Abstract
Disorders of the immune system leading to hypogammaglobulinemia are considered to be either primary defects in stem cell precursors of B lymphocytes or disorders in the maturation of B cells. In the X-linked form of immunodeficiency B cells are usually absent; however, patients with the form of immunodeficiency referred to as varied immunodeficiency (VID) have normal or slightly below-normal numbers of circulating B cells (Dickler et al, 1974; Geha et al, 1974; Cooper et al, 1975). In VID, reduced immunoglobulin (Ig) results from defects that may occur at various stages of B-cell maturation—from impaired differentiation of pre-B cells to defective terminal differentiation (Pearl et al, 1979). The failure of B cells to mature into Ig-secreting cells has been associated with different abnormalities, such as excessive suppressor-cell activity (Waldmann et al, 1974, 1976; Siegal et al, 1976, 1978), defective helper-cell activity (De La Concha et al, 1977; Siegal et al, 1978), presence of serum and tissue-fluid inhibitors (Geha et al, 1974; Waldmann et al, 1976), and inherent B-cell defects (Geha et al, 1974; Ciccimarra et al, 1976; De La Concha et al, 1977). Clearly, VID is heterogeneous with respect to its phenotypic features, its mechanism of defective B-cell synthesis, and its inheritance patterns.
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References
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Benedict, A.A., Gershwin, M.E., Abplanalp, H. (1981). Inherited Dysgammaglobulinemia of Chickens. In: Gershwin, M.E., Merchant, B. (eds) Immunologic Defects in Laboratory Animals 1. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-0325-2_7
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