首页 > 最新文献

Journal of Clinical Immunology最新文献

英文 中文
Porto-sinusoidal Vascular Disease is Associated with Gastrointestinal Disorders in Common Variable Immunodefiency. 门窦血管疾病与常见可变免疫缺陷的胃肠道疾病相关。
IF 5.7 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-02-28 DOI: 10.1007/s10875-026-01985-4
Emilie Corvilain, Laurence Gérard, Jehane Fadlallah, Lionel Galicier, Laure Delaval, Jessy Alchidiac, Aurélie Plessier, David Boutboul, Claire Fieschi, Eric Oksenhendler, Pierre Emmanuel Rautou, Marion Malphettes
{"title":"Porto-sinusoidal Vascular Disease is Associated with Gastrointestinal Disorders in Common Variable Immunodefiency.","authors":"Emilie Corvilain, Laurence Gérard, Jehane Fadlallah, Lionel Galicier, Laure Delaval, Jessy Alchidiac, Aurélie Plessier, David Boutboul, Claire Fieschi, Eric Oksenhendler, Pierre Emmanuel Rautou, Marion Malphettes","doi":"10.1007/s10875-026-01985-4","DOIUrl":"10.1007/s10875-026-01985-4","url":null,"abstract":"","PeriodicalId":15531,"journal":{"name":"Journal of Clinical Immunology","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12975810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147317161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Primary Immunodeficiency Diseases with BCG-Induced Diseases: A 15-Year Longitudinal Cohort Study. 原发性免疫缺陷疾病伴bcg诱导疾病:一项15年纵向队列研究
IF 5.7 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-02-26 DOI: 10.1007/s10875-026-01996-1
Lu Xia, Yang Yang, Xue-Ying Li, Ping Liu, Xiao-Min Wang, Zhen Huang, Shui-Hua Lu, Xu-Hui Liu
{"title":"Primary Immunodeficiency Diseases with BCG-Induced Diseases: A 15-Year Longitudinal Cohort Study.","authors":"Lu Xia, Yang Yang, Xue-Ying Li, Ping Liu, Xiao-Min Wang, Zhen Huang, Shui-Hua Lu, Xu-Hui Liu","doi":"10.1007/s10875-026-01996-1","DOIUrl":"10.1007/s10875-026-01996-1","url":null,"abstract":"","PeriodicalId":15531,"journal":{"name":"Journal of Clinical Immunology","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12988879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147306350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fatal Systemic Granulomatous Disease Associated with Vaccine-Derived Rubella Virus in AIOLOS-Associated Immunodeficiency. aios相关免疫缺陷中与疫苗衍生风疹病毒相关的致命性全身性肉芽肿病
IF 5.7 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-02-26 DOI: 10.1007/s10875-026-01990-7
Linda Zhou, Hye Sun Kuehn, Dayna Gager, Agustin A Gil Silva, Ludmila M Perelygina, LiJuan Hao, Min-Hsin Chen, Julie E Niemela, Jennifer L Stoddard, Matthew Helm, Karolyn Wanat, Kathleen Sullivan, Galen Foulke, Thomas H Leung, Sergio D Rosenzweig, Misha Rosenbach
{"title":"Fatal Systemic Granulomatous Disease Associated with Vaccine-Derived Rubella Virus in AIOLOS-Associated Immunodeficiency.","authors":"Linda Zhou, Hye Sun Kuehn, Dayna Gager, Agustin A Gil Silva, Ludmila M Perelygina, LiJuan Hao, Min-Hsin Chen, Julie E Niemela, Jennifer L Stoddard, Matthew Helm, Karolyn Wanat, Kathleen Sullivan, Galen Foulke, Thomas H Leung, Sergio D Rosenzweig, Misha Rosenbach","doi":"10.1007/s10875-026-01990-7","DOIUrl":"10.1007/s10875-026-01990-7","url":null,"abstract":"","PeriodicalId":15531,"journal":{"name":"Journal of Clinical Immunology","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12975807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147288995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
TFRC Germline Variants and Inborn Error of Immunity: Mechanistic Insights into Iron-Immune Crosstalk. TFRC种系变异和先天免疫错误:铁免疫串扰的机制见解。
IF 5.7 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-02-20 DOI: 10.1007/s10875-026-01999-y
Amal H Aljohani
{"title":"TFRC Germline Variants and Inborn Error of Immunity: Mechanistic Insights into Iron-Immune Crosstalk.","authors":"Amal H Aljohani","doi":"10.1007/s10875-026-01999-y","DOIUrl":"10.1007/s10875-026-01999-y","url":null,"abstract":"","PeriodicalId":15531,"journal":{"name":"Journal of Clinical Immunology","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12992366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146227074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Cohort Study of 38 Classic Wiskott-Aldrich Syndrome Cases with Six Novel Mutations. 38例典型Wiskott-Aldrich综合征伴6个新突变的队列研究。
