PMID- 10340403 OWN - NLM STAT- MEDLINE DCOM- 19990607 LR - 20191024 IS - 0301-472X (Print) IS - 0301-472X (Linking) VI - 27 IP - 5 DP - 1999 May TI - Defective apoptosis due to a point mutation in the death domain of CD95 associated with autoimmune lymphoproliferative syndrome, T-cell lymphoma, and Hodgkin's disease. PG - 868-74 AB - Apoptosis via CD95 and its ligand is an important mechanism that prevents uncontrolled proliferation of activated lymphocytes and regulates lymphocyte homeostasis. The apoptosis receptor CD95 is a transmembrane protein with an intracellular domain well conserved between CD95 and tumor necrosis factor receptor I, another apoptosis-inducing protein. Because of its functional importance, this domain was designated the death domain. We describe the molecular analysis of the CD95 death domain in a family with autoimmune lymphoproliferative syndrome (Canale-Smith syndrome), T-cell lymphoma, and Hodgkin's disease. A functional defect in apoptosis was detected in cells from the index patient, a 5-year-old girl suffering from Canale-Smith syndrome and a T-cell lymphoma, as well as in her father, who had a history of splenomegaly and mild hemolysis, and her paternal uncle who had been cured of Hodgkin's disease (HD). Expansion of double-negative T cells (CD4-CD8-) was only seen in the index patient. All family members with a functional defect in apoptosis were heterozygous for a point mutation in the death domain of CD95 (A1009G, E256G). We conclude that, within the same family, a defect in apoptosis due to a mutation in the CD95 death domain can be associated with diverse clinical phenotypes, including mild, reversible symptoms and different malignancies. FAU - Peters, A M AU - Peters AM AD - University Children's Hospital Freiburg, Germany. peters@kklzoo.ukl.uni-freiburg.de FAU - Kohfink, B AU - Kohfink B FAU - Martin, H AU - Martin H FAU - Griesinger, F AU - Griesinger F FAU - Wormann, B AU - Wormann B FAU - Gahr, M AU - Gahr M FAU - Roesler, J AU - Roesler J LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - Exp Hematol JT - Experimental hematology JID - 0402313 RN - 0 (DNA Primers) RN - 0 (fas Receptor) SB - IM MH - Apoptosis/*genetics MH - Autoimmune Diseases/genetics/immunology/*pathology MH - Base Sequence MH - Child, Preschool MH - DNA Primers MH - Female MH - Hodgkin Disease/genetics/immunology/*pathology MH - Humans MH - Immunophenotyping MH - Lymphoma, T-Cell/genetics/immunology/*pathology MH - Lymphoproliferative Disorders/genetics/immunology/*pathology MH - Male MH - Pedigree MH - Point Mutation MH - fas Receptor/*genetics EDAT- 1999/05/26 00:00 MHDA- 1999/05/26 00:01 CRDT- 1999/05/26 00:00 PHST- 1999/05/26 00:00 [pubmed] PHST- 1999/05/26 00:01 [medline] PHST- 1999/05/26 00:00 [entrez] AID - S0301-472X(99)00033-8 [pii] AID - 10.1016/s0301-472x(99)00033-8 [doi] PST - ppublish SO - Exp Hematol. 1999 May;27(5):868-74. doi: 10.1016/s0301-472x(99)00033-8.