Document 0079 DOCN M9470079 TI Coordinate defects in human histocompatibility leukocyte antigen class II expression and antigen presentation in bare lymphocyte syndrome. DT 9409 AU Kovats S; Drover S; Marshall WH; Freed D; Whiteley PE; Nepom GT; Blum JS; Immunology and Diabetes Programs, Virginia Mason Research Center,; Seattle, Washington 98101. SO J Exp Med. 1994 Jun 1;179(6):2017-22. Unique Identifier : AIDSLINE MED/94253742 AB The human immunodeficiency, type II bare lymphocyte syndrome (BLS), has been attributed to a defect in the transcription of class II histocompatibility genes. Immunocompetence, as assessed by functional exogenous antigen presentation, was not restored in immortalized B cells, derived from a BLS patient, after transfection with HLA-DR class II structural genes. Incubation of protein antigens, as well as infectious virus, with DR-transfected BLS cells failed to induce activation of antigen-specific helper T lymphocytes. Peptide antigens were presented by class II molecules displayed on BLS cells, although the conformation of these class II proteins was altered as indicated by epitope mapping. This defect in antigen presentation was independent of the specific class II DR allele transfected into BLS cells. Genetic complementation analysis has been used with BLS cells to demonstrate that the defect in class II gene transcription is linked to the absence of a trans-acting factor. Similarly, functional class II dimers were restored after in vitro fusion of cells derived from two distinct BLS complementation groups, implying that specific transcriptional control elements are shared by a gene critical for antigen presentation and genes encoding HLA class II antigens. Thus, two important functionally linked pathways of class II molecules, structural gene expression and antigen presentation, share a common regulatory pathway defective in BLS. DE Alleles Amino Acid Sequence Cell Fusion Cell Line Clone Cells *Gene Expression *Genes, MHC Class II Genes, Structural Genetic Complementation Test Human HLA-D Antigens/*BIOSYNTHESIS Immunologic Deficiency Syndromes/GENETICS/*IMMUNOLOGY Molecular Sequence Data Oligopeptides/CHEMICAL SYNTHESIS/IMMUNOLOGY Support, Non-U.S. Gov't Support, U.S. Gov't, P.H.S. T-Lymphocytes/*IMMUNOLOGY Transcription, Genetic Transfection JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).