Person:
Varela Peña, Pilar

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First Name
Pilar
Last Name
Varela Peña
Affiliation
Universidad Complutense de Madrid
Faculty / Institute
Medicina
Department
Area
Inmunología
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UCM identifierScopus Author IDDialnet ID

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    A Point Mutation in a Domain of Gamma Interferon Receptor 1 Provokes Severe Immunodeficiency
    (Clinical and Diagnostic Laboratory Immunology, 2001) Allende Martínez, Luis Miguel; López Goyanes, Alberto; Paz Artal, Estela Natividad; Corell, Alfredo; García Pérez, Miguel Ángel; Varela Peña, Pilar; Scarpellini, Atilio; Negreira, Sagrario; Palenque Mataix, Elia; Arnaiz Villena, Antonio
    Gamma interferon (IFN-γ) and the cellular responses induced by it are essential for controlling mycobacterial infections. Most patients bearing an IFN-γ receptor ligand-binding chain (IFN-γR1) deficiency present gross mutations that truncate the protein and prevent its expression, giving rise to severe mycobacterial infections and, frequently, a fatal outcome. In this report a new mutation that affects the IFN-γR1 ligand-binding domain in a Spanish patient with mycobacterial disseminated infection and multifocal osteomyelitis is characterized. The mutation generates an amino acid change that does not abrogate protein expression on the cellular surface but that severely impairs responses after the binding of IFN-γ (CD64 and HLA class II induction and tumor necrosis factor alpha and interleukin-12 production). A patient's younger brother, who was also probably homozygous for the mutation, died from meningitis due to Mycobacterium bovis. These findings suggest that a point mutation may be fatal when it affects functionally important domains of the receptor and that the severity is not directly related to a lack of IFN-γ receptor expression. Future research on these nontruncating mutations will make it possible to develop new therapeutical alternatives in this group of patients.