Pure Red-Cell Aplasia Associated with Clonal Expansion of Granular Lymphocytes Expressing Killer-Cell Inhibitory Receptors
Rupert Handgretinger, M.D., Andreas Geiselhart, M.D., Arnaud Moris, M.S., Roger Grau, M.S., Oliver Teuffel, M.S., Wolfgang Bethge, M.D., Lothar Kanz, M.D., and Paul Fisch, M.D.
Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.
Killer-cell inhibitory receptors inhibit cytolysis when naturalkiller cells encounter cells bearing HLA class I molecules.1,2This phenomenon explains the preferential killing by naturalkiller cells of tumor cells with reduced expression of HLA classI molecules.3 This finding is the basis of the "missing self"model, in which the HLA class I allele lost by the tumor cellsis not available to inhibit the killer cell's lytic machinery.
Different types of killer-cell inhibitory receptors have distinctspecificity for HLA-A, B, C, and E antigens.1,4 In addition,some natural killer cells also possess receptors that inducelysis of cells expressing . . . [Full Text of this Article]
Case Report
Methods
Analysis of Surface Phenotype and Monoclonal Antibodies
Molecular Analysis of Clonality
Purification of CD34+ Cells and Erythroid Progenitors
Assays of Cytotoxic Activity
Results
Discussion
Source Information
From the Departments of Pediatrics (R.H., A.G., R.G., O.T.), Immunology (A.M., P.F.), and Medicine II (W.B., L.K.), University of Tübingen, Tübingen, Germany.
Address reprint requests to Dr. Handgretinger at Children's University Hospital, Hoppe-Seyler-Str. 1, 72076 Tübingen, Germany, or at kkrhand@uni-tuebingen.de.
References
Related Letters:
Pure Red-Cell Aplasia
Nathan D. G., Sieff C. A., Zimmer J., Regele D., de la Salle H., Handgretinger R., Fisch P.
Extract |
Full Text
N Engl J Med 1999;
340:2004-2005, Jun 24, 1999.
Correspondence
This article has been cited by other articles:
Zambello, R., Semenzato, G.
(2009). Large granular lymphocyte disorders: new etiopathogenetic clues as a rationale for innovative therapeutic approaches. haematol
94: 1341-1345
[Full Text]
Zuber, J., Beldjord, K., Casadevall, N., Thervet, E., Legendre, C., Varet, B.
(2008). Immune-mediated pure red cell aplasia in renal transplant recipients. haematol
93: 1750-1752
[Full Text]
Wlodarski, M. W., Nearman, Z., Jankowska, A., Babel, N., Powers, J., Leahy, P., Volk, H.-D., Maciejewski, J. P.
(2008). Phenotypic differences between healthy effector CTL and leukemic LGL cells support the notion of antigen-triggered clonal transformation in T-LGL leukemia. J. Leukoc. Biol.
83: 589-601
[Abstract][Full Text]
Bakrac, M., Jurisic, V., Kostic, T., Popovic, V., Pekic, S., Kraguljac, N., Colovic, M.
(2007). Pure red cell aplasia associated with type I autoimmune polyglandular syndrome--successful response to treatment with mycophenolate mofetil: case report and review of literature. J. Clin. Pathol.
60: 717-720
[Full Text]
Poggi, A., Negrini, S., Zocchi, M. R., Massaro, A.-M., Garbarino, L., Lastraioli, S., Gargiulo, L., Luzzatto, L., Notaro, R.
(2005). Patients with paroxysmal nocturnal hemoglobinuria have a high frequency of peripheral-blood T cells expressing activating isoforms of inhibiting superfamily receptors. Blood
106: 2399-2408
[Abstract][Full Text]
Williams, A. P., Bateman, A. R., Khakoo, S. I.
(2005). HANGING IN THE BALANCE: KIR and Their Role in Disease. Mol. Interv.
5: 226-240
[Abstract][Full Text]
Hirokawa, M., Fujishima, N., Oyama, Y., Fujishima, M., Horiuchi, T., Kitabayashi, A., Miura, I., Sawada, K.-i.
(2004). Oligoclonal Expansion of V{delta}1+ {gamma}{delta}T Cells in Cyclosporine-Responsive Acquired Pure Red Cell Aplasia.. ASH ANNUAL MEETING ABSTRACTS
104: 3845-3845
[Abstract]
Leung, W., Iyengar, R., Turner, V., Lang, P., Bader, P., Conn, P., Niethammer, D., Handgretinger, R.
(2004). Determinants of Antileukemia Effects of Allogeneic NK Cells. J. Immunol.
172: 644-650
[Abstract][Full Text]
Masci, A. M., Palmieri, G., Vitiello, L., Montella, L., Perna, F., Orlandi, P., Abbate, G., Zappacosta, S., De Palma, R., Racioppi, L.
(2003). Clonal expansion of CD8+ BV8 T lymphocytes in bone marrow characterizes thymoma-associated B lymphopenia. Blood
101: 3106-3108
[Abstract][Full Text]
Greer, J. P., Kinney, M. C., Loughran, T. P. Jr.
(2001). T Cell and NK Cell Lymphoproliferative Disorders. ASH Education Book
2001: 259-281
[Abstract][Full Text]
Zambello, R., Trentin, L., Facco, M., Siviero, M., Galvan, S., Piazza, F., Perin, A., Agostini, C., Semenzato, G.
(2000). Analysis of TNF-receptor and ligand superfamily molecules in patients with lymphoproliferative disease of granular lymphocytes. Blood
96: 647-654
[Abstract][Full Text]
Young, N. S., Abkowitz, J. L., Luzzatto, L.
(2000). New Insights into the Pathophysiology of Acquired Cytopenias. ASH Education Book
2000: 18-38
[Abstract][Full Text]
Nathan, D. G., Sieff, C. A., Zimmer, J., Regele, D., de la Salle, H., Handgretinger, R., Fisch, P.
(1999). Pure Red-Cell Aplasia. NEJM
340: 2004-2005
[Full Text]
Raulet, D. H.
(1999). Does a Low Level of Expression of HLA Molecules Engender Autoimmunity?. NEJM
340: 314-315
[Full Text]