Human lymphocyte antigen (HLA) class I proteins of the major histocomp
atibility complex are largely dependent for expression on small peptid
es supplied to them by transporter associated with antigen processing
(TAP) protein. An inherited human deficiency in the TAP transporter wa
s identified in two siblings suffering from recurrent respiratory bact
erial infections. The expression on the cell surface of class I protei
ns was very low, whereas that of CD1a was normal, and the cytotoxicity
of natural killer cells was affected. In addition, CD8(+) alpha beta
T cells were present in low but significant numbers and were cytotoxic
in the most severely affected sibling, who also showed an increase in
CD4(+)CD8(+) T cells and gamma delta T cells.