IF 5.7 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-02-20 DOI: 10.1007/s10875-026-01986-3
Anahita Razaghian, Mohsen Badalzadeh, Amir Ali Hamidieh, Raheleh Shokouhi Shoormasti, Nasrin Behniafard, Massoud Houshmand, Leila Moradi, Samin Alavi, Maryam Behfar, Masoud Movahedi, Mohammad Gharagozlou, Tahereh Rostami, Farideh Moussavi, Morteza Fallahpour, Mansoureh Shariat, Nima Parvaneh, Alireza Shafiei, Hamid Ahanchian, Delara Babaei, Mohammad Hassan Bemanian, Roshanak Radmehr, Reyhaneh Khademi, Somayeh Shamlou, Mohammad Reza Fazlollahi, Zahra Pourpak
{"title":"A Cohort Study of 38 Classic Wiskott-Aldrich Syndrome Cases with Six Novel Mutations.","authors":"Anahita Razaghian, Mohsen Badalzadeh, Amir Ali Hamidieh, Raheleh Shokouhi Shoormasti, Nasrin Behniafard, Massoud Houshmand, Leila Moradi, Samin Alavi, Maryam Behfar, Masoud Movahedi, Mohammad Gharagozlou, Tahereh Rostami, Farideh Moussavi, Morteza Fallahpour, Mansoureh Shariat, Nima Parvaneh, Alireza Shafiei, Hamid Ahanchian, Delara Babaei, Mohammad Hassan Bemanian, Roshanak Radmehr, Reyhaneh Khademi, Somayeh Shamlou, Mohammad Reza Fazlollahi, Zahra Pourpak","doi":"10.1007/s10875-026-01986-3","DOIUrl":"10.1007/s10875-026-01986-3","url":null,"abstract":"","PeriodicalId":15531,"journal":{"name":"Journal of Clinical Immunology","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12975855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146258273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Good's Syndrome Mirrors a Combined Immunodeficiency with Anti-Cytokine Antibodies in the Total Absence of B Cells. 古德氏综合征反映了B细胞完全缺乏时抗细胞因子抗体的联合免疫缺陷。
IF 5.7 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-02-17 DOI: 10.1007/s10875-026-01992-5
Aunonna Kabir, Louise Gilbert, Dornaz Almasizadeh, Reza Alizadehfar, Vanessa Polito, David Langlais, René P Michel, Christos M Tsoukas
{"title":"Good's Syndrome Mirrors a Combined Immunodeficiency with Anti-Cytokine Antibodies in the Total Absence of B Cells.","authors":"Aunonna Kabir, Louise Gilbert, Dornaz Almasizadeh, Reza Alizadehfar, Vanessa Polito, David Langlais, René P Michel, Christos M Tsoukas","doi":"10.1007/s10875-026-01992-5","DOIUrl":"10.1007/s10875-026-01992-5","url":null,"abstract":"","PeriodicalId":15531,"journal":{"name":"Journal of Clinical Immunology","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12967467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146213354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Spectrum of Primary Immune Regulatory Disorders in Children in a Highly Consanguineous Population: Report from a National Registry. 高血缘人群儿童原发性免疫调节障碍谱:来自国家登记处的报告。
IF 5.7 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-02-14 DOI: 10.1007/s10875-026-01993-4
Amal Alajmi, Sondus Alsharidah, Nisreen Khalifa, Ahmed Elhussein, Ahmad Al-Khabaz, Ahmad Alaqeel, Waleed Al-Herz
{"title":"Spectrum of Primary Immune Regulatory Disorders in Children in a Highly Consanguineous Population: Report from a National Registry.","authors":"Amal Alajmi, Sondus Alsharidah, Nisreen Khalifa, Ahmed Elhussein, Ahmad Al-Khabaz, Ahmad Alaqeel, Waleed Al-Herz","doi":"10.1007/s10875-026-01993-4","DOIUrl":"10.1007/s10875-026-01993-4","url":null,"abstract":"","PeriodicalId":15531,"journal":{"name":"Journal of Clinical Immunology","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12960471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146194735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
WAS Protein Deficiency Disrupts Memory B Cell Formation During Acute LCMV Infection. 急性LCMV感染时,WAS蛋白缺乏破坏记忆B细胞的形成。
IF 5.7 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-02-11 DOI: 10.1007/s10875-026-01984-5
Liang Zhang, Yongjie Liu, Dujuan Zhou

