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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 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.