PLCG2

PLCG2
  • 文章类型: Journal Article
    背景:来自TCGA数据库的结果表明,与邻近组织相比,肺腺癌(LUAD)中磷脂酰肌醇特异性磷脂酶Cγ2(PLCG2)的表达水平显着降低,所以我们展示了LUAD的角色。
    目的:本研究旨在探讨磷脂酰肌醇特异性磷脂酶Cγ2(PLCG2)在肺腺癌(LUAD)细胞中的表达及其在细胞增殖和转移中的作用。
    方法:从TCGA数据库分析LUAD组织和邻近组织之间的差异PLCG2mRNA和蛋白水平,TIMER,和UALCAN数据库。通过R包以及GSEA对PLCG2mRNA高表达组和低表达组的患者进行差异表达基因的筛选。用qRT-PCR和CCK8检测PLCG2在LUAD细胞中的表达水平,Transwell,和蛋白质印迹分析。
    结果:PLCG2在LUAD中低表达,与LUAD的预后无明显相关性。PLCG2表达水平在患者性别方面有显著差异,年龄,T,N,和病理阶段。GO/KEGG富集分析显示PLCG2的共表达主要与免疫反应调节细胞表面受体有关,等等。GSEA分析显示PLCG2相关差异基因的富集途径主要与嗅觉转导途径有关,核糖体,等。R软件分析显示PLCG2表达与6种类型的免疫浸润细胞之间存在显著的相关性,与免疫检查点相关基因呈正相关,受肿瘤突变负荷的负调控。过表达PLCG2显示LUAD细胞增殖减少,克隆形成,细胞迁移和侵袭,和上皮-间质转化相关蛋白,与对照组相比。
    结论:PLCG2在LUAD组织中低表达,参与LUAD的免疫浸润,抑制LUAD细胞增殖和转移。
    BACKGROUND: Results from the TCGA database showed that phosphatidylinositol-specific phospholipase Cγ2 (PLCG2) expression level in Lung Adenocarcinoma (LUAD) was notably decreased compared to adjacent tissues, so we unveiled its role of LUAD.
    OBJECTIVE: This study aims to explore the expression and clinical significance of Phosphatidyl-inositol-specific phospholipase Cγ2 (PLCG2) in lung adenocarcinoma (LUAD) cells and its role in cell proliferation and metastasis.
    METHODS: Differential PLCG2 mRNA and protein levels between LUAD tissues and adjacent tissues were analyzed from the TCGA database, TIMER, and UALCAN database. Differentially expressed genes were screened for patients in the high and low PLCG2 mRNA expression groups by the R package as well as GSEA. The expression level of PLCG2 in LUAD cells was detected using qRT-PCR and CCK8, clone formation, Transwell, and Western blot assays.
    RESULTS: PLCG2 was lowly expressed in LUAD and did not significantly correlate with the prognosis of LUAD. PLCG2 expression levels varied significantly in terms of patients\' gender, age, T, N, and pathological stage. GO/KEGG enrichment analysis showed that co-expression of PLCG2 was mainly associated with the immune response- regulating cell-surface receptors, and so on. GSEA analysis showed enrichment pathways of PLCG2-related differential gees were primarily associated with the olfactory transduction pathway, ribosome, etc. R software analysis revealed a significant correlation between PLCG2 expression and six types of immune-infiltrat-ing cells, positively correlated with immune checkpoint-related genes and negatively regulated by tumor mutational load. Overexpressing PLCG2 showed reduced LUAD cell proliferation, clone formation, cell migration and invasion, and epithelial-mesenchymal transition-associated proteins, compared with the control group.
    CONCLUSIONS: PLCG2 is lowly expressed in LUAD tissues and is involved in immune infiltration of LUAD, inhibiting LUAD cell proliferation and metastasis.
