“…WASp family members have a carboxy terminal verprolin cofilin acidic (VCA) domain that mediates binding to the actin related protein (Arp2/3) complex that polymerize actin branching from existing actin filaments (Campellone and Welch, 2010;Moulding et al, 2013;Alekhina et al, 2017). With increased accessibility to whole genome sequencing approaches for immunodeficient patients, patients have been described with mutations in hematopoietic protein-1 (Hem1, a component of the WAVE regulatory complex), Arp2/3 subunit Arp complex 1B (ARPC1B), Cdc42, Rac2, RhoA, and dedicator of cytokinesis 8 [Dock8, a guanine exchange factor (GEF) for Cdc42 and Rac1/2] (Saeed et al, 2020). Moreover, mutations in β-actin and the actin sensor Myocardin Related Transcription Factor A (MRTF-A)/Megakaryoblastic leukemia 1 protein (MKL1) lead to severe immunodeficiencies with poorly functional immune cells (Saeed et al, 2020).…”