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Updated: Jul 12, 2025

Assessment of Lymphocyte Migration in an Ex Vivo Transmigration System
Published on: September 20, 2019
DOK3 promotes atopic dermatitis by enabling the phosphatase PP4C to inhibit the T cell signaling mediator CARD11
Jia Tong Loh1,2, Joey Kay Hui Teo1, Srinivasaraghavan Kannan3
1Singapore Immunology Network (SIgN), Agency for Science, Technology and Research (A*STAR), 8A Biomedical Grove, Immunos, Singapore 138648, Republic of Singapore.
Insights
The docking protein DOK3 suppresses CARD11 activity, worsening atopic dermatitis. Inhibiting DOK3 enhances T cell signaling and protects against skin inflammation, suggesting DOK3 as a therapeutic target.
Area of Science:
- Immunology
- Dermatology
- Molecular Biology
Background:
- CARD11 scaffolding protein is crucial for lymphocyte antigen receptor signaling.
- CARD11 mutations link to atopic dermatitis with impaired T cell signaling and type 2 helper T cell skewing.
Purpose of the Study:
- To investigate the role of docking protein DOK3 in atopic dermatitis pathogenesis.
- To elucidate the mechanism by which DOK3 influences CARD11 activity and T cell signaling.
Main Methods:
- Studied DOK3-CARD11 interaction and DOK3's effect on CARD11 phosphorylation in T cells.
- Utilized knockout mouse models to assess the impact of Dok3 deletion on T cell function and skin inflammation.
- Analyzed DOK3 and IFNG expression in T cells from atopic dermatitis patients.
Main Results:
- DOK3 suppresses CARD11 activity by recruiting protein phosphatase 4, dampening downstream signaling.
- Dok3 knockout enhanced T cell IFN-γ production and protected against experimental atopic dermatitis.
- Increased DOK3 expression and decreased IFNG expression were observed in T cells from atopic dermatitis patients.
- Certain CARD11 mutations in patients showed stronger binding to DOK3.
Conclusions:
- DOK3 plays a key role in atopic dermatitis by inhibiting CARD11 signaling.
- The strength of DOK3-CARD11 interaction may predispose individuals to atopic dermatitis.
- Targeting DOK3 could be a potential therapeutic strategy for atopic dermatitis.
Abstract:
The scaffolding protein CARD11 is a critical mediator of antigen receptor signaling in lymphocytes. Hypomorphic (partial loss-of-function) mutations in CARD11 are associated with the development of severe atopic dermatitis, in which T cell receptor signaling is reduced and helper T cell differentiation is skewed to an allergy-associated type 2 phenotype. Here, we found that the docking protein DOK3 plays a key role in the pathogenesis of atopic dermatitis by suppressing CARD11 activity. DOK3 interacted with CARD11 and decreased its phosphorylation in T cells by recruiting the catalytic subunit of protein phosphatase 4, thereby dampening downstream signaling. Knocking out Dok3 enhanced the production of the cytokine IFN-γ by T cells, which conferred protection against experimental atopic dermatitis-like skin inflammation in mice. The expression of DOK3 was increased in T cells isolated from patients with atopic dermatitis and inversely correlated with IFNG expression. A subset of hypomorphic CARD11 variants found in patients with atopic dermatitis bound more strongly than wild-type CARD11 to DOK3. Our findings suggest that the strength of the interaction of DOK3 with CARD11 may predispose individuals to developing atopic dermatitis.
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