Abstract:
:X-linked lymphoproliferative syndrome (XLP) is a rare primary immunodeficiency characterized by increased vulnerability to Epstein-Barr virus infection. XLP type 1 is caused by mutations in SH2D1A, whereas X-linked inhibitor of apoptosis (XIAP) encoded by XIAP/BIRC4 is mutated in XLP type 2. In XIAP deficiency, hemophagocytic lymphohistiocytosis (HLH) occurs more frequently and recurrence is common. However, the underlying mechanisms remain mostly unknown. We describe the characteristics of the cytokine profiles of serum samples from 10 XIAP-deficient patients. The concentration of interleukin (IL)-18 was strikingly elevated in the patients presented with HLH, and remained high after the recovery from HLH although levels of other pro-inflammatory cytokines approached the normal range. Longitudinal examination of two patients demonstrated marked exacerbation of IL-18 levels during every occasion of HLH. These findings may suggest the association between HLH susceptibility and high serum IL-18 levels in XIAP deficiency.
journal_name
Cytokinejournal_title
Cytokineauthors
Wada T,Kanegane H,Ohta K,Katoh F,Imamura T,Nakazawa Y,Miyashita R,Hara J,Hamamoto K,Yang X,Filipovich AH,Marsh RA,Yachie Adoi
10.1016/j.cyto.2013.09.007subject
Has Abstractpub_date
2014-01-01 00:00:00pages
74-8issue
1eissn
1043-4666issn
1096-0023pii
S1043-4666(13)00685-6journal_volume
65pub_type
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