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The immunopathological landscape of human pre-TCRα deficiency: From rare to common variants.


ABSTRACT: We describe humans with rare biallelic loss-of-function PTCRA variants impairing pre-α T cell receptor (pre-TCRα) expression. Low circulating naive αβ T cell counts at birth persisted over time, with normal memory αβ and high γδ T cell counts. Their TCRα repertoire was biased, which suggests that noncanonical thymic differentiation pathways can rescue αβ T cell development. Only a minority of these individuals were sick, with infection, lymphoproliferation, and/or autoimmunity. We also report that 1 in 4000 individuals from the Middle East and South Asia are homozygous for a common hypomorphic PTCRA variant. They had normal circulating naive αβ T cell counts but high γδ T cell counts. Although residual pre-TCRα expression drove the differentiation of more αβ T cells, autoimmune conditions were more frequent in these patients compared with the general population.

SUBMITTER: Materna M 

PROVIDER: S-EPMC10958617 | biostudies-literature | 2024 Mar

REPOSITORIES: biostudies-literature

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The immunopathological landscape of human pre-TCRα deficiency: From rare to common variants.

Materna Marie M   Delmonte Ottavia M OM   Bosticardo Marita M   Momenilandi Mana M   Conrey Peyton E PE   Charmeteau-De Muylder Bénédicte B   Bravetti Clotilde C   Bellworthy Rebecca R   Cederholm Axel A   Staels Frederik F   Ganoza Christian A CA   Darko Samuel S   Sayed Samir S   Le Floc'h Corentin C   Ogishi Masato M   Rinchai Darawan D   Guenoun Andrea A   Bolze Alexandre A   Khan Taushif T   Gervais Adrian A   Krüger Renate R   Völler Mirjam M   Palterer Boaz B   Sadeghi-Shabestari Mahnaz M   Langlois de Septenville Anne A   Schramm Chaim A CA   Shah Sanjana S   Tello-Cajiao John J JJ   Pala Francesca F   Amini Kayla K   Campos Jose S JS   Lima Noemia Santana NS   Eriksson Daniel D   Lévy Romain R   Seeleuthner Yoann Y   Jyonouchi Soma S   Ata Manar M   Al Ali Fatima F   Stittrich Anna A   Deswarte Caroline C   Pereira Anaïs A   Mégret Jérôme J   Le Voyer Tom T   Bastard Paul P   Berteloot Laureline L   Dussiot Michaël M   Vladikine Natasha N   Cardenas Paula P PP   Jouanguy Emmanuelle E   Alqahtani Mashael M   Hasan Amal A   Thanaraj Thangavel Alphonse TA   Rosain Jérémie J   Al Qureshah Fahd F   Sabato Vito V   Alyanakian Marie Alexandra MA   Leruez-Ville Marianne M   Rozenberg Flore F   Haddad Elie E   Regueiro Jose R JR   Toribio Maria L ML   Kelsen Judith R JR   Salehi Mansoor M   Nasiri Shahram S   Torabizadeh Mehdi M   Rokni-Zadeh Hassan H   Changi-Ashtiani Majid M   Vatandoost Nasimeh N   Moravej Hossein H   Akrami Seyed Mohammad SM   Mazloomrezaei Mohsen M   Cobat Aurélie A   Meyts Isabelle I   Toyofuku Etsushi E   Nishimura Madoka M   Moriya Kunihiko K   Mizukami Tomoyuki T   Imai Kohsuke K   Abel Laurent L   Malissen Bernard B   Al-Mulla Fahd F   Alkuraya Fowzan Sami FS   Parvaneh Nima N   von Bernuth Horst H   Beetz Christian C   Davi Frédéric F   Douek Daniel C DC   Cheynier Rémi R   Langlais David D   Landegren Nils N   Marr Nico N   Morio Tomohiro T   Shahrooei Mohammad M   Schrijvers Rik R   Henrickson Sarah E SE   Luche Hervé H   Notarangelo Luigi D LD   Casanova Jean-Laurent JL   Béziat Vivien V  

Science (New York, N.Y.) 20240301 6686


We describe humans with rare biallelic loss-of-function <i>PTCRA</i> variants impairing pre-α T cell receptor (pre-TCRα) expression. Low circulating naive αβ T cell counts at birth persisted over time, with normal memory αβ and high γδ T cell counts. Their TCRα repertoire was biased, which suggests that noncanonical thymic differentiation pathways can rescue αβ T cell development. Only a minority of these individuals were sick, with infection, lymphoproliferation, and/or autoimmunity. We also re  ...[more]

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