2017
DOI: 10.1016/j.jaci.2016.07.016
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Dedicator of cytokinesis 8–deficient CD4 + T cells are biased to a T H 2 effector fate at the expense of T H 1 and T H 17 cells

Abstract: Investigations into the DOCK8-deficient CD4 T cells provided an explanation for some of the clinical features of this disorder: the T2 bias is likely to contribute to atopic disease, whereas defects in T1 and T17 cells compromise antiviral and antifungal immunity, respectively, explaining the infectious susceptibility of DOCK8-deficient patients.

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Cited by 74 publications
(77 citation statements)
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“…DOCK8-deficient patients develop Staphylococcus aureus skin abscesses, or soft tissue infections, elevated serum IgE, eosinophilia, and GI tract infections (19). A recent study has also found that memory CD4 + T cells of DOCK8-deficient patients are skewed toward Th2 cells, probably at the expense of Th1 and Th17 cells (52), which may result in a compromised antiviral and antifungal immunity.…”
Section: (L) Histogram Showing the Proliferation Of Sorted Tregs Frommentioning
confidence: 99%
“…DOCK8-deficient patients develop Staphylococcus aureus skin abscesses, or soft tissue infections, elevated serum IgE, eosinophilia, and GI tract infections (19). A recent study has also found that memory CD4 + T cells of DOCK8-deficient patients are skewed toward Th2 cells, probably at the expense of Th1 and Th17 cells (52), which may result in a compromised antiviral and antifungal immunity.…”
Section: (L) Histogram Showing the Proliferation Of Sorted Tregs Frommentioning
confidence: 99%
“…35,36 Two recent studies found that CD4 + T cells from DOCK8-deficient patients are preferentially polarized to a T H 2 effector phenotype, with defective ability to polarize towards a T H 17 cytokine producing state. 37,38 Mechanistically, DOCK8 constitutively associates with STAT3 in CD4 + T cells in a GEF-independent manner, but promotes STAT3 activation through a GEF-dependent mechanism upon IL-6 or IL-21 stimulation. 38 Indeed, mutant cells that lack DOCK8 GEF activity, but retain protein expression, had defective T H 17 polarization.…”
Section: Regulation Of Polarization and Cytokine Productionmentioning
confidence: 99%
“…DOCK8 deficiency, also classified as autosomal recessive HIES, presents with eczema, allergies (particularly to food allergens) and recurrent infections in addition to elevated IgE and eosinophilia [105]. DOCK8-deficient T cells have an intrinsic bias toward a Th2 phenotype as well as defects in Th17 differentiation through reduced STAT3 activity [106, 107]. The impaired Th17 differentiation is notable because it replicates a finding in the autosomal dominant form of HIES (AD-HIES, also known as Job’s syndrome) associated with mutations in STAT3 [108].…”
Section: Negative Regulation Of Type 2 Immune Responsesmentioning
confidence: 99%