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Patients with X-Linked Lymphoproliferative Syndrome Type 1 (XLP1) Have Mutations γ\gamma

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Patients with X-linked lymphoproliferative syndrome type 1 (XLP1) have mutations in the SLAM-family adapter protein, SAP. These patients suffer from an inability to control infections of the herpesvirus Epstein-Barr virus (EBV) that infects B cells. Studies have been done using peripheral blood T cells from these patients to examine their response to EBV in comparison to the responses of normal individuals (EBV-infected) as controls. These data were obtained by ELISPOT analysis, to quantify the numbers of IFN- γ\gamma -producing CD8 T cells per million peripheral blood leukocytes in response to several EBV peptides, indicated as peptide 1, 2, 3, or 4 (note: the patients and controls were matched for HLA class I molecules) .
 Patients with X-linked lymphoproliferative syndrome type 1 (XLP1)  have mutations in the SLAM-family adapter protein, SAP. These patients suffer from an inability to control infections of the herpesvirus Epstein-Barr virus (EBV)  that infects B cells. Studies have been done using peripheral blood T cells from these patients to examine their response to EBV in comparison to the responses of normal individuals (EBV-infected)  as controls. These data were obtained by ELISPOT analysis, to quantify the numbers of IFN- \gamma -producing CD8 T cells per million peripheral blood leukocytes in response to several EBV peptides, indicated as peptide 1, 2, 3, or 4 (note: the patients and controls were matched for HLA class I molecules) .     These results indicate that: A)  XLP patients have a defect in priming CD8 T cell responses following EBV infection. B)  XLP patients require IFN- \gamma  production to kill EBV-infected B cells. C)  XLP patients have normal CD8 effector cell priming following EBV infection. D)  XLP patients have a defect in cytotoxicity by NK cells rather than by CD8 T cells. E)  XLP patients have no defect in cytotoxicity by CD8 T cells.
These results indicate that:


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