Abstract
X-linked lymphoproliferative disease (Duncan's Disease) was first encountered by David T. Purtilo in 1969. The first communication describing the disease was published in 1975. In 1989 the disease locus was mapped to Xq25. Ten years later the gene (SH2D1A, SAP, DSHP), which is absent or mutated in XLP patients was identified. Since that the protein crystal structure of this small, SH2-domain containing protein has been solved, target molecules of the protein have been identified, physiological and pathological protein/protein interactions have been characterized, and the mouse model of the gene mutation has been developed. That said, a complete understanding of the function of the normal SH2D1A protein in immunoregulation and of the altered immune responses in XLP patients is not yet at hand. Therein lies the legacy of Purtilo's discovery for, as with other primary immunodeficiencies, these "experiments of nature" offer a window on the beauty of the immune system. In due course, the manner by which this gene orchestrates an elegant response (akin to a Mozart divertimento) to EBV infection shall be defined.
Publication types
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Research Support, Non-U.S. Gov't
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Research Support, U.S. Gov't, P.H.S.
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Review
MeSH terms
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Animals
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Antigens, CD
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B-Lymphocytes / metabolism
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B-Lymphocytes / pathology
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B-Lymphocytes / virology
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Carrier Proteins / chemistry
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Carrier Proteins / genetics*
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Carrier Proteins / physiology
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DNA Mutational Analysis
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DNA-Binding Proteins / metabolism
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Epstein-Barr Virus Infections / pathology*
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Glycoproteins / physiology
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Humans
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Immunoglobulins / physiology
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Intracellular Signaling Peptides and Proteins*
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Killer Cells, Natural / metabolism
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Lymphoproliferative Disorders / genetics*
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Mice
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Mice, Knockout
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Multigene Family
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Mutation
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Phosphoproteins / metabolism
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RNA-Binding Proteins / metabolism
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Receptors, Cell Surface
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Signal Transduction
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Signaling Lymphocytic Activation Molecule Associated Protein
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Signaling Lymphocytic Activation Molecule Family Member 1
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Structure-Activity Relationship
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T-Lymphocytes / immunology
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T-Lymphocytes / metabolism
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X Chromosome / genetics*
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src Homology Domains
Substances
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Antigens, CD
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Carrier Proteins
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DNA-Binding Proteins
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DOK1 protein, human
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Dok1 protein, mouse
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GAP-associated protein p62
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Glycoproteins
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Immunoglobulins
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Intracellular Signaling Peptides and Proteins
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Phosphoproteins
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RNA-Binding Proteins
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Receptors, Cell Surface
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SH2D1A protein, human
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Sh2d1a protein, mouse
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Signaling Lymphocytic Activation Molecule Associated Protein
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Signaling Lymphocytic Activation Molecule Family Member 1