1999
DOI: 10.1016/s0092-8674(00)80605-4
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Inherited Human Caspase 10 Mutations Underlie Defective Lymphocyte and Dendritic Cell Apoptosis in Autoimmune Lymphoproliferative Syndrome Type II

Abstract: Caspases are cysteine proteases that mediate programmed cell death in phylogenetically diverse multicellular organisms. We report here two kindreds with autoimmune lymphoproliferative syndrome (ALPS) type II, characterized by abnormal lymphocyte and dendritic cell homeostasis and immune regulatory defects, that harbor independent missense mutations in Caspase 10. These encode amino acid substitutions that decrease caspase activity and interfere with death receptor-induced apoptosis, particularly that stimulate… Show more

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Cited by 580 publications
(371 citation statements)
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References 66 publications
(4 reference statements)
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“…Supporting this idea, there are an increased frequency and number of DCs in lpr/lpr mice. In this regard, it is intriguing that a defect in another apoptosis-related gene, caspase 10, resulted in an accumulation of DCs in the T cell zone of the lymph node of one patient with autoimmune lymphoproliferative syndrome type II (71). Another possibility arises from the recent suggestion that Fas is not a death receptor for DCs, but rather acts to induce their maturation (50).…”
Section: Discussionmentioning
confidence: 99%
“…Supporting this idea, there are an increased frequency and number of DCs in lpr/lpr mice. In this regard, it is intriguing that a defect in another apoptosis-related gene, caspase 10, resulted in an accumulation of DCs in the T cell zone of the lymph node of one patient with autoimmune lymphoproliferative syndrome type II (71). Another possibility arises from the recent suggestion that Fas is not a death receptor for DCs, but rather acts to induce their maturation (50).…”
Section: Discussionmentioning
confidence: 99%
“…The cognate ligand for Fas (FasL) is an activation antigen expressed by CD4+ Th1 effector cells and CD8 cytotoxic T lymphocytes, (although its activity in the latter is frequently masked by the more substantial destructive power of the perforin-granzyme system), as well as natural killer cells [8][9][10][11][12][13]. The congenital loss of Fas (as in lpr/lpr mice and Fas null mice, and in human Autoimmune Lymphoproliferation Syndrome) or of its ligand (as in gld/gld mice) is accompanied by severely elevated levels of serum autoantibodies associated with frank autoimmunity [14][15][16][17][18][19][20][21][22][23][24]; for this reason Fas is thought to play a key role in the regulation of B cells, particularly in the regulation of autoreactive B cells. These observations are supported and refined by additional experiments, carried out over the last dozen years, that more clearly document abnormal B cell function in Fas-deficient animals and distinguish B cell defects from abnormalities in the T cell population.…”
Section: Inroductionmentioning
confidence: 99%
“…The clinical characteristics are lymphoadenopathy, splenomegaly, polygammaglobulinemia, and SLE-like systemic autoimmunity. [15][16][17][18] Abnormal expression of FasL on lymphocytes and apoptosis triggering has been demonstrated in SLE patients. [19][20][21][22] Anti-FasL antibody, which inhibits Fas/FasL-mediated apoptosis, can be detected in SLE patients.…”
Section: Introductionmentioning
confidence: 99%