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  • 文章类型: Journal Article
    PLCG2启动子区的异常DNA甲基化模式与信号通路和细胞功能失调有关。其在结直肠癌细胞中的作用尚不清楚。在这项研究中,qRT-PCR用于测量结肠直肠癌中的DNMT3B表达。蛋白质印迹分析和免疫组织化学用于分析结肠直肠组织和细胞系中的DNMT3B和PLCG2蛋白水平。细胞计数试剂盒-8(CCK-8)和集落形成测定用于评估结肠直肠癌细胞的增殖。甲基化特异性PCR(MSP)和亚硫酸氢盐测序PCR(BSP)用于测量DNA甲基化水平。我们的结果显示,根据Kaplan-Meier图,在TCGA数据集中,DNMT3B在结肠直肠细胞中过表达。与邻近的非肿瘤组织相比,DNMT3B在肿瘤组织中明显过表达。Western印迹分析结果表明DNMT3B在肿瘤组织中的高表达。与正常结肠上皮细胞相比,结直肠癌细胞系表现出升高的PLCG2甲基化水平。PLCG2的过表达有效地阻止体内结直肠癌异种移植肿瘤的生长。PLCG2被鉴定为大肠癌中DNMT3B的关键下游调节蛋白。DNMT3B通过PLCG2启动子区的甲基化抑制PLCG2转录。DNMT3B通过PLCG2控制结直肠癌细胞增殖,其可用于开发靶向PLCG2表达的治疗方法以治疗结直肠癌。
    Aberrant DNA methylation patterns in the promoter region of PLCG2 are associated with dysregulated signaling pathways and cellular functions. Its role in colorectal cancer cells is still unknown. In this study, qRT-PCR is used to measure DNMT3B expression in colorectal cancer. Western blot analysis and immunohistochemistry are used to analyze DNMT3B and PLCG2 protein levels in colorectal tissues and cell lines. Cell Counting Kit-8 (CCK-8) and colony formation assays are used to assess the proliferation of colorectal cancer cells. Methylation-specific PCR (MSP) and bisulfite-sequencing PCR (BSP) are used to measure DNA methylation level. Our results show that DNMT3B is overexpressed in colorectal cells in the TCGA datasets according to Kaplan-Meier plots. DNMT3B is significantly overexpressed in tumor tissues compared to that in adjacent nontumor tissues. Western blot analysis results demonstrate high expression of DNMT3B in tumor tissues. Compared to normal colonic epithelial cells, colorectal cancer cell lines exhibit elevated level of PLCG2 methylation. Overexpression of PLCG2 effectively prevents the growth of colorectal cancer xenograft tumors in vivo. PLCG2 is identified as a key downstream regulatory protein of DNMT3B in colorectal cancer. DNMT3B inhibits PLCG2 transcription through methylation of the PLCG2 promoter region. DNMT3B controls colorectal cancer cell proliferation through PLCG2, which is useful for developing therapeutic approaches that target PLCG2 expression for the treatment of colorectal cancer.
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  • 文章类型: Journal Article
    现在,根据转录调节因子(NEUROD1,ASCL1,POU2F3,YAP1)和DLL3的表达对肺的小细胞癌(SMC)进行分子分类,DLL3已成为研究性治疗靶标。PLCG2已显示出具有干细胞样和前转移特征和不良预后的肺SMC的不同亚群。我们分析了这些新的神经内分泌标志物的表达及其与传统神经内分泌标志物和患者预后的关联膀胱神经内分泌癌(NEC)队列中的103个SMC和19个大细胞神经内分泌癌(LCNEC)在组织微阵列中组装。评估共表达模式,并结合详细的临床注释,包括总体(OS)和无复发生存期(RFS)以及对新辅助/辅助化疗的反应。我们根据ASCL1,NEUROD1和POU2F3的表达确定了膀胱SMC中五种不同的分子亚型:ASCL1/NEUROD1-(n=33;34%),ASCL1-/NEUROD1+(n=21;21%),ASCL1+/NEUROD1+(n=17;17%),POU2F3+(n=22,22%),和ASCL1-/NEUROD1-/POU2F3-(n=5,5%)。POU2F3+肿瘤与表达ASCL1和NEUROD1的肿瘤相互排斥,并表现出传统神经内分泌标志物的较低表达。在33个肿瘤(32%)中记录到PLCG2表达,并且与POU2F3表达高度相关(p<0.001)。DLL3在SMC(n=72,82%)和LCNEC(n=11,85%)中均高表达。YAP1的表达富集在非神经内分泌成分中,并与所有神经内分泌标志物呈负相关。在接受根治性膀胱切除术的无转移性疾病的患者中,PLCG2+或POU2F3+肿瘤具有较短的RFS和OS(p<0.05),但它们的表达与转移状态或对新辅助/辅助化疗的反应无关。总之,根据ASCL1,NEUROD1和POU2F3的表达,膀胱的NEC可以分为不同的分子亚型。表达POU2F3的肿瘤代表膀胱NEC的ASCL1/NEUROD1阴性子集,其特征在于传统神经内分泌标志物的较低表达。标记表达模式在SMC和LCNEC中相似。PLCG2和POU2F3的表达与较短的无复发和总生存期相关。DLL3在膀胱的SMC和LCNEC中均以高水平表达,提名它作为一个潜在的治疗靶点。
