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The adaptive immune response, a sophisticated defense mechanism, relies on the activation and differentiation of B lymphocytes, or B cells. These processes enable our bodies to mount a tailored response against specific pathogens such as bacteria, free virus particles, toxins, and parasites.
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The T and B lymphocytes of the adaptive immune system develop from common lymphoid progenitor cells in the bone marrow. These progenitors give rise to precursors that eventually develop into both T and B lymphocytes. As these precursors mature, they gain the ability to detect and respond to foreign antigens in the body, a process known as immunocompetence. Additionally, these precursors acquire self-tolerance, a process that ensures they do not react to self-antigens. This intricate system...
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Antigen receptors are essential components of the immune system crucial in defending the body against foreign invaders. These receptors are present on the surface of B and T cells, enabling them to recognize antigens and mount an appropriate immune response.
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Decoding T and B cell dynamics in inborn errors of immunity: insights into immune dysfunction.

Canan Caka1, Gamze Sonmez2, Deniz Cagdas1,3,4

  • 1Division of Pediatric Immunology, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.

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Summary

Detailed analysis of T and B lymphocyte subsets in combined immunodeficiencies (CID) aids diagnosis. Understanding these lymphocyte dynamics is crucial for effective management of inborn errors of immunity (IEI).

Keywords:
T and B cell subgroupscombined immunodeficiencyearly diagnosishematopoietic stem cell transplantationimmune dysregulationinborn errors of immunity

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Area of Science:

  • Immunology
  • Genetics
  • Clinical Medicine

Background:

  • Inborn errors of immunity (IEI) present with altered T and B lymphocyte subsets, challenging early diagnosis.
  • Combined immunodeficiencies (CID) and related disorders are characterized by complex lymphocyte dynamics.

Purpose of the Study:

  • To review and synthesize current knowledge on T and B lymphocyte subgroup dynamics in IEI.
  • To highlight the role of flow cytometry in diagnosing and managing these disorders.

Main Methods:

  • Systematic literature review of studies published between 2000 and 2024.
  • Focus on flow cytometric profiling of T and B cell subpopulations in IEI.
  • Data extraction on immunophenotypic patterns, genetic defects, clinical phenotypes, and therapies.

Main Results:

  • Flow cytometry reveals quantitative and qualitative changes in naive, memory, and regulatory T and B cell subsets in IEI.
  • Correlations between immunophenotypic patterns and genetic defects/clinical phenotypes were analyzed.

Conclusions:

  • Detailed immunophenotyping can expedite IEI diagnosis and guide personalized treatment.
  • Barriers to implementation include assay standardization and access to technology.
  • Future research should integrate multi-omics and machine learning for improved diagnostic algorithms and patient outcomes.