The Wiskott-Aldrich syndrome (WAS)
1 is an X-linked immune deficiency syndrome classically characterized by the triad of eczema, impaired cellular and humoral immunity, and thrombocytopenia
12. A multiplicity of hemopoietic cell defects have been described among the affected boys, but the most characteristic include impairment in T cell functions such as delayed hypersensitivity and response to allogeneic and mitogenic stimuli, as well as a marked reduction in platelet number, size, and response to agonist stimulation
345678. These abnormalities have, in turn, been shown to be associated with a spectrum of biochemical defects, most notably including impaired transduction of early activation signals through the antigen receptors on B and T lymphocytes and through the thrombin receptors on platelets
89101112. In addition, WAS patient lymphocytes and platelets manifest cytoskeletal abnormalities, as evidenced in lymphocytes by reduced numbers of surface microvilli projections and an aberrant pattern of actin reorganization after cell stimulation
1213; in platelets by altered cell size, shape, and filamentous (F)-actin content
511; and in monocytes by decreased chemotaxis and lack of polarization in response to chemoattractants
1415. In view of these observations, WAS has long been considered to reflect the sequela of a protein deficit that disrupts signaling pathways coupling extracellular stimuli to both cytoskeletal rearrangement and nuclear response. Data from X-inactivation studies have revealed the WAS defect to be expressed early in hemopoietic ontogeny
1617, and this finding, together with the immunophenotypic characteristics of WAS lymphocytes
18, the functional similarities between WAS B cells and neonatal, immature B cells
19, and the altered
O-glycosylation profile observed in WAS lymphocyte glycoproteins
202122, suggest that the WAS phenotype reflects impaired lymphocyte maturation as well as activation and structure.
The product of the WAS gene, WASp, has now been identified
23, and available data concerning the structural and biochemical properties of this cytosolic, hematopoietic-restricted protein are consistent with the hypothesized role for WASp in the regulation of cellular activation and cytoskeletal arrangement
232425. For example, the protein contains COOH-terminally located regions of homology with the cytoskeletal proteins cofilin and verprolin
2627 as well as a cdc42/Rac interactive binding motif that has been shown to mediate WASp binding to the activated form of cdc42
28. This latter Rho family GTPase has been implicated in the actin reorganization induced by fibroblast stimulation
29 and also in the polarization of the T cell cytoskeleton towards APCs
30. WASp has also been shown to colocalize with actin in T cells and megakaryocytes
31 and to be required for actin remodeling in some hemopoietic lineages
32. Similarly, the yeast WASp homologue, LAS17/Bee1, has been implicated in assembly of the cortical actin cytoskeleton
33; the WASp homologue, N-WASp, has been shown to participate in actin depolymerization and filopodium formation
34; and the WASp-related WASp family Verprolin homologous (WAVE) protein appears to be required for the coupling of Rac to actin rearrangements involved in membrane ruffling
35. These observations, together with data demonstrating that suppressor of cAR (SCAR1), another WASp family protein, as well as WASp itself interact with the actin-related protein (Arp2/3) complex and are involved in formation of platelet-derived growth factor–induced lamellipodia
3637, indicate a pivotal role for WASp in regulating actin organization and the cytoskeletal rearrangements induced by external stimuli.
In addition to its interactions with cdc42 and cytoskeletal components, WASp also contains a putative pleckstrin homology domain at its NH
2 terminus
38 and a proline-rich region which has been shown to interact with Nck, Fyn, and several other Src homology 3 (SH3) domain–containing proteins implicated in intracellular activation cascades
394041424344. These properties of WASp suggest that the functions subserved by this protein include not only cytoskeletal modification, but also intracellular transduction of activating signals. This latter contention is consistent with data demonstrating that antigen receptor–induced proliferation is impaired in WAS patients
910 as well as in WASp-deficient mice
45. At present, however, the mechanisms whereby WASp influences cell activation and structural arrangement are poorly understood. In this context, we have derived mice carrying a
WAS null allele and examined the effects of WASp deficiency on lymphocyte development and response to antigen receptor stimulation. Analyses of these
WAS−/− animals has provided definitive evidence of a critical role for WASp in coupling antigen receptor engagement to both receptor capping and endocytosis and to the signaling cascades that evoke proliferation, IL-2 production, and apoptosis. The data also reveal an important role for WASp in driving the development/expansion of mature peripheral T and B cells and in promoting the progression of immature thymocytes from the double-negative to the CD4
+CD8
+ double-positive stage. However, investigation of the signaling pathways downstream of TCR engagement indicate that early activation events such as tyrosine phosphorylation of ZAP70, TCR-ζ, and other cellular proteins, as well as activation of the mitogen-activated protein kinase (MAPK) and the stress-activated protein/c-Jun NH
2-terminal kinase (SAPK/JNK), are unaffected by WASp deficiency. Together, these observations identify WASp as a regulator of lymphocyte ontogeny, cytoskeletal structure, and activation and suggest that WASp effects on lymphocyte behavior are realized through modulation of the cytoskeletal processes governing antigen receptor rearrangement and terminal activation events such as proliferation and cytokine production.