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Updated: Jun 14, 2026

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Engineering Oncogenic Heterozygous Gain-of-Function Mutations in Human Hematopoietic Stem and Progenitor Cells
Published on: March 10, 2023
Deleterious germline CARD11 gain-of-function variants alter human B-cell and CD4+ T-cell differentiation and function
Tina Nguyen1,2, Melissa A Kallarakal3, Jackie L Ludgate4
1Garvan Institute of Medical Research, Darlinghurst, NSW, Australia.
Clinical and Experimental Immunology
|June 12, 2026
Summary
Gain-of-function variants in CARD11 impact both B and T cell functions, revealing new insights into immune disorders and potential therapeutic targets for CARD11-related diseases.
Area of Science:
- Immunology
- Molecular Biology
- Genetics
Background:
- CARD11 is a crucial scaffold protein in hematopoietic cells, regulating key signaling pathways in B and T cells.
- Gain-of-function (GOF) CARD11 variants cause immune dysfunction, leading to infections, B-cell expansion, and lymphoma risk.
- Previous research focused on B-cell defects, leaving T-cell contributions of CARD11 GOF variants unexplored.
Purpose of the Study:
- To investigate the impact of increased CARD11 activity on adaptive lymphocyte development, maturation, activation, differentiation, and effector functions.
- To analyze ex vivo immunophenotyping and in vitro data from individuals with monoallelic CARD11 GOF variants.
Main Methods:
- Detailed ex vivo immunophenotyping of adaptive lymphocytes.
- In vitro functional assays.
- Analysis of individuals with monoallelic CARD11 GOF variants.
Main Results:
- CARD11 is intrinsically required for the activation, differentiation, and effector functions of human naive B cells.
- Contrary to prior studies, CARD11 activity is essential for CD4+ T-cell homeostasis.
- CARD11 plays a significant role in both humoral immunity and T-cell function.
Conclusions:
- Findings elucidate disease pathogenesis mechanisms for CARD11 GOF and loss-of-function (LOF) variants.
- The study identifies potential therapeutic strategies for CARD11 GOF-related disorders.
- Highlights the dual role of CARD11 in both B and T cell-mediated immunity.
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