    Small cell carcinomas (SMC) of the lung are now molecularly classified based on the expression of transcriptional regulators (NEUROD1, ASCL1, POU2F3, and YAP1) and DLL3, which has emerged as an investigational therapeutic target. PLCG2 has been shown to identify a distinct subpopulation of lung SMC with stem cell-like and prometastasis features and poor prognosis. We analyzed the expression of these novel neuroendocrine markers and their association with traditional neuroendocrine markers and patient outcomes in a cohort of bladder neuroendocrine carcinoma (NEC) consisting of 103 SMC and 19 large cell NEC (LCNEC) assembled in tissue microarrays. Coexpression patterns were assessed and integrated with detailed clinical annotation including overall (OS) and recurrence-free survival (RFS) and response to neoadjuvant/adjuvant chemotherapy. We identified 5 distinct molecular subtypes in bladder SMC based on the expression of ASCL1, NEUROD1, and POU2F3: ASCL1+/NEUROD1- (n = 33; 34%), ASCL1- /NEUROD1+ (n = 21; 21%), ASCL1+/NEUROD1+ (n = 17; 17%), POU2F3+ (n = 22, 22%), and ASCL1- /NEUROD1- /POU2F3- (n = 5, 5%). POU2F3+ tumors were mutually exclusive with those expressing ASCL1 and NEUROD1 and exhibited lower expression of traditional neuroendocrine markers. PLCG2 expression was noted in 33 tumors (32%) and was highly correlated with POU2F3 expression (P < .001). DLL3 expression was high in both SMC (n = 72, 82%) and LCNEC (n = 11, 85%). YAP1 expression was enriched in nonneuroendocrine components and negatively correlated with all neuroendocrine markers. In patients without metastatic disease who underwent radical cystectomy, PLCG2+ or POU2F3+ tumors had shorter RFS and OS (P < .05), but their expression was not associated with metastasis status or response to neoadjuvant/adjuvant chemotherapy. In conclusion, the NEC of the bladder can be divided into distinct molecular subtypes based on the expression of ASCL1, NEUROD1, and POU2F3. POU2F3-expressing tumors represent an ASCL1/NEUROD1-negative subset of bladder NEC characterized by lower expression of traditional neuroendocrine markers. Marker expression patterns were similar in SMC and LCNEC. Expression of PLCG2 and POU2F3 was associated with shorter RFS and OS. DLL3 was expressed at high levels in both SMC and LCNEC of the bladder, nominating it as a potential therapeutic target.
