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10.3389/fimmu.2018.00446

http://scihub22266oqcxt.onion/10.3389/fimmu.2018.00446
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suck abstract from ncbi


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pmid29563914
      Front+Immunol 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]
  • |Cytokines/metabolism [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Immunologic Deficiency Syndromes/genetics/*immunology [MESH]
  • |Immunophenotyping [MESH]
  • |Lymphocyte Activation [MESH]
  • |Male [MESH]
  • |Mutation/*genetics [MESH]
  • |Primary Immunodeficiency Diseases [MESH]
  • |Programmed Cell Death 1 Receptor/metabolism [MESH]
  • |T-Lymphocyte Subsets/*immunology [MESH]
  • |Virus Diseases/genetics/*immunology [MESH]


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