Wiskott-Aldrich syndrome (WAS) is a rare x-linked monogenic immunodeficiency disease, caused by the mutation of WAS gene encoding WAS protein (WASp). Previous findings in WAS patients show B cell perturbations in the periphery, characterized by diminished B-cell numbers and phenotype abnormalities, including reduced frequency of classical CD27+ memory B cells (MBCs), accompanied by an unusual expansion of atypical CD21low MBCs. The mechanism underlying these abnormalities in MBCs developmental pathway has not been completely dissected. In this study, WASp knock-out mice undergone with acute lymphocytic choriomeningitis virus (LCMV) infection was used as a model to investigate the effects of WASp deficiency on the differentiation of MBCs and the possible mechanisms. We found that by day 11 after infection, the proportion of classical IgG2c+ MBCs was dramatically decreased, this was accompanied by a corresponding increase in the proportion of atypical CD21low MBCs. Using single-cell RNA sequencing (scRNA-seq), we also identified WASp deficiency promoted the formation of atypical MBCs during acute viral infection. Remarkably, our study revealed a marked reduction of WASp expression in atypical MBCs. Overall, our data show that WASp is differentially expressed in MBCs subsets, and manipulates the fate of MBCs during acute LCMV infection.

Wiskott-Aldrich综合征(WAS)是一种罕见的x连锁单基因免疫缺陷疾病,由编码WAS蛋白(WASp)的WAS基因突变引起。WAS患者先前的研究结果显示外周B细胞紊乱,其特征是B细胞数量减少和表型异常,包括经典CD27+记忆B细胞(MBCs)频率降低,并伴有非典型CD21low MBCs的异常扩增。MBCs发育通路中这些异常的机制尚未被完全剖析。本研究以急性淋巴细胞性脉络丛脑膜炎病毒(LCMV)感染的WASp敲除小鼠为模型,探讨WASp缺乏对MBCs分化的影响及其可能的机制。我们发现,在感染后第11天,典型IgG2c+ MBCs的比例急剧下降,这伴随着非典型CD21low MBCs的比例相应增加。通过单细胞RNA测序(scRNA-seq),我们还发现,在急性病毒感染期间,WASp缺乏促进了非典型MBCs的形成。值得注意的是,我们的研究显示非典型MBCs中WASp的表达明显减少。总体而言,我们的数据表明,WASp在MBCs亚群中差异表达,并在急性LCMV感染期间操纵MBCs的命运。
{"title":"WAS Protein Deficiency Disrupts Memory B Cell Formation During Acute LCMV Infection.","authors":"Liang Zhang, Yongjie Liu, Dujuan Zhou","doi":"10.1007/s10875-026-01984-5","DOIUrl":"10.1007/s10875-026-01984-5","url":null,"abstract":"<p><p>Wiskott-Aldrich syndrome (WAS) is a rare x-linked monogenic immunodeficiency disease, caused by the mutation of WAS gene encoding WAS protein (WASp). Previous findings in WAS patients show B cell perturbations in the periphery, characterized by diminished B-cell numbers and phenotype abnormalities, including reduced frequency of classical CD27<sup>+</sup> memory B cells (MBCs), accompanied by an unusual expansion of atypical CD21low MBCs. The mechanism underlying these abnormalities in MBCs developmental pathway has not been completely dissected. In this study, WASp knock-out mice undergone with acute lymphocytic choriomeningitis virus (LCMV) infection was used as a model to investigate the effects of WASp deficiency on the differentiation of MBCs and the possible mechanisms. We found that by day 11 after infection, the proportion of classical IgG2c<sup>+</sup> MBCs was dramatically decreased, this was accompanied by a corresponding increase in the proportion of atypical CD21low MBCs. Using single-cell RNA sequencing (scRNA-seq), we also identified WASp deficiency promoted the formation of atypical MBCs during acute viral infection. Remarkably, our study revealed a marked reduction of WASp expression in atypical MBCs. Overall, our data show that WASp is differentially expressed in MBCs subsets, and manipulates the fate of MBCs during acute LCMV infection.</p>","PeriodicalId":15531,"journal":{"name":"Journal of Clinical Immunology","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12950028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146157287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transcatheter Arterial Approach for Refractory Liver Abscesses in Chronic Granulomatous Disease: A Case Series. 经导管动脉入路治疗慢性肉芽肿性难治性肝脓肿:一个病例系列。
