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Publication : Chromothriptic cure of WHIM syndrome.

First Author  McDermott DH Year  2015
Journal  Cell Volume  160
Issue  4 Pages  686-99
PubMed ID  25662009 Mgi Jnum  J:219886
Mgi Id  MGI:5629905 Doi  10.1016/j.cell.2015.01.014
Citation  McDermott DH, et al. (2015) Chromothriptic cure of WHIM syndrome. Cell 160(4):686-99
abstractText  Chromothripsis is a catastrophic cellular event recently described in cancer in which chromosomes undergo massive deletion and rearrangement. Here, we report a case in which chromothripsis spontaneously cured a patient with WHIM syndrome, an autosomal dominant combined immunodeficiency disease caused by gain-of-function mutation of the chemokine receptor CXCR4. In this patient, deletion of the disease allele, CXCR4(R334X), as well as 163 other genes from one copy of chromosome 2 occurred in a hematopoietic stem cell (HSC) that repopulated the myeloid but not the lymphoid lineage. In competitive mouse bone marrow (BM) transplantation experiments, Cxcr4 haploinsufficiency was sufficient to confer a strong long-term engraftment advantage of donor BM over BM from either wild-type or WHIM syndrome model mice, suggesting a potential mechanism for the patient's cure. Our findings suggest that partial inactivation of CXCR4 may have general utility as a strategy to promote HSC engraftment in transplantation.
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