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  • 文章类型: Letter
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  • 文章类型: Preprint
    全基因组关联研究已经确定了超过70个与迟发性阿尔茨海默病(LOAD)相关的基因位点,但很少有候选多态性在功能上评估疾病的相关性和作用机制。
    对候选遗传风险变异进行了信息优先排序,并分别设计成带有AD风险变异APOE4和Trem2*R47H的LOAD致敏小鼠模型。通过比较用Nanostring小鼠AD小组在4和12月龄时测量的脑转录组与人类研究队列来评估每个模型的潜在疾病相关性。
    我们为11种编码和功能丧失风险变体创建了新模型。来自多种遗传变异体的转录组效应概括了在LOAD研究队列中观察到的多种人类基因表达模式。与新兴分子LOAD亚型匹配的特定模型。
    这些结果提供了11种候选风险变体的初始功能化,并确定了用于测试靶向疗法的潜在临床前模型。
    UNASSIGNED: Genome-wide association studies have identified over 70 genetic loci associated with late-onset Alzheimer\'s disease (LOAD), but few candidate polymorphisms have been functionally assessed for disease relevance and mechanism of action.
    UNASSIGNED: Candidate genetic risk variants were informatically prioritized and individually engineered into a LOAD-sensitized mouse model that carries the AD risk variants APOE4 and Trem2*R47H. Potential disease relevance of each model was assessed by comparing brain transcriptomes measured with the Nanostring Mouse AD Panel at 4 and 12 months of age with human study cohorts.
    UNASSIGNED: We created new models for 11 coding and loss-of-function risk variants. Transcriptomic effects from multiple genetic variants recapitulated a variety of human gene expression patterns observed in LOAD study cohorts. Specific models matched to emerging molecular LOAD subtypes.
    UNASSIGNED: These results provide an initial functionalization of 11 candidate risk variants and identify potential preclinical models for testing targeted therapeutics.
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  • 文章类型: Preprint
    磷脂酶Cγ-2(PLCγ2)催化膜磷脂酰肌醇-4,5-二磷酸(PIP2)的水解形成二酰基甘油(DAG)和三磷酸肌醇(IP3),随后进入许多下游信号通路。PLCG2多态性与阿尔茨海默病(AD)风险降低和增加以及寿命相关。在大脑中,PLCG2在小胶质细胞中高表达,它被提议调节吞噬作用,细胞因子/趋化因子的分泌,细胞存活和增殖。我们分析了三个月大的PLCγ2基因敲除(KO)的大脑,杂合(HET),和野生型(WT)小鼠使用多组学方法,包括猎枪脂肪组学,蛋白质组学,和基因表达谱分析,和免疫荧光。脂质组学分析显示,总大脑PIP2的性别特异性损失和KO中DAG含量的下降趋势。此外,PLCγ2的消耗导致髓磷脂特异性脂质的显着损失和富含髓磷脂的脂质的下降趋势。与我们的脂质组学结果一致,RNA谱分析揭示了几种髓磷脂相关基因表达水平的性别特异性变化。Further,与现有文献一致,基因表达谱分析揭示了在基线条件下成熟成年KOs小胶质细胞表型的微妙变化,提示小胶质细胞反应性降低。免疫组织化学证实了KO中小胶质细胞和少突胶质细胞密度的细微差异。探索性蛋白质组学途径分析显示,与WT相比,KO和HET女性的变化,过量的蛋白质指向mTOR信号,少突胶质细胞的蛋白质含量不足。总的来说,我们的数据表明,PLCγ2的缺失对脑内稳态有微妙的影响,这可能是通过调节小胶质细胞功能之外的新机制增强对AD病理和衰老的脆弱性的基础.
