Hemophagocytic lymphohistiocytosis (HLH) and Langerhans cell histiocytosis (LCH) are members of a group of rare heterogenous disorders, the histiocytoses, characterized by uncontrolled accumulation of pleomorphic infiltrates of leukocytes. The etiology of these diseases is mainly unknown. CD45 is a hemopoietic cell specific tyrosine phosphatase essential for antigen receptor mediated signaling in lymphocytes and different patterns of CD45 splicing are associated with distinct functions. Recently a polymorphism (C77G) in exon 4 of CD45 causing abnormal CD45 splicing and a point mutation affecting CD45 dimerization were implicated in multiple sclerosis in humans and lymphoproliferation and autoimmunity in mice respectively. Here we show that two patients with HLH exhibited abnormal CD45 splicing caused by the C77G variant allele, while a further 21 HLH patients have normal CD45. We have also examined 62 LCH patients and found three to have the C77G mutation.
Peripheral blood thymus-derived (T) CD8ϩ cells from normal individuals carrying the C77G mutation show a significant decrease in the proportion of cells expressing L-selectin and increased frequency of cells with LFA-1 hi expression. It remains to be established whether C77G is a contributing factor in these histiocytic disorders. The leukocyte common antigen CD45 is an abundant tyrosine phosphatase, essential for lymphocyte antigen receptor signal transduction (1). Both CD45 knockout mice (2, 3) and humans lacking CD45 expression (4, 5) are severely immunodeficient with very few peripheral T lymphocytes and impaired T and B cell responses.Multiple CD45 isoforms can be generated by alternative splicing of exons A, B, and C of the extracellular domain (6, 7). In humans naïve T cells express high molecular weight CD45 isoforms, recognized by CD45RA MAb ("CD45RA" cells), but activation of the cells results in a change to expression of low molecular weight isoforms, detected by a CD45R0 MAb ("CD45R0" or memory cells) (8). Paragraph deleted. Several polymorphisms of the gene encoding CD45 (PTPRC at 1q31-32) have been described and several of these cause altered splicing (9 -14).The C77G polymorphism (9 -12) has been linked to the development of multiple sclerosis in German (15)