Features of APDS1 and APDS2
| . | PIK3R1 LOF patients . | Pik3r1 LOF mice . | PIK3CD GOF patients . | Pik3cd GOF mice . |
|---|---|---|---|---|
| Bone marrow | •↓ Mature B cells •↑ Pro-B cells | •Normal mature cells •↑ Pro-B cells | •↓ Mature B cells •↑ Pre-B cells | •↓ Mature B cells •↑ Pre-B cells |
| Peripheral B cells | •↑ Transitional cells •↓ Naïve and memory •↓ IgG+memory B cells | •Normal total B cells •↑ Marginal zone cells •↓ Follicular cells | •↑ Transitional cells •↓ Naïve and memory •↓ IgG+, IgA+memory B cells | •↑ Total B cells •↑ Marginal zone cells •↓ Follicular cells |
| B cell activation | •↑ Proliferation in vitro •↓ Ig class switching | •↑ Proliferation in vitro •↓ Ig class switching | •↑ Proliferation in vitro •↓ Ig class switching | •↑ Proliferation in vitro •↓ Ig class switching |
| B cell response to immunization | •↓ Expansion •Normal GC and plasmablast differentiation •↓ Ig class switching •Normal SHM •↓ Affinity maturation | •Normal expansion •Normal GC and plasmablast differentiation •↓ Ig class switching •Normal SHM •Normal affinity maturation | ||
| T cells | •↓ Naïve and ↑ memory CD4+ and CD8+ T cells | •Normal naïve CD4+and CD8+T cells, ↑ CD8+ effector memory cells | •↓ Naïve and ↑ memory CD4+ and CD8+ T cells in patients | •↓ Naïve and CD4+and CD8+T cells, ↑memory T cells in mice (cell extrinsic effect) |
| T cell differentiation | •↑ Th2 cells •Normal % Tfh ex vivo | •↑ Th2 cells •Normal % Tfh preimmunization •Normal CD4+T cell expansion to immunization •↓ Tfh function | •↑ Th2 cells •↑ % Tfh ex vivo | •↑ Th2 cells •↑ % Tfh preimmunization •↓ CD4+T cell expansion to immunization •↓ Tfh function |
| Extra immune phenotype | •↓ Mutant pups at weaning •↓Weight | •Normal Mendelian ratios |
| . | PIK3R1 LOF patients . | Pik3r1 LOF mice . | PIK3CD GOF patients . | Pik3cd GOF mice . |
|---|---|---|---|---|
| Bone marrow | •↓ Mature B cells •↑ Pro-B cells | •Normal mature cells •↑ Pro-B cells | •↓ Mature B cells •↑ Pre-B cells | •↓ Mature B cells •↑ Pre-B cells |
| Peripheral B cells | •↑ Transitional cells •↓ Naïve and memory •↓ IgG+memory B cells | •Normal total B cells •↑ Marginal zone cells •↓ Follicular cells | •↑ Transitional cells •↓ Naïve and memory •↓ IgG+, IgA+memory B cells | •↑ Total B cells •↑ Marginal zone cells •↓ Follicular cells |
| B cell activation | •↑ Proliferation in vitro •↓ Ig class switching | •↑ Proliferation in vitro •↓ Ig class switching | •↑ Proliferation in vitro •↓ Ig class switching | •↑ Proliferation in vitro •↓ Ig class switching |
| B cell response to immunization | •↓ Expansion •Normal GC and plasmablast differentiation •↓ Ig class switching •Normal SHM •↓ Affinity maturation | •Normal expansion •Normal GC and plasmablast differentiation •↓ Ig class switching •Normal SHM •Normal affinity maturation | ||
| T cells | •↓ Naïve and ↑ memory CD4+ and CD8+ T cells | •Normal naïve CD4+and CD8+T cells, ↑ CD8+ effector memory cells | •↓ Naïve and ↑ memory CD4+ and CD8+ T cells in patients | •↓ Naïve and CD4+and CD8+T cells, ↑memory T cells in mice (cell extrinsic effect) |
| T cell differentiation | •↑ Th2 cells •Normal % Tfh ex vivo | •↑ Th2 cells •Normal % Tfh preimmunization •Normal CD4+T cell expansion to immunization •↓ Tfh function | •↑ Th2 cells •↑ % Tfh ex vivo | •↑ Th2 cells •↑ % Tfh preimmunization •↓ CD4+T cell expansion to immunization •↓ Tfh function |
| Extra immune phenotype | •↓ Mutant pups at weaning •↓Weight | •Normal Mendelian ratios |
Differences between APDS1 and APDS2 are indicated in bold.