    PLCG2基因含有许多罕见的变异,这些变异与阿尔茨海默病和长寿的风险增加和降低有关。但对PLCγ2在正常脑功能中的作用知之甚少。本文描述的结果是显著的,因为它们描述了PLCγ2敲除对脑细胞类型的影响,从而模仿功能丧失的阿尔茨海默病风险突变。我们的数据描述了PLCγ2缺乏对髓磷脂稳态和mTOR信号的新作用,这些作用以前没有被描述过,这可能是其与阿尔茨海默病发病机理和寿命相关的基础。
    Phospholipase C gamma-2 (PLCγ2) catalyzes the hydrolysis of the membrane phosphatidylinositol-4,5-bisphosphate (PIP2) to form diacylglycerol (DAG) and inositol trisphosphate (IP3), which subsequently feed into numerous downstream signaling pathways. PLCG2 polymorphisms are associated with both reduced and increased risk of Alzheimer\'s disease (AD) and with longevity. In the brain, PLCG2 is highly expressed in microglia, where it is proposed to regulate phagocytosis, secretion of cytokines/chemokines, cell survival and proliferation. We analyzed the brains of three-month-old PLCγ2 knockout (KO), heterozygous (HET), and wild-type (WT) mice using multiomics approaches, including shotgun lipidomics, proteomics, and gene expression profiling, and immunofluorescence. Lipidomic analyses revealed sex-specific losses of total cerebrum PIP2 and decreasing trends of DAG content in KOs. In addition, PLCγ2 depletion led to significant losses of myelin-specific lipids and decreasing trends of myelin-enriched lipids. Consistent with our lipidomics results, RNA profiling revealed sex-specific changes in the expression levels of several myelin-related genes. Further, consistent with the available literature, gene expression profiling revealed subtle changes on microglia phenotype in mature adult KOs under baseline conditions, suggestive of reduced microglia reactivity. Immunohistochemistry confirmed subtle differences in density of microglia and oligodendrocytes in KOs. Exploratory proteomic pathway analyses revealed changes in KO and HET females compared to WTs, with over-abundant proteins pointing to mTOR signaling, and under-abundant proteins to oligodendrocytes. Overall, our data indicate that loss of PLCγ2 has subtle effects on brain homeostasis that may underlie enhanced vulnerability to AD pathology and aging via novel mechanisms in addition to regulation of microglia function.
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  • 文章类型: Journal Article
    背景:尽管大多数个体能有效控制疱疹病毒感染,有些人患有严重和/或复发性感染。这些患者中有一部分具有NK细胞缺陷,识别和裂解疱疹病毒感染细胞的淋巴细胞;然而,遗传病因很少被诊断。PLCG2在NK细胞和B细胞信号中编码信号蛋白。PLCG2中的显性阴性或功能获得性变异会导致冷荨麻疹,抗体缺乏,和自体炎症。然而,功能缺失变异和单倍体功能不全迄今尚未报道.
    目的:我们旨在确定两个家族中NK细胞免疫缺陷的遗传原因,并且在本文中描述了PLCG2中两种新的功能丧失变体的功能结果。
    方法:我们将全外显子组测序与质谱术结合使用,显微镜,功能测定,和PLCG2单倍体功能不全的小鼠模型,以研究两个NK细胞免疫缺陷家族。
    结果:我们在两个患有严重和/或复发性疱疹病毒感染的家族中鉴定了PLCG2中的新杂合变体。体外研究表明,由于具有受损的NK钙通量和细胞毒性的单倍体不足,这些变体是功能丧失的。与以前的PLCG2变体相比,B细胞功能保持完整。Plcg2+/-小鼠也表现出受损的NK细胞功能与保留的B细胞功能,人类疾病的表型。
    结论:PLCG2单倍体功能不全代表了一种与先前变异不同的综合征,其特征是NK细胞免疫缺陷与疱疹病毒易感性。扩大PLCG2相关疾病谱。
    Although most individuals effectively control herpesvirus infections, some suffer from severe and/or recurrent infections. A subset of these patients possess defects in natural killer (NK) cells, lymphocytes that recognize and lyse herpesvirus-infected cells; however, the genetic etiology is rarely diagnosed. PLCG2 encodes a signaling protein in NK-cell and B-cell signaling. Dominant-negative or gain-of-function variants in PLCG2 cause cold urticaria, antibody deficiency, and autoinflammation. However, loss-of-function variants and haploinsufficiency have not been reported to date.
    The investigators aimed to identify the genetic cause of NK-cell immunodeficiency in 2 families and herein describe the functional consequences of 2 novel loss-of-function variants in PLCG2.
    The investigators employed whole-exome sequencing in conjunction with mass cytometry, microscopy, functional assays, and a mouse model of PLCG2 haploinsufficiency to investigate 2 families with NK-cell immunodeficiency.
