that Dnmts are essential for proper embryonic development [11][12][13]. Mutations in the Dnmt3b gene in human cause a rare autosomal disease, called ICF (immunodeficiency, centromere instability, facial abnormalities) syndrome, with some B-cell specific aspects that include defective B-cell-negative selection and terminal differentiation [14][15][16]. ICF missense mutations in the Dnmt3b gene in mice resulted in similar phenotypes as in human ICF patients [17].…”
Section: Introductionmentioning
confidence: 99%