IF 5.7 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-02-10 DOI: 10.1007/s10875-025-01976-x
Elisa Profeti, Stefania Ferradino, Lorenza Romani, Gioacchino Andrea Rotulo, Paolo Palma, Gian Luigi Natali, Andrea Finocchi
{"title":"Transcatheter Arterial Approach for Refractory Liver Abscesses in Chronic Granulomatous Disease: A Case Series.","authors":"Elisa Profeti, Stefania Ferradino, Lorenza Romani, Gioacchino Andrea Rotulo, Paolo Palma, Gian Luigi Natali, Andrea Finocchi","doi":"10.1007/s10875-025-01976-x","DOIUrl":"10.1007/s10875-025-01976-x","url":null,"abstract":"","PeriodicalId":15531,"journal":{"name":"Journal of Clinical Immunology","volume":"46 1","pages":"16"},"PeriodicalIF":5.7,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12891042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146149980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric IPEX-Associated Dermatitis Responds To Dupilumab: Evidence from Skin Transcriptomics and Immune Profiling. 儿童ipex相关性皮炎对Dupilumab有反应:来自皮肤转录组学和免疫谱的证据
IF 5.7 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-02-07 DOI: 10.1007/s10875-025-01979-8
Jinxiang Yang, Guofang Li, Jiayan Zhang, Jiao Wang, Yijun Yang, Qiuyang Guo, Kexin Yan, Haoyang Hu, Jiayi Xue, Yiming Ma, Jianying Liang, ZhiRong Yao, Hui Zhang, Chunxiao Li

Purpose: Immunodysregulation, Polyendocrinopathy, Enteropathy, and X-linked (IPEX) syndrome is a rare autoimmune disorder caused by mutations in the FOXP3 gene. Patients with IPEX frequently present with severe dermatitis, diabetes, and enteropathy. This study explores the efficacy of Dupilumab (an anti-IL-4Rα monoclonal antibody) in treating persistent, severe dermatitis in an IPEX patient refractory to conventional treatments like sirolimus.

Methods: We conducted a clinical case study of a 2-year-old IPEX patient with refractory dermatitis. Whole-exome sequencing (WES) confirmed the FOXP3 mutation. Skin biopsies were analyzed for inflammatory gene expression by RNA sequencing and immunohistochemistry to characterize inflammatory pathways. Immune cell phenotyping was performed using flow cytometry pre- and post-treatment in peripheral blood mononuclear cells (PBMCs). The patient was treated with Dupilumab alongside sirolimus and prednisone. Clinical improvements were evaluated using the Eczema Area and Severity Index (EASI) score.

Results: Immunohistochemistry revealed elevated IL-13 expression. RNA sequencing of skin samples revealed upregulation of both Th1- and Th2-related genes, suggesting a dual inflammatory phenotype in IPEX dermatitis. The patient exhibited significant clinical improvement after 8 months of sustained Dupilumab therapy, with the EASI decreasing from 24.8 to 0.4. Flow cytometry demonstrated a reduction in Th1 and Th2 cell subsets post-treatment, accompanied by an increase in Treg and Th3 cell populations as well as enhanced expression of immunosuppressive markers such as CTLA-4 and CD39.

Conclusion: Dupilumab appears promising as a therapeutic option for managing refractory dermatitis in IPEX, particularly by attenuating Th1/Th2 inflammation and promoting regulatory responses mediated by Treg and Th3 cells.

