%0 Journal Article %T Modification of cellular and humoral immunity by somatically reverted T cells in X-linked lymphoproliferative syndrome type 1 %A Akihiro Hoshino %A Hirokazu Kanegane %A Hiroko Tanaka %A Hisanori Fujino %A Kay Tanita %A Kenichi Chiba %A Kenichi Yoshida %A Koichi Ohshima %A Kumiko Goi %A Naonori Nishida %A Satoru Miyano %A Seiji Kojima %A Seishi Ogawa %A Takeyuki Kanzaki %A Tomohiro Morio %A Toshiaki Ono %A Xi Yang %A Yuichi Shiraishi %A Yusuke Okuno %J Journal of Allergy and Clinical Immunology %D 2019 %R 10.1016/j.jaci.2018.07.044 %X Human SH2D1A mutations resulting in X-linked lymphoproliferative syndrome type 1 (XLP1) are associated with a unique susceptibility to the EBV. This susceptibility is attributed to impaired activation and cytotoxicity of CD8+ T cells by antigen-presenting B cells but not by other antigen-presenting cells.1 Impaired function of CD4+ T cells contributes to humoral immunodeficiency independent of EBV infection.2 In clinical situations, fatal infectious mononucleosis (FIM)/hemophagocytic lymphohistiocytosis (HLH) have high mortality rates, and hematopoietic stem cell transplantation (HSCT) is the only curative therapy. %U https://www.jacionline.org/article/S0091-6749(18)31288-0/abstract