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10.1016/j.jaci.2014.07.042

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suck abstract from ncbi


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pmid25218284
      J+Allergy+Clin+Immunol 2014 ; 134 (6 ): 1365-1374
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  • Dedicator of cytokinesis 8-deficient patients have a breakdown in peripheral B-cell tolerance and defective regulatory T cells #MMPMID25218284
  • Janssen E ; Morbach H ; Ullas S ; Bannock JM ; Massad C ; Menard L ; Barlan I ; Lefranc G ; Su H ; Dasouki M ; Al-Herz W ; Keles S ; Chatila T ; Geha RS ; Meffre E
  • J Allergy Clin Immunol 2014[Dec]; 134 (6 ): 1365-1374 PMID25218284 show ga
  • BACKGROUND: Dedicator of cytokinesis 8 (DOCK8) deficiency is typified by recurrent infections, increased serum IgE levels, eosinophilia, and a high incidence of allergic and autoimmune manifestations. OBJECTIVE: We sought to determine the role of DOCK8 in the establishment and maintenance of human B-cell tolerance. METHODS: Autoantibodies were measured in the plasma of DOCK8-deficient patients. The antibody-coding genes from new emigrant/transitional and mature naive B cells were cloned and assessed for their ability to bind self-antigens. Regulatory T (Treg) cells in the blood were analyzed by means of flow cytometry, and their function was tested by examining their capacity to inhibit the proliferation of CD4(+)CD25(-) effector T cells. RESULTS: DOCK8-deficient patients had increased levels of autoantibodies in their plasma. We determined that central B-cell tolerance did not require DOCK8, as evidenced by the normally low frequency of polyreactive new emigrant/transitional B cells in DOCK8-deficient patients. In contrast, autoreactive B cells were enriched in the mature naive B-cell compartment, revealing a defective peripheral B-cell tolerance checkpoint. In addition, we found that Treg cells were decreased and exhibited impaired suppressive activity in DOCK8-deficient patients. CONCLUSIONS: Our data support a critical role for DOCK8 in Treg cell homeostasis and function and the enforcement of peripheral B-cell tolerance.
  • |Adolescent [MESH]
  • |Autoantibodies/blood [MESH]
  • |B-Lymphocytes/*immunology [MESH]
  • |Child [MESH]
  • |Child, Preschool [MESH]
  • |Female [MESH]
  • |Guanine Nucleotide Exchange Factors/*deficiency/*immunology [MESH]
  • |Humans [MESH]
  • |Immune Tolerance/immunology [MESH]
  • |Immunologic Deficiency Syndromes/*immunology [MESH]
  • |Infant [MESH]
  • |Lymphocyte Count [MESH]
  • |Male [MESH]


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