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 |
| Bone marrow | •↓ Mature B cells | •Normal mature cells | •↓ Mature B cells | •↓ Mature B cells |
| Peripheral B cells | •↑ Transitional cells | • | •↑ Transitional cells | • |
| B cell activation | •↑ Proliferation in vitro | •↑ Proliferation in vitro | •↑ Proliferation in vitro | •↑ Proliferation in vitro |
| B cell response to immunization | • | • | ||
| T cells | •↓ Naïve and ↑ memory CD4+ and CD8+ T cells | • | •↓ Naïve and ↑ memory CD4+ and CD8+ T cells in patients | • |
| T cell differentiation | •↑ Th2 cells | •↑ Th2 cells | •↑ Th2 cells | •↑ Th2 cells |
| Extra immune phenotype |
Differences between APDS1 and APDS2 are indicated in bold.
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