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Human Pik3r1 Mutations Disrupt Lymphocyte Differentiation to Cause Activated Pi3kδ Syndrome 2 Publisher Pubmed



Nguyen T1, 2 ; Lau A1, 2 ; Bier J1, 2 ; Cooke KC3 ; Lenthall H1 ; Ruizdiaz S1 ; Avery DT1 ; Brigden H1 ; Zahra D1 ; Sewell WA1, 2 ; Droney L4 ; Okada S5 ; Asano T5 ; Abolhassani H6, 7 Show All Authors
Authors
  1. Nguyen T1, 2
  2. Lau A1, 2
  3. Bier J1, 2
  4. Cooke KC3
  5. Lenthall H1
  6. Ruizdiaz S1
  7. Avery DT1
  8. Brigden H1
  9. Zahra D1
  10. Sewell WA1, 2
  11. Droney L4
  12. Okada S5
  13. Asano T5
  14. Abolhassani H6, 7
  15. Chavoshzadeh Z8
  16. Abraham RS9
  17. Rajapakse N10
  18. Klee EW11
  19. Church JA12, 13
  20. Williams A14, 15, 20
  21. Wong M14, 15, 16
  22. Burkhart C17
  23. Uzel G18
  24. Croucher DR1, 2
  25. James DE3, 19
  26. Ma CS1, 2, 14
  27. Brink R1, 2
  28. Tangye SG1, 2, 14
  29. Deenick EK1, 2, 14
Show Affiliations
Authors Affiliations
  1. 1. Garvan Institute of Medical Research, Darlinghurst, Australia
  2. 2. School of Clinical Medicine, Faculty of Medicine and Health, University of New South Wales Sydney, Kensington, Australia
  3. 3. Charles Perkins Centre, School of Life and Environmental Sciences, University of Sydney, Sydney, Australia
  4. 4. Department of Clinical Immunology, Royal Brisbane and Women’s Hospital, Brisbane, Australia
  5. 5. Department of Pediatrics, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
  6. 6. Department of Biosciences and Nutrition, Division of Clinical Immunology, Karolinska University Hospital Huddinge, Karolinska Institutet, Stockholm, Sweden
  7. 7. Research Center for Immunodeficiencies, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran
  8. 8. Pediatric Infections Research Center, Mofid Children’s Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  9. 9. Department of Pathology and Laboratory Medicine, Nationwide Children’s Hospital, Columbus, OH, United States
  10. 10. Department of Pediatric and Adolescent Medicine, Division of Pediatric Infectious Diseases, Mayo Clinic, Rochester, MN, United States
  11. 11. Center for Individualized Medicine, Mayo Clinic, Rochester, MN, United States
  12. 12. Division of Clinical Immunology and Allergy, Children’s Hospital of Los Angeles, Los Angeles, CA, United States
  13. 13. Keck School of Medicine, University of Southern California, Los Angeles, CA, United States
  14. 14. Clinical Immunogenomics Research Consortium Australasia, Sydney, Australia
  15. 15. Children’s Hospital at Westmead, Westmead, Australia
  16. 16. Faculty of Medicine, University of Sydney, Sydney, Australia
  17. 17. Novartis Institutes for Biomedical Research, Novartis Pharma AG, Basel, Switzerland
  18. 18. Laboratory of Clinical Immunology and Microbiology, National Institutes of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, United States
  19. 19. School of Medical Sciences, University of Sydney, Sydney, Australia
  20. 20. Central Clinical School, University of Sydney, Sydney, Australia

Source: Journal of Experimental Medicine Published:2023


Abstract

Heterozygous loss-of-function (LOF) mutations in PIK3R1 (encoding phosphatidylinositol 3-kinase [PI3K] regulatory subunits) cause activated PI3Kδ syndrome 2 (APDS2), which has a similar clinical profile to APDS1, caused by heterozygous gain-offunction (GOF) mutations in PIK3CD (encoding the PI3K p110δ catalytic subunit). While several studies have established how PIK3CD GOF leads to immune dysregulation, less is known about how PIK3R1 LOF mutations alter cellular function. By studying a novel CRISPR/Cas9 mouse model and patients’ immune cells, we determined how PIK3R1 LOF alters cellular function. We observed some overlap in cellular defects in APDS1 and APDS2, including decreased intrinsic B cell class switching and defective Tfh cell function. However, we also identified unique APDS2 phenotypes including defective expansion and affinity maturation of Pik3r1 LOF B cells following immunization, and decreased survival of Pik3r1 LOF pups. Further, we observed clear differences in the way Pik3r1 LOF and Pik3cd GOF altered signaling. Together these results demonstrate crucial differences between these two genetic etiologies. © 2023 Nguyen et al.
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