    The investigators identified novel heterozygous variants in PLCG2 in 2 families with severe and/or recurrent herpesvirus infections. In vitro studies demonstrated that these variants were loss of function due to haploinsufficiency with impaired NK-cell calcium flux and cytotoxicity. In contrast to previous PLCG2 variants, B-cell function remained intact. Plcg2+/- mice also displayed impaired NK-cell function with preserved B-cell function, phenocopying human disease.
    PLCG2 haploinsufficiency represents a distinct syndrome from previous variants characterized by NK-cell immunodeficiency with herpesvirus susceptibility, expanding the spectrum of PLCG2-related disease.
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  • 文章类型: Review
    冷荨麻疹是一种慢性疾病,由于直接或间接暴露于寒冷温度,会引起寒冷诱发的风团或血管性水肿的发作性症状。而寒冷性荨麻疹的症状通常是良性的和自限性的,严重的全身过敏反应是可能的。收购,非典型的,和遗传形式已经被描述,每个都有可变的触发器,症状,以及对治疗的反应。临床试验,包括对冷刺激的反应,有助于定义疾病亚型。最近,已描述了以非典型形式的冷荨麻疹为特征的单基因疾病。这里,我们回顾了不同形式的寒冷性荨麻疹和相关综合征,并提出了一种诊断算法,以帮助临床医生及时做出诊断,以便对这些患者进行适当的治疗。
    Cold urticaria is a chronic condition causing episodic symptoms of cold-induced wheals or angioedema in response to direct or indirect exposure to cold temperatures. Whereas symptoms of cold urticaria are typically benign and self-limiting, severe systemic anaphylactic reactions are possible. Acquired, atypical, and hereditary forms have been described, each with variable triggers, symptoms, and responses to therapy. Clinical testing, including response to cold stimulation, helps define disease subtypes. More recently, monogenic disorders characterized by atypical forms of cold urticaria have been described. Here, we review the different forms of cold-induced urticaria and related syndromes and propose a diagnostic algorithm to aid clinicians in making a timely diagnosis for the appropriate management of these patients.
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  • 文章类型: Journal Article
    与野生型相比,在小胶质细胞中表达的PLCγ2(P522R)中的罕见编码变体会诱导酶活性的轻度激活。据报道,这种突变对与晚发性阿尔茨海默病(LOAD)相关的认知能力下降具有保护作用,因此,野生型PLCγ2的激活已被认为是预防和治疗LOAD的潜在治疗靶标。此外,PLCγ2已与其他疾病如癌症和一些自身免疫性疾病相关,其中已鉴定出PLCγ2活性具有大得多增加的突变。这里,药理学抑制可以提供治疗效果。为了促进我们对PLCγ2活性的研究,我们开发了一种优化的荧光底物来监测水溶液中的酶活性。这是通过首先探索各种“开启”荧光团的光谱特性来实现的。最有希望的启动荧光团被掺入到水溶性PLCγ2报告底物中,我们把它命名为C8CF3香豆素.确认了PLCγ2酶促处理C8CF3-香豆素的能力,并确定了反应的动力学。优化了反应条件以确定小分子活化剂,进行药理学活性化合物1280(LOPAC1280)库的试验筛选,目的是鉴定PLCγ2的小分子活化剂。优化的筛选条件允许鉴定潜在的PLCγ2活化剂和抑制剂,从而证明了这种方法用于高通量筛选的可行性。
    A rare coding variant in PLCγ2 (P522R) expressed in microglia induces a mild activation of enzymatic activity when compared to wild-type. This mutation is reported to be protective against the cognitive decline associated with late-onset Alzheimer\'s disease (LOAD) and therefore, activation of wild-type PLCγ2 has been suggested as a potential therapeutic target for the prevention and treatment of LOAD. Additionally, PLCγ2 has been associated with other diseases such as cancer and some autoimmune disorders where mutations with much greater increases in PLCγ2 activity have been identified. Here, pharmacological inhibition may provide a therapeutic effect. In order to facilitate our investigation of the activity of PLCγ2, we developed an optimized fluorogenic substrate to monitor enzymatic activity in aqueous solution. This was accomplished by first exploring the spectral properties of various \"turn-on\" fluorophores. The most promising turn-on fluorophore was incorporated into a water-soluble PLCγ2 reporter substrate, which we named C8CF3-coumarin. The ability of PLCγ2 to enzymatically process C8CF3-coumarin was confirmed, and the kinetics of the reaction were determined. Reaction conditions were optimized to identify small molecule activators, and a pilot screen of the Library of Pharmacologically Active Compounds 1280 (LOPAC1280) was performed with the goal of identifying small molecule activators of PLCγ2. The optimized screening conditions allowed identification of potential PLCγ2 activators and inhibitors, thus demonstrating the feasibility of this approach for high-throughput screening.
