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연세대학교 의과대학 Yonsei Medical Journal Yonsei Medical Journal 제60권 제10호
발행연도
2019.1
수록면
890 - 897 (8page)

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In 1993, I reported that Coxiella burnetii transforms human B cells into hairy cells (cbHCs), the first hairy cell reported outside ofhairy cell leukemia (HCL). Over last few decades, advances in molecular biology have provided evidence supporting that C. burnetiiinduces hairiness and inhibits the apoptosis of host cells. The present review summarizes new information in support ofcbHC. C. burnetii was shown to induce reorganization of the cytoskeleton and to inhibit apoptosis in host cells. Peritoneal B1acells were found to be permissive for virulent C. burnetii Nine Mile phase I (NMI) strains in mice. C. burnetii severely impaired Ecadexpression in circulating cells of Q fever patients. B-cell non-Hodgkin lymphoma was linked to C. burnetii. Mutation of BRAFV600E was pronounced in HCL, but “hairiness” was not linked to the mutation. Risk factors shared among coxiellosis and HCL inhumans and animals were reported in patients with Q-fever. Accordingly, I propose that C. burnetii induces reorganization of thecytoskeleton and inhibits apoptosis as cytopathic effects that are not target cell specific. The observed hairiness in cbHC appearsto be a fixed image of dynamic nature, and hairy cells in HCL are distinct among lymphoid cells in circulation. As the cytoskeletonplays key roles in maintaining cell structural integrity in health and disease, the pathophysiology of similar cytopathic effectsshould be addressed in other diseases, such as myopathies, B-cell dyscrasias, and autoimmune syndromes.

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