Table I.
Affected cell/process | Defect (reference) |
---|---|
Common lymphoid precursor (CLP) | Decreased efficacy of differentiation (4) |
Early T cell progenitor (ETP) | Decreased efficacy of differentiation; decreased migration into the thymus? (4) |
Intrathymic maturation | Decreased IL-7 and c-kit production?; reduced VDJ recombination?; disorganized epithelial architecture; altered selection? (1, 4) |
Recent thymic emigrant production, migration, and/or peripheral seeding |
Reduced generation of new T cells; reduced ability of new T cells to populate periphery? (13) |
Naive T cell priming | Dendritic cell defects (impaired migration into draining lymph nodes; impaired antigen uptake and processing?; impaired maturation?) T cell defects (deficient synapse formation; diminished signaling along TCR and costimulatory pathways; reduced IL-2 production) (1, 2, 4) |
T cell homeostasis | Decrease in CD4/CD8 and naive/memory T cell ratios; accumulation of dysfunctional memory cells including T cell clonal expansions (1, 2, 4, 16) |