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  • 文章类型: Case Reports
    APLAID综合征是一种罕见的原发性免疫缺陷,由PLCG2基因的功能获得性突变引起。我们介绍了一名7岁的APLAID患者,他有复发性水疱性皮肤损伤,会阴皮肤感染,直肠会阴瘘,和炎症性肠病.
    为了确定我们病人的遗传原因,进行WES和生物信息学分析。流式细胞术用于外周血中的免疫细胞群体的表型分型。使用蛋白芯片技术分析释放到血浆中的细胞因子。对患者和健康儿童的PBMC进行单细胞RNA测序分析。
    该患者在PLCG2基因的外显子24中携带了一个新的从头错义突变c.2534T>C,该突变导致亮氨酸被丝氨酸氨基酸取代(p。Leu845Ser)。生物信息学分析显示,这种突变对PLCγ2蛋白的结构有负面影响,在许多其他物种中高度保守。通过流式细胞术进行免疫表型分析显示,除了循环记忆B细胞的典型减少外,儿童外周血中髓样树突状细胞(mDCs)的水平显著降低,激活诱导的CD4+效应T细胞也是如此。单细胞测序显示APLAID患者外周血中不同类型细胞的比例发生了变化。
    我们介绍了第一例APLAID严重减少的髓样树突状细胞携带新的PLCG2突变,并对ALPAID患者的免疫学特征进行了全面分析,这在以前的报告中没有提到。这项研究扩展了APLAID相关免疫表型和基因型的范围。该患者的详细免疫分析可能为开发这种严重的自身炎性疾病的靶向治疗提供基础。
    The APLAID syndrome is a rare primary immunodeficiency caused by gain-of-function mutations in the PLCG2 gene. We present a 7-year-old APLAID patient who has recurrent blistering skin lesions, skin infections in the perineum, a rectal perineal fistula, and inflammatory bowel disease.
    To determine the genetic cause of our patient, WES and bioinformatics analysis were performed. Flow cytometry was used for phenotyping immune cell populations in peripheral blood. Cytokines released into plasma were analyzed using protein chip technology. The PBMCs of patient and a healthy child were subjected to single-cell RNA-sequencing analysis.
    The patient carried a novel de novo missense mutation c.2534T>C in exon 24 of the PLCG2 gene that causes a leucine to serine amino acid substitution (p.Leu845Ser). Bioinformatics analysis revealed that this mutation had a negative impact on the structure of the PLCγ2 protein, which is highly conserved in many other species. Immunophenotyping by flow cytometry revealed that in addition to the typical decrease in circulating memory B cells, the levels of myeloid dendritic cells (mDCs) in the children\'s peripheral blood were significantly lower, as were the CD4+ effector T cells induced by their activation. Single-cell sequencing revealed that the proportion of different types of cells in the peripheral blood of the APLAID patient changed.
    We present the first case of APLAID with severely reduced myeloid dendritic cells carrying a novel PLCG2 mutation, and conducted a comprehensive analysis of immunological features in the ALPAID patient, which has not been mentioned in previous reports. This study expands the spectrum of APLAID-associated immunophenotype and genotype. The detailed immune analyses in this patient may provide a basis for the development of targeted therapies for this severe autoinflammatory disease.
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