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  • 1
    Publication Date: 2014-05-30
    Description: Lymphocyte functions triggered by antigen recognition and co-stimulation signals are associated with a rapid and intense cell division, and hence with metabolism adaptation. The nucleotide cytidine 5' triphosphate (CTP) is a precursor required for the metabolism of DNA, RNA and phospholipids. CTP originates from two sources: a salvage pathway and a de novo synthesis pathway that depends on two enzymes, the CTP synthases (or synthetases) 1 and 2 (CTPS1 with CTPS2); the respective roles of these two enzymes are not known. CTP synthase activity is a potentially important step for DNA synthesis in lymphocytes. Here we report the identification of a loss-of-function homozygous mutation (rs145092287) in CTPS1 in humans that causes a novel and life-threatening immunodeficiency, characterized by an impaired capacity of activated T and B cells to proliferate in response to antigen receptor-mediated activation. In contrast, proximal and distal T-cell receptor (TCR) signalling events and responses were only weakly affected by the absence of CTPS1. Activated CTPS1-deficient cells had decreased levels of CTP. Normal T-cell proliferation was restored in CTPS1-deficient cells by expressing wild-type CTPS1 or by addition of exogenous CTP or its nucleoside precursor, cytidine. CTPS1 expression was found to be low in resting T cells, but rapidly upregulated following TCR activation. These results highlight a key and specific role of CTPS1 in the immune system by its capacity to sustain the proliferation of activated lymphocytes during the immune response. CTPS1 may therefore represent a therapeutic target of immunosuppressive drugs that could specifically dampen lymphocyte activation.〈br /〉〈span class="detail_caption"〉Notes: 〈/span〉Martin, Emmanuel -- Palmic, Noe -- Sanquer, Sylvia -- Lenoir, Christelle -- Hauck, Fabian -- Mongellaz, Cedric -- Fabrega, Sylvie -- Nitschke, Patrick -- Esposti, Mauro Degli -- Schwartzentruber, Jeremy -- Taylor, Naomi -- Majewski, Jacek -- Jabado, Nada -- Wynn, Robert F -- Picard, Capucine -- Fischer, Alain -- Arkwright, Peter D -- Latour, Sylvain -- G1001799/Medical Research Council/United Kingdom -- WT095219MA/Wellcome Trust/United Kingdom -- England -- Nature. 2014 Jun 12;510(7504):288-92. doi: 10.1038/nature13386. Epub 2014 May 28.〈br /〉〈span class="detail_caption"〉Author address: 〈/span〉1] Laboratoire Activation Lymphocytaire et Susceptibilite a l'EBV, INSERM UMR 1163, Hopital Necker Enfants-Malades, Paris 75015, France [2] Universite Paris Descartes Sorbonne Paris Cite, Institut Imagine, Paris 75015, France. ; Laboratoire de Biochimie Metabolomique et Proteomique, Hopital Necker Enfants-Malades, Paris 75015, France. ; Hematopoiesis and Immunotherapy, CNRS-UMR 5535, Institut de Genetique Moleculaire de Montpellier, Montpellier 34293, France. ; 1] Universite Paris Descartes Sorbonne Paris Cite, Institut Imagine, Paris 75015, France [2] Plateforme Vecteurs Viraux et Transfert de Genes, IFR94, Hopital Necker Enfants-Malades, Paris 75015, France. ; 1] Universite Paris Descartes Sorbonne Paris Cite, Institut Imagine, Paris 75015, France [2] Service de Bioinformatique, Hopital Necker Enfants-Malades, Paris 75015, France. ; 1] University of Manchester, Royal Manchester Children's Hospital, Manchester M13 0WL, UK [2] Italian Institute of Technology, Genoa 16163, Italy. ; McGill University and Genome Quebec Innovation Centre, Montreal H3A 0G1, Canada. ; 1] McGill University and Genome Quebec Innovation Centre, Montreal H3A 0G1, Canada [2] Department of Pediatrics, McGill University Health Center Research Institute, Montreal H3H 1P3, Canada. ; University of Manchester, Royal Manchester Children's Hospital, Manchester M13 0WL, UK. ; 1] Universite Paris Descartes Sorbonne Paris Cite, Institut Imagine, Paris 75015, France [2] Centre d'Etude des Deficits Immunitaires, Hopital Necker Enfants-Malades, AP-HP, Paris 75015, France [3] Laboratoire Genetique Humaine des Maladies Infectieuses, INSERM UMR 1163, Hopital Necker Enfants-Malades, Paris 75015, France. ; 1] Laboratoire Activation Lymphocytaire et Susceptibilite a l'EBV, INSERM UMR 1163, Hopital Necker Enfants-Malades, Paris 75015, France [2] Universite Paris Descartes Sorbonne Paris Cite, Institut Imagine, Paris 75015, France [3] Unite d'Immunologie et Hematologie Pediatrique, Assistance Publique-Hopitaux de Paris (AP-HP), Hopital Necker Enfants-Malades, Paris 75015, France [4] College de France, Paris 75005, France. ; 1] University of Manchester, Royal Manchester Children's Hospital, Manchester M13 0WL, UK [2]. ; 1] Laboratoire Activation Lymphocytaire et Susceptibilite a l'EBV, INSERM UMR 1163, Hopital Necker Enfants-Malades, Paris 75015, France [2] Universite Paris Descartes Sorbonne Paris Cite, Institut Imagine, Paris 75015, France [3] Laboratoire de Biochimie Metabolomique et Proteomique, Hopital Necker Enfants-Malades, Paris 75015, France [4].〈br /〉〈span class="detail_caption"〉Record origin:〈/span〉 〈a href="http://www.ncbi.nlm.nih.gov/pubmed/24870241" target="_blank"〉PubMed〈/a〉
