HUMAN SEVERE COMBINED IMMUNODEFICIENCY DUE TO A DEFECT IN ZAP-70, A T-CELL TYROSINE KINASE

A homozygous mutation in the kinase domain of ZAP-70, a T cell receptor-associated protein tyrosine kinase, produced a distinctive form of human severe combined immunodeficiency. Manifestations of this disorder included profound immunodeficiency, absence of peripheral CD8(+) T cells, and abundant peripheral CD4(+) T cells that were refractory to T cell receptor-mediated activation. These findings demonstrate that ZAP-70 is essential for human T cell function and suggest that CD4(+) and CD8(+) T cells depend on different intracellular signaling pathways to support their development or survival.