Heterozygous splice mutation in PIK3R1 causes human immunodeficiency with lymphoproliferation due to dominant activation of PI3K

Class IA phosphatidylinositol 3-kinases (PI3K), which generate PIP3 as a signal for cell growth and proliferation, exist as an intracellular complex of a catalytic subunit bound to a regulatory subunit. We and others have previously reported that heterozygous mutations in PIK3CD encoding the p110δ c...

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Published inThe Journal of experimental medicine Vol. 211; no. 13; pp. 2537 - 2547
Main Authors Lucas, Carrie L., Zhang, Yu, Venida, Anthony, Wang, Ying, Hughes, Jason, McElwee, Joshua, Butrick, Morgan, Matthews, Helen, Price, Susan, Biancalana, Matthew, Wang, Xiaochuan, Richards, Michael, Pozos, Tamara, Barlan, Isil, Ozen, Ahmet, Rao, V. Koneti, Su, Helen C., Lenardo, Michael J.
Format Journal Article
LanguageEnglish
Published United States The Rockefeller University Press 15.12.2014
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Abstract Class IA phosphatidylinositol 3-kinases (PI3K), which generate PIP3 as a signal for cell growth and proliferation, exist as an intracellular complex of a catalytic subunit bound to a regulatory subunit. We and others have previously reported that heterozygous mutations in PIK3CD encoding the p110δ catalytic PI3K subunit cause a unique disorder termed p110δ-activating mutations causing senescent T cells, lymphadenopathy, and immunodeficiency (PASLI) disease. We report four patients from three families with a similar disease who harbor a recently reported heterozygous splice site mutation in PIK3R1, which encodes the p85α, p55α, and p50α regulatory PI3K subunits. These patients suffer from recurrent sinopulmonary infections and lymphoproliferation, exhibit hyperactive PI3K signaling, and have prominent expansion and skewing of peripheral blood CD8+ T cells toward terminally differentiated senescent effector cells with short telomeres. The PIK3R1 splice site mutation causes skipping of an exon, corresponding to loss of amino acid residues 434–475 in the inter-SH2 domain. The mutant p85α protein is expressed at low levels in patient cells and activates PI3K signaling when overexpressed in T cells from healthy subjects due to qualitative and quantitative binding changes in the p85α–p110δ complex and failure of the C-terminal region to properly inhibit p110δ catalytic activity.
AbstractList Lucas et al. identify humans with a gain-of-function mutation in PIK3R1, encoding the p85 alpha subunit of PI3K. The splice site mutation causes in-frame skipping of exon 11, resulting in altered p85 alpha association with p110 delta that stabilizes the catalytic subunit but fails to properly inhibit catalytic activity. The patients have immunodeficiency and lymphoproliferation with skewing of CD8+ T cells toward terminally differentiated and senescent effector cells that have shortened telomeres. Class IA phosphatidylinositol 3-kinases (PI3K), which generate PIP3 as a signal for cell growth and proliferation, exist as an intracellular complex of a catalytic subunit bound to a regulatory subunit. We and others have previously reported that heterozygous mutations in PIK3CD encoding the p110 delta catalytic PI3K subunit cause a unique disorder termed p110 delta -activating mutations causing senescent T cells, lymphadenopathy, and immunodeficiency (PASLI) disease. We report four patients from three families with a similar disease who harbor a recently reported heterozygous splice site mutation in PIK3R1, which encodes the p85 alpha , p55 alpha , and p50 alpha regulatory PI3K subunits. These patients suffer from recurrent sinopulmonary infections and lymphoproliferation, exhibit hyperactive PI3K signaling, and have prominent expansion and skewing of peripheral blood CD8+ T cells toward terminally differentiated senescent effector cells with short telomeres. The PIK3R1 splice site mutation causes skipping of an exon, corresponding to loss of amino acid residues 434-475 in the inter-SH2 domain. The mutant p85 alpha protein is expressed at low levels in patient cells and activates PI3K signaling when overexpressed in T cells from healthy subjects due to qualitative and quantitative binding changes in the p85 alpha -p110 delta complex and failure of the C-terminal region to properly inhibit p110 delta catalytic activity.
