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Human PIK3R1 mutations disrupt lymphocyte differentiation to cause activated PI3Kδ syndrome 2
Tina Nguyen1,2, Anthony Lau1,2, Julia Bier1,2
1Garvan Institute of Medical Research , Darlinghurst, Australia.
The Journal of Experimental Medicine
|March 21, 2023
Summary
Loss-of-function mutations in PIK3R1 cause APDS2, impacting B cell and Tfh cell function differently than APDS1. This study reveals unique cellular defects and signaling alterations in PIK3R1 loss-of-function.
Area of Science:
- Immunology
- Genetics
- Molecular Biology
Background:
- Activated PI3Kδ syndrome 2 (APDS2) arises from PIK3R1 loss-of-function (LOF) mutations, presenting clinically similar to APDS1 caused by PIK3CD gain-of-function (GOF) mutations.
- While PIK3CD GOF effects on immune dysregulation are known, the cellular consequences of PIK3R1 LOF remain less understood.
Purpose of the Study:
- To elucidate the cellular and signaling alterations caused by PIK3R1 LOF mutations.
- To compare the cellular defects in APDS2 with those in APDS1.
Main Methods:
- Utilized a novel CRISPR/Cas9 mouse model.
- Analyzed immune cells from patients with APDS2.
- Investigated signaling pathway alterations.
Main Results:
- Observed shared defects in B cell class switching and Tfh cell function between APDS1 and APDS2.
- Identified unique APDS2 phenotypes: impaired B cell expansion, affinity maturation post-immunization, and reduced pup survival.
- Demonstrated distinct signaling pathway modifications between PIK3R1 LOF and PIK3CD GOF.
Conclusions:
- PIK3R1 LOF causes distinct cellular and signaling defects compared to PIK3CD GOF, despite clinical similarities between APDS2 and APDS1.
- Highlights crucial differences in the molecular etiologies of these two related immune disorders.
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