Notarangelo Luigi D, Kim Min-Sung, Walter Jolan E, Lee Yu Nee
Division of Immunology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.
Laboratory of Molecular Biology, National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), National Institutes of Health, Bethesda, Maryland 20892, USA.
Nat Rev Immunol. 2016 Apr;16(4):234-46. doi: 10.1038/nri.2016.28. Epub 2016 Mar 21.
The recombination-activating gene 1 (RAG1) and RAG2 proteins initiate the V(D)J recombination process, which ultimately enables the generation of T cells and B cells with a diversified repertoire of antigen-specific receptors. Mutations of the RAG genes in humans are associated with a broad spectrum of clinical phenotypes, ranging from severe combined immunodeficiency to autoimmunity. Recently, novel insights into the phenotypic diversity of this disease have been provided by resolving the crystal structure of the RAG complex, by developing novel assays to test recombination activity of the mutant RAG proteins and by characterizing the molecular and cellular basis of immune dysregulation in patients with RAG deficiency.
重组激活基因1(RAG1)和RAG2蛋白启动V(D)J重组过程,这最终使得能够产生具有多样化抗原特异性受体库的T细胞和B细胞。人类RAG基因的突变与广泛的临床表型相关,从严重联合免疫缺陷到自身免疫。最近,通过解析RAG复合物的晶体结构、开发新的检测方法来测试突变RAG蛋白的重组活性以及表征RAG缺陷患者免疫失调的分子和细胞基础,对这种疾病的表型多样性有了新的认识。