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184          PART ONE  Principles of Immune Response



         TABLE 12.1  Phenotypes Associated With Deficient Function of Selected T-Cell
         Signaling Molecules

                                                                               PHENOTYPE
          Molecule             Affected Signaling Event  Mouse                  Human
          TCR Signaling
                                                        + +
          CD3 γ                TCR expression          B T NK  SCID             B T NK  SCID
                                                            +
                                                                                     +
                                                                                 + +
                                                                                 + +/−
          CD3 ε                TCR expression          B T NK  SCID             B T NK  SCID
                                                           +
                                                        + -
                                                                                      +
                                                                                 + -
                                                           +
                                                        + -
          CD3 δ                TCR expression          B T NK  SCID             B T NK  SCID
                                                                                     +
                                                                                     +
                                                            +
                                                        + +
                                                                                 + +
          CD3 ζ                TCR expression, TCR-mediated   B T NK  SCID      B T NK  SCID
                                PTK activation
                                                        + +/−
                                                            +
                                                                                 + +/−
                                                                                      +
          ZAP-70               TCR-mediated PTK activation  B T NK  SCID. TCRαβ T cells are   B T NK  SCID. CD8 T cell lymphopenia.
                                                        absent, but TCRγδ T cells   Overexpressed in some hematological
                                                        survive. Arthritis occurs in some   malignancies
                                                        inbred strains
                                                                                     +
                                                            +
                                                        + +/−
                                                                                 + +
          LCK                  TCR-mediated PTK activation  B T NK  SCID. Impaired   B T NK  SCID. CD4 lymphopenia, absent CD28
                                                        thymopoiesis and proliferation  expression on CD8 T cells, and
                                                                                 hypogammaglobulinemia
                                                                                 + +/−
                                                        + +/−
                                                                                      +
                                                            +
          CD45                 Maintenance of SRC family PTK   B T NK  SCID. Impaired   B T NK  SCID. Impaired thymopoiesis,
                                in “open” conformation  thymopoiesis             decreased cytotoxic T-cell responses,
                                                                                 progressive hypogammaglobulinemia, genetic
                                                                                 polymorphisms may correlate with increased
                                                                                 prevalence of autoimmune disease
          SAP                  SHP-2 binding to SLAM   Increased susceptibility to   X-linked lymphoproliferative disease (XLP) with
                                                        lymphocytic choriomeningitis   B-cell hyperresponsiveness, NKT cell
                                                        virus, reduced IgE production,   deficiency
                                                        NKT cell deficiency
          WASP                 Actin polymerization    Decreased T-cell proliferation and   Wiscott-Aldrich syndrome (immunodeficiency,
                                                        interleukin-2 (IL-2) production  atopic dermatitis, thrombocytopenia, bloody
                                                                                 diarrhea)
          CBL/CBL-b*           E3 ubiquitin ligase. Recruitment   Hyperproliferative T cells*  Proto-oncogene for leukemia
                                of CrKL/C3G inhibitory complex
                                                           +
          LAT                  Coupling PTK activation to   B T NK  SCID. Absolute block in
                                                        + -
                                downstream signals      thymopoiesis
                                                           +
          SLP-76               Coupling PTK activation to   B T NK  SCID. Absolute block in
                                                        + -
                                downstream signals      thymopoiesis. Defect in vascular/
                                                        lymphatic development
          ITK/RLK              Amplification of proximal PTK   Defective Th2 immune responses
                                signals. Activation of PLC-γ1
          CTLA-4               Inhibition of CD28-mediated   Fatal lymphoproliferative disease   Allelic variants associated with autoimmunity,
                                costimulation           with myocarditis, pancreatitis  including Hashimoto thyroiditis, Graves
                                                                                 disease, and systemic lupus erythematosus
          SHP-1                Downregulation of PTK activity  Autoimmunity, inflammatory lung
                                                        disease. “Moth-eaten” mice
          LYP (Lymphoid phosphatase;  Attenuation of LCK activity  Augmented TCR-stimulated IL-2   Allelic variants are associated with increased
           PTPn22 gene product)                         production and proliferation  risk of rheumatoid arthritis, systemic lupus
                                                                                 erythematosus, type 1 diabetes mellitus
          DGKζ                 Downregulation of DAG-  Impaired T-cell anergy induction
                                dependent Ras activation
          Mst1 (STK4)          Suppression of Akt,     Inefficient thymic egress; impaired  Recurrent infections; progressive loss of
                                phosphorylation of FoxO   positive selection; impaired Treg   peripheral CD4 T cells; autoimmune hemolytic
                                transcription factor    development and function  anemia
          IL-2R Signaling
                                                                                     -
                                                            −
                                                                                 + −
          γc                   Coupling IL-2 binding to JAK   B T NK  SCID      B T NK  SCID, X-linked SCID
                                                        + −
                                activation
                                                        + −
          JAK3                 Phosphorylation of STAT   B T NK  SCID           B T NK  SCID
                                                                                 + −
                                                                                     −
                                                            -
                                proteins
        γc, common γ-chain (IL2Rγ); IgE, immunoglobulin E; NK, natural killer; SCID, severe combined immunodeficiency; TCR, T-cell receptor.
        *CBL and CBL-b are closely related; CBL-b-deficient mice develop autoimmune features and more severe lymphoproliferative disease compared with mice lacking CBL.
        for their function (Fig. 12.2). These include an amino-terminal   carboxyl-terminal tyrosine residue. The precise mechanism
        myristoylation sequence that directs membrane localization, a   whereby LCK and FYN are stimulated by the TCR is not clear,
        SRC homology 3 (SH3) domain that permits associations with   but both have been shown to associate physically with TCR CD3
        other proteins containing regions rich in proline residues, a SRC   components and/or coreceptors CD4 and CD8.
        homology 2 (SH2) domain that dictates interactions with proteins   SRC family PTK enzymatic function is regulated, in part, by
        phosphorylated on tyrosine residues, a catalytic region, and a   the state of tyrosine phosphorylation of the kinase. When the
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