An inframe perforin gene deletion in familial hemophagocytic lymphohistiocytosis is associated with perforin expression - Université des Antilles
Journal Articles American Journal of Hematology Year : 2005

An inframe perforin gene deletion in familial hemophagocytic lymphohistiocytosis is associated with perforin expression

Shanmugakonar Muralitharan
  • Function : Author
Zakia Al Lamki
  • Function : Author
David Dennison
  • Function : Author
Brian Sidney Christie
  • Function : Author
Yasser A Wali
  • Function : Author
Mathew Zachariah
  • Function : Author
Riad Bayoumi
  • Function : Author

Abstract

Familial hemophagocytic lymphohistiocytosis is an autosomal recessive disease of early childhood manifested by hypercytokinemia and organ infiltration of macrophages and activated lymphocytes, and it is characterized by a fulminant clinical course. The molecular mechanism underlying this disease appears to be a deregulation of apoptosis of activated T cells and macrophages. Approximately 20-40% of patients with familial hemophagocytic lymphohistiocytosis reported worldwide had a perforin gene mutation. We report herein a novel perforin variant in the homozygous state in an Omani boy who was diagnosed 44 days after birth. Sequence analysis of the perforin gene coding region revealed a 12-base pair deletion (codon 284-287) resulting in the deletion of four amino acids in the membrane attack complex domain of the protein. This deletion maintains the reading frame of the perforin mRNA. Both parents were heterozygotes for this molecular defect. Flow-cytometric analysis revealed intracellular perforin expression at the lower end of the normal range in the cytotoxic T cells (CD3+/CD8+) and (CD3+/CD56+) and in around 50% of the natural killer cells (CD3-/CD56+). This is an additional example of a perforin variant which is associated with a significant level of cellular perforin expression and thus confirms that drastic reduction in its expression is not a constant feature in familial hemophagocytic lymphohistiocytosis type 2.

Domains

Human genetics

Dates and versions

hal-03265337 , version 1 (23-06-2021)

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Cite

Shanmugakonar Muralitharan, Zakia Al Lamki, David Dennison, Brian Sidney Christie, Yasser A Wali, et al.. An inframe perforin gene deletion in familial hemophagocytic lymphohistiocytosis is associated with perforin expression. American Journal of Hematology, 2005, 78 (1), pp.59-63. ⟨10.1002/ajh.20256⟩. ⟨hal-03265337⟩
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