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pubmed-article:8608639pubmed:abstractTextSusceptibility to herpes virus infections has been described in experimental animals depleted of NK cells and in patients with defective NK cell function. We have identified a child with recurrent infections, especially with herpes simplex virus, who had a decreased number of CD56(+)CD3(-) NK cells in circulation. Her NK cells expressed an altered form of the Fc receptor for IgG type IIIA (Fc gamma RIIIA or CD16-II) which was not reactive with the anti-CD16-II MoAb B73.1. Sequence analysis revealed the patient to be homozygous for a T to A substitution at position 230 of CD16-II cDNA, predicting a Leu(66) to His(66) change in the first immunoglobulin domain of CD16-II at the B73.1 recognition site. Spontaneous NK cell activity of the patient's peripheral blood mononuclear cells (PBMC) was markedly decreased, while antibody-dependent cellular cytotoxicity (ADCC) was unaffected. These results suggest that this child suffers from a defect affecting the development and function of NK cells, resulting in NK cytopenia and clinically significant immunodeficiency. The role of the CD16-II mutant in the pathogenesis of the patient's NK cell deficiency is discussed.lld:pubmed
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pubmed-article:8608639pubmed:articleTitleNatural Killer (NK) cell deficiency associated with an epitope-deficient Fc receptor type IIIA (CD16-II).lld:pubmed
pubmed-article:8608639pubmed:affiliationDivision of Immunology, The Children's Hospital, Boston, MA, USA.lld:pubmed
pubmed-article:8608639pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:8608639pubmed:publicationTypeResearch Support, U.S. Gov't, P.H.S.lld:pubmed
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