目的:免疫失调、多内分泌病、肠病和x连锁综合征(IPEX)是一种罕见的由FOXP3基因突变引起的自身免疫性疾病。IPEX患者常伴有严重的皮炎、糖尿病和肠病。本研究探讨了Dupilumab(一种抗il - 4r α单克隆抗体)治疗西罗莫司等常规治疗难治性IPEX患者持续性严重皮炎的疗效。方法:我们对一名2岁IPEX患者的难治性皮炎进行了临床病例研究。全外显子组测序(WES)证实了FOXP3突变。通过RNA测序和免疫组织化学分析皮肤活检组织的炎症基因表达,以表征炎症途径。利用流式细胞术对外周血单核细胞(PBMCs)进行处理前后的免疫细胞表型分析。患者在西罗莫司和强的松的同时接受了杜匹单抗治疗。使用湿疹面积和严重程度指数(EASI)评分评估临床改善。结果:免疫组化显示IL-13表达升高。皮肤样本的RNA测序显示Th1-和th2相关基因上调,提示IPEX皮炎存在双重炎症表型。持续Dupilumab治疗8个月后,患者表现出明显的临床改善,EASI从24.8降至0.4。流式细胞术显示,治疗后Th1和Th2细胞亚群减少,Treg和Th3细胞群增加,免疫抑制标志物CTLA-4和CD39表达增强。结论:Dupilumab作为IPEX难治性皮炎的治疗选择似乎很有希望,特别是通过减轻Th1/Th2炎症和促进Treg和Th3细胞介导的调节反应。
{"title":"Pediatric IPEX-Associated Dermatitis Responds To Dupilumab: Evidence from Skin Transcriptomics and Immune Profiling.","authors":"Jinxiang Yang, Guofang Li, Jiayan Zhang, Jiao Wang, Yijun Yang, Qiuyang Guo, Kexin Yan, Haoyang Hu, Jiayi Xue, Yiming Ma, Jianying Liang, ZhiRong Yao, Hui Zhang, Chunxiao Li","doi":"10.1007/s10875-025-01979-8","DOIUrl":"10.1007/s10875-025-01979-8","url":null,"abstract":"<p><strong>Purpose: </strong>Immunodysregulation, Polyendocrinopathy, Enteropathy, and X-linked (IPEX) syndrome is a rare autoimmune disorder caused by mutations in the FOXP3 gene. Patients with IPEX frequently present with severe dermatitis, diabetes, and enteropathy. This study explores the efficacy of Dupilumab (an anti-IL-4Rα monoclonal antibody) in treating persistent, severe dermatitis in an IPEX patient refractory to conventional treatments like sirolimus.</p><p><strong>Methods: </strong>We conducted a clinical case study of a 2-year-old IPEX patient with refractory dermatitis. Whole-exome sequencing (WES) confirmed the FOXP3 mutation. Skin biopsies were analyzed for inflammatory gene expression by RNA sequencing and immunohistochemistry to characterize inflammatory pathways. Immune cell phenotyping was performed using flow cytometry pre- and post-treatment in peripheral blood mononuclear cells (PBMCs). The patient was treated with Dupilumab alongside sirolimus and prednisone. Clinical improvements were evaluated using the Eczema Area and Severity Index (EASI) score.</p><p><strong>Results: </strong>Immunohistochemistry revealed elevated IL-13 expression. RNA sequencing of skin samples revealed upregulation of both Th1- and Th2-related genes, suggesting a dual inflammatory phenotype in IPEX dermatitis. The patient exhibited significant clinical improvement after 8 months of sustained Dupilumab therapy, with the EASI decreasing from 24.8 to 0.4. Flow cytometry demonstrated a reduction in Th1 and Th2 cell subsets post-treatment, accompanied by an increase in Treg and Th3 cell populations as well as enhanced expression of immunosuppressive markers such as CTLA-4 and CD39.</p><p><strong>Conclusion: </strong>Dupilumab appears promising as a therapeutic option for managing refractory dermatitis in IPEX, particularly by attenuating Th1/Th2 inflammation and promoting regulatory responses mediated by Treg and Th3 cells.</p>","PeriodicalId":15531,"journal":{"name":"Journal of Clinical Immunology","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12923480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146131930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Clinical Immunology
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1