Class IA phosphatidylinositol 3-kinases (PI3K), which generate PIP3 as a signal for cell growth and proliferation, exist as an intracellular complex of a catalytic subunit bound to a regulatory subunit. We and others have previously reported that heterozygous mutations in PIK3CD encoding the p110δ catalytic PI3K subunit cause a unique disorder termed p110δ-activating mutations causing senescent T cells, lymphadenopathy, and immunodeficiency (PASLI) disease. We report four patients from three families with a similar disease who harbor a recently reported heterozygous splice site mutation in PIK3R1, which encodes the p85α, p55α, and p50α regulatory PI3K subunits. These patients suffer from recurrent sinopulmonary infections and lymphoproliferation, exhibit hyperactive PI3K signaling, and have prominent expansion and skewing of peripheral blood CD8(+) T cells toward terminally differentiated senescent effector cells with short telomeres. The PIK3R1 splice site mutation causes skipping of an exon, corresponding to loss of amino acid residues 434-475 in the inter-SH2 domain. The mutant p85α protein is expressed at low levels in patient cells and activates PI3K signaling when overexpressed in T cells from healthy subjects due to qualitative and quantitative binding changes in the p85α-p110δ complex and failure of the C-terminal region to properly inhibit p110δ catalytic activity.Class IA phosphatidylinositol 3-kinases (PI3K), which generate PIP3 as a signal for cell growth and proliferation, exist as an intracellular complex of a catalytic subunit bound to a regulatory subunit. We and others have previously reported that heterozygous mutations in PIK3CD encoding the p110δ catalytic PI3K subunit cause a unique disorder termed p110δ-activating mutations causing senescent T cells, lymphadenopathy, and immunodeficiency (PASLI) disease. We report four patients from three families with a similar disease who harbor a recently reported heterozygous splice site mutation in PIK3R1, which encodes the p85α, p55α, and p50α regulatory PI3K subunits. These patients suffer from recurrent sinopulmonary infections and lymphoproliferation, exhibit hyperactive PI3K signaling, and have prominent expansion and skewing of peripheral blood CD8(+) T cells toward terminally differentiated senescent effector cells with short telomeres. The PIK3R1 splice site mutation causes skipping of an exon, corresponding to loss of amino acid residues 434-475 in the inter-SH2 domain. The mutant p85α protein is expressed at low levels in patient cells and activates PI3K signaling when overexpressed in T cells from healthy subjects due to qualitative and quantitative binding changes in the p85α-p110δ complex and failure of the C-terminal region to properly inhibit p110δ catalytic activity.
Lucas et al. identify humans with a gain-of-function mutation in PIK3R1 , encoding the p85α subunit of PI3K. The splice site mutation causes in-frame skipping of exon 11, resulting in altered p85α association with p110δ that stabilizes the catalytic subunit but fails to properly inhibit catalytic activity. The patients have immunodeficiency and lymphoproliferation with skewing of CD8 + T cells toward terminally differentiated and senescent effector cells that have shortened telomeres. Class IA phosphatidylinositol 3-kinases (PI3K), which generate PIP 3 as a signal for cell growth and proliferation, exist as an intracellular complex of a catalytic subunit bound to a regulatory subunit. We and others have previously reported that heterozygous mutations in PIK3CD encoding the p110δ catalytic PI3K subunit cause a unique disorder termed p110δ-activating mutations causing senescent T cells, lymphadenopathy, and immunodeficiency (PASLI) disease. We report four patients from three families with a similar disease who harbor a recently reported heterozygous splice site mutation in PIK3R1 , which encodes the p85α, p55α, and p50α regulatory PI3K subunits. These patients suffer from recurrent sinopulmonary infections and lymphoproliferation, exhibit hyperactive PI3K signaling, and have prominent expansion and skewing of peripheral blood CD8 + T cells toward terminally differentiated senescent effector cells with short telomeres. The PIK3R1 splice site mutation causes skipping of an exon, corresponding to loss of amino acid residues 434–475 in the inter-SH2 domain. The mutant p85α protein is expressed at low levels in patient cells and activates PI3K signaling when overexpressed in T cells from healthy subjects due to qualitative and quantitative binding changes in the p85α–p110δ complex and failure of the C-terminal region to properly inhibit p110δ catalytic activity.
Class IA phosphatidylinositol 3-kinases (PI3K), which generate PIP3 as a signal for cell growth and proliferation, exist as an intracellular complex of a catalytic subunit bound to a regulatory subunit. We and others have previously reported that heterozygous mutations in PIK3CD encoding the p110δ catalytic PI3K subunit cause a unique disorder termed p110δ-activating mutations causing senescent T cells, lymphadenopathy, and immunodeficiency (PASLI) disease. We report four patients from three families with a similar disease who harbor a recently reported heterozygous splice site mutation in PIK3R1, which encodes the p85α, p55α, and p50α regulatory PI3K subunits. These patients suffer from recurrent sinopulmonary infections and lymphoproliferation, exhibit hyperactive PI3K signaling, and have prominent expansion and skewing of peripheral blood CD8+ T cells toward terminally differentiated senescent effector cells with short telomeres. The PIK3R1 splice site mutation causes skipping of an exon, corresponding to loss of amino acid residues 434–475 in the inter-SH2 domain. The mutant p85α protein is expressed at low levels in patient cells and activates PI3K signaling when overexpressed in T cells from healthy subjects due to qualitative and quantitative binding changes in the p85α–p110δ complex and failure of the C-terminal region to properly inhibit p110δ catalytic activity.
