T-cell mitochondrial dysfunction and lymphopenia in DOCK2-deficient patients

To the Editor: Dedicator of cytokinesis 2 (DOCK2) is a guanine nucleotide exchange factor expressed predominantly in hematopoietic cells that activates the Rac GTPases.1,2 Biallelic mutations in DOCK2 cause a combined immunodeficiency with T-cell lymphopenia and impaired T-cell activation.1,3 The me...

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Veröffentlicht in:Journal of allergy and clinical immunology 2019-07, Vol.144 (1), p.306-309.e2
Hauptverfasser: Alosaimi, Mohammed F., Shendi, Hiba, Beano, Abdallah, Stafstrom, Kelsey, El Hawary, Rabab, Meshaal, Safa, Galal, Nermeen, Pai, Sung-Yun, El-Marsafy, Aisha, Geha, Raif S., Chou, Janet
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container_end_page 309.e2
container_issue 1
container_start_page 306
container_title Journal of allergy and clinical immunology
container_volume 144
creator Alosaimi, Mohammed F.
Shendi, Hiba
Beano, Abdallah
Stafstrom, Kelsey
El Hawary, Rabab
Meshaal, Safa
Galal, Nermeen
Pai, Sung-Yun
El-Marsafy, Aisha
Geha, Raif S.
Chou, Janet
description To the Editor: Dedicator of cytokinesis 2 (DOCK2) is a guanine nucleotide exchange factor expressed predominantly in hematopoietic cells that activates the Rac GTPases.1,2 Biallelic mutations in DOCK2 cause a combined immunodeficiency with T-cell lymphopenia and impaired T-cell activation.1,3 The mechanisms underlying the T-cell lymphopenia associated with DOCK2 deficiency are incompletely understood. Because of the importance of the Rac GTPases in maintaining mitochondrial homeostasis,4,5 we investigated mitochondrial function in 2 unrelated patients with novel DOCK2 mutations abrogating protein expression. [...]to our DOCK2-deficient patients, CD4+ and CD8+ T cells robustly increased membrane potential after T-cell activation (see Fig E1). [...]chronic antigenic T-cell activation cannot solely explain the defective mitochondrial membrane potential seen in DOCK2-deficient T cells. Because Patient 1 had normal numbers of B cells, we were able to generate an EBV-transformed lymphoblastoid B-cell line (BLCL) from her PBMCs.
doi_str_mv 10.1016/j.jaci.2019.02.020
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Because of the importance of the Rac GTPases in maintaining mitochondrial homeostasis,4,5 we investigated mitochondrial function in 2 unrelated patients with novel DOCK2 mutations abrogating protein expression. [...]to our DOCK2-deficient patients, CD4+ and CD8+ T cells robustly increased membrane potential after T-cell activation (see Fig E1). [...]chronic antigenic T-cell activation cannot solely explain the defective mitochondrial membrane potential seen in DOCK2-deficient T cells. 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Because of the importance of the Rac GTPases in maintaining mitochondrial homeostasis,4,5 we investigated mitochondrial function in 2 unrelated patients with novel DOCK2 mutations abrogating protein expression. [...]to our DOCK2-deficient patients, CD4+ and CD8+ T cells robustly increased membrane potential after T-cell activation (see Fig E1). [...]chronic antigenic T-cell activation cannot solely explain the defective mitochondrial membrane potential seen in DOCK2-deficient T cells. 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subjects Activation
Age
Antigens
CD4 antigen
CD8 antigen
Cell activation
Cytokinesis
Cytomegalovirus
Defects
Female
GTPase-Activating Proteins - deficiency
GTPase-Activating Proteins - genetics
Guanine
Guanine nucleotide exchange factor
Guanine Nucleotide Exchange Factors - deficiency
Guanine Nucleotide Exchange Factors - genetics
Homeostasis
Humans
Immunodeficiency
Immunoglobulins
Immunologic Deficiency Syndromes - genetics
Immunologic Deficiency Syndromes - immunology
Infant
Infections
Lymphocytes
Lymphocytes B
Lymphocytes T
Lymphopenia
Male
Membrane potential
Metabolism
Mitochondria
Mitochondria - immunology
Mutation
Patients
Protein expression
Respiration
T-Lymphocytes - immunology
Viral infections
title T-cell mitochondrial dysfunction and lymphopenia in DOCK2-deficient patients
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