    Keywords: Antigens, CD3/immunology ; B-Lymphocytes/cytology/immunology/metabolism ; Carbon-Nitrogen Ligases/*deficiency/genetics/*metabolism ; Cell Proliferation ; Child, Preschool ; Cytidine Triphosphate/metabolism ; Female ; Humans ; Immunologic Deficiency Syndromes/enzymology/genetics ; Infant ; Infant, Newborn ; *Lymphocyte Activation/genetics ; Lymphocytes/*cytology/immunology/metabolism ; Male ; Mutation/genetics ; Receptors, Antigen, T-Cell/immunology ; T-Lymphocytes/cytology/immunology/metabolism
    Print ISSN: 0028-0836
    Electronic ISSN: 1476-4687
    Topics: Biology , Chemistry and Pharmacology , Medicine , Natural Sciences in General , Physics
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  • 2
    Publication Date: 2013-10-19
    Description: Genetic mutations cause primary immunodeficiencies (PIDs) that predispose to infections. Here, we describe activated PI3K-delta syndrome (APDS), a PID associated with a dominant gain-of-function mutation in which lysine replaced glutamic acid at residue 1021 (E1021K) in the p110delta protein, the catalytic subunit of phosphoinositide 3-kinase delta (PI3Kdelta), encoded by the PIK3CD gene. We found E1021K in 17 patients from seven unrelated families, but not among 3346 healthy subjects. APDS was characterized by recurrent respiratory infections, progressive airway damage, lymphopenia, increased circulating transitional B cells, increased immunoglobulin M, and reduced immunoglobulin G2 levels in serum and impaired vaccine responses. The E1021K mutation enhanced membrane association and kinase activity of p110delta. Patient-derived lymphocytes had increased levels of phosphatidylinositol 3,4,5-trisphosphate and phosphorylated AKT protein and were prone to activation-induced cell death. Selective p110delta inhibitors IC87114 and GS-1101 reduced the activity of the mutant enzyme in vitro, which suggested a therapeutic approach for patients with APDS.〈br /〉〈br /〉〈a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3930011/" target="_blank"〉〈img src="https://static.pubmed.gov/portal/portal3rc.fcgi/4089621/img/3977009" border="0"〉〈/a〉   〈a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3930011/" target="_blank"〉This paper as free author manuscript - peer-reviewed and accepted for publication〈/a〉〈br /〉〈br /〉〈span class="detail_caption"〉Notes: 〈/span〉Angulo, Ivan -- Vadas, Oscar -- Garcon, Fabien -- Banham-Hall, Edward -- Plagnol, Vincent -- Leahy, Timothy R -- Baxendale, Helen -- Coulter, Tanya -- Curtis, James -- Wu, Changxin -- Blake-Palmer, Katherine -- Perisic, Olga -- Smyth, Deborah -- Maes, Mailis -- Fiddler, Christine -- Juss, Jatinder -- Cilliers, Deirdre -- Markelj, Gasper -- Chandra, Anita -- Farmer, George -- Kielkowska, Anna -- Clark, Jonathan -- Kracker, Sven -- Debre, Marianne -- Picard, Capucine -- Pellier, Isabelle -- Jabado, Nada -- Morris, James A -- Barcenas-Morales, Gabriela -- Fischer, Alain -- Stephens, Len -- Hawkins, Phillip -- Barrett, Jeffrey C -- Abinun, Mario -- Clatworthy, Menna -- Durandy, Anne -- Doffinger, Rainer -- Chilvers, Edwin R -- Cant, Andrew J -- Kumararatne, Dinakantha -- Okkenhaug, Klaus -- Williams, Roger L -- Condliffe, Alison -- Nejentsev, Sergey -- 095198/Wellcome Trust/United Kingdom -- 095198/Z/10/Z/Wellcome Trust/United Kingdom -- 095691/Wellcome Trust/United Kingdom -- BB/J004456/1/Biotechnology and Biological Sciences Research Council/United Kingdom -- MC_U105184308/Medical Research Council/United Kingdom -- U105184308/Medical Research Council/United Kingdom -- New York, N.Y. -- Science. 2013 Nov 15;342(6160):866-71. doi: 10.1126/science.1243292. Epub 2013 Oct 17.〈br /〉〈span class="detail_caption"〉Author address: 〈/span〉Department of Medicine, University of Cambridge, Cambridge, UK.〈br /〉〈span class="detail_caption"〉Record origin:〈/span〉 〈a href="http://www.ncbi.nlm.nih.gov/pubmed/24136356" target="_blank"〉PubMed〈/a〉
    Keywords: Class I Phosphatidylinositol 3-Kinases ; *Genetic Predisposition to Disease ; Humans ; Immunologic Deficiency Syndromes/*genetics/immunology/*pathology ; Lymphocytes/immunology ; Mutation ; Pedigree ; Phosphatidylinositol 3-Kinases/*genetics ; Phosphatidylinositol Phosphates/metabolism ; Proto-Oncogene Proteins c-akt/metabolism ; Respiratory Tract Infections/*genetics/immunology/*pathology
    Print ISSN: 0036-8075
    Electronic ISSN: 1095-9203
    Topics: Biology , Chemistry and Pharmacology , Computer Science , Medicine , Natural Sciences in General , Physics
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