Author Lucas, Carrie L.
Pozos, Tamara
Matthews, Helen
Barlan, Isil
Zhang, Yu
Wang, Ying
Richards, Michael
Ozen, Ahmet
Su, Helen C.
Wang, Xiaochuan
Venida, Anthony
Butrick, Morgan
Hughes, Jason
McElwee, Joshua
Lenardo, Michael J.
Rao, V. Koneti
Price, Susan
Biancalana, Matthew
AuthorAffiliation 9 Pediatric Allergy and Immunology, Marmara University, Istanbul 34660, Turkey
5 Department of Clinical Immunology, Children’s Hospital of Fudan University, Shanghai 200433, China
6 Merck Research Laboratories, Merck & Co, Boston, MA 02115
1 Molecular Development of the Immune System Section, Laboratory of Immunology ; 2 NIAID Clinical Genomics Program ; 3 Human Immunological Diseases Unit, Laboratory of Host Defenses ; and 4 Intramural Clinical Management and Operations Branch, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892
7 Hematology/Oncology Clinic and 8 Infectious Diseases and Immunology, Children’s Hospitals and Clinics of Minnesota, Minneapolis, MN 55404
AuthorAffiliation_xml – name: 6 Merck Research Laboratories, Merck & Co, Boston, MA 02115
– name: 7 Hematology/Oncology Clinic and 8 Infectious Diseases and Immunology, Children’s Hospitals and Clinics of Minnesota, Minneapolis, MN 55404
– name: 9 Pediatric Allergy and Immunology, Marmara University, Istanbul 34660, Turkey
– name: 1 Molecular Development of the Immune System Section, Laboratory of Immunology ; 2 NIAID Clinical Genomics Program ; 3 Human Immunological Diseases Unit, Laboratory of Host Defenses ; and 4 Intramural Clinical Management and Operations Branch, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892
– name: 5 Department of Clinical Immunology, Children’s Hospital of Fudan University, Shanghai 200433, China
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  surname: Lucas
  fullname: Lucas, Carrie L.
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/25488983$$D View this record in MEDLINE/PubMed
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Snippet Class IA phosphatidylinositol 3-kinases (PI3K), which generate PIP3 as a signal for cell growth and proliferation, exist as an intracellular complex of a...
Lucas et al. identify humans with a gain-of-function mutation in PIK3R1, encoding the p85 alpha subunit of PI3K. The splice site mutation causes in-frame...
Lucas et al. identify humans with a gain-of-function mutation in PIK3R1 , encoding the p85α subunit of PI3K. The splice site mutation causes in-frame skipping...
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StartPage 2537
SubjectTerms Adolescent
Adult
Alternative Splicing - genetics
Antibody Formation
Base Sequence
Catalytic Domain
CD8-Positive T-Lymphocytes - immunology
Cell Differentiation
Child, Preschool
Enzyme Activation
Exons - genetics
Female
Genes, Dominant
Heterozygote
Humans
Immunologic Deficiency Syndromes - enzymology
Immunologic Deficiency Syndromes - genetics
Immunologic Deficiency Syndromes - immunology
Lymphoproliferative Disorders - enzymology
Lymphoproliferative Disorders - genetics
Lymphoproliferative Disorders - immunology
Male
Molecular Sequence Data
Mutation - genetics
Pedigree
Phosphatidylinositol 3-Kinases - chemistry
Phosphatidylinositol 3-Kinases - genetics
Protein Structure, Tertiary
Sequence Deletion
Signal Transduction
Telomere - metabolism
TOR Serine-Threonine Kinases - antagonists & inhibitors
TOR Serine-Threonine Kinases - metabolism
Title Heterozygous splice mutation in PIK3R1 causes human immunodeficiency with lymphoproliferation due to dominant activation of PI3K
URI https://www.ncbi.nlm.nih.gov/pubmed/25488983
https://www.proquest.com/docview/1637563998
https://www.proquest.com/docview/1808665707
https://pubmed.ncbi.nlm.nih.gov/PMC4267241
Volume 211
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