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2018 ; 9
(ä): 446
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Exhaustion of the CD8(+) T Cell Compartment in Patients with Mutations in
Phosphoinositide 3-Kinase Delta
#MMPMID29563914
Wentink MWJ
; Mueller YM
; Dalm VASH
; Driessen GJ
; van Hagen PM
; van Montfrans JM
; van der Burg M
; Katsikis PD
Front Immunol
2018[]; 9
(ä): 446
PMID29563914
show ga
Pathogenic gain-of-function mutations in the gene encoding phosphoinositide
3-kinase delta (PI3K?) cause activated PI3K? syndrome (APDS), a disease
characterized by humoral immunodeficiency, lymphadenopathy, and an inability to
control persistent viral infections including Epstein-Barr virus (EBV) and
cytomegalovirus (CMV) infections. Understanding the mechanisms leading to
impaired immune response is important to optimally treat APDS patients.
Immunosenescence of CD8(+) T cells was suggested to contribute to APDS
pathogenesis. However, the constitutive activation of T cells in APDS may also
result in T cell exhaustion. Therefore, we studied exhaustion of the CD8(+) T
cell compartment in APDS patients and compared them with healthy controls and HIV
patients, as a control for exhaustion. The subset distribution of the T cell
compartment of APDS patients was comparable with HIV patients with decreased
naive CD4(+) and CD8(+) T cells and increased effector CD8(+) T cells. Like in
HIV(+) patients, expression of activation markers and inhibitory receptors CD160,
CD244, and programmed death receptor (PD)-1 on CD8(+) T cells was increased in
APDS patients, indicating exhaustion. EBV-specific CD8(+) T cells from APDS
patients exhibited an exhausted phenotype that resembled HIV-specific CD8(+) T
cells in terms of inhibitory receptor expression. Inhibition of PD-1 on
EBV-specific CD8(+) T cells from APDS patients enhanced in vitro proliferation
and effector cytokine production. Based on these results, we conclude that total
and EBV-specific CD8(+) T cells from APDS patients are characterized by T cell
exhaustion. Furthermore, PD-1 checkpoint inhibition may provide a possible
therapeutic approach to support the immune system of APDS patients to control EBV
and CMV.
|Adolescent
[MESH]
|Adult
[MESH]
|CD8-Positive T-Lymphocytes/*immunology
[MESH]
|Cell Proliferation
[MESH]
|Cells, Cultured
[MESH]
|Cellular Senescence
[MESH]
|Child
[MESH]
|Class I Phosphatidylinositol 3-Kinases/*genetics/immunology
[MESH]