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T-cell receptor diversity is selectively skewed in T-cell populations of patients with Wiskott-Aldrich syndrome.
[wiskott-aldrich syndrome]
Wiskott-
Aldrich
syndrome
(
WAS
)
is
a
severe
disorder
characterized
by
thrombocytopenia
,
eczema
,
immunodeficiency
,
and
increased
risk
of
autoimmune
disease
and
lymphoid
malignancies
.
The
immunodeficiency
caused
by
a
lack
of
WAS
protein
expression
has
been
mainly
attributed
to
defective
T
-
cell
functions
.
Whether
WAS
mutations
differentially
influence
the
T
-
cell
receptor
(
TCR
)
diversity
of
different
T
-
cell
subsets
is
unknown
.
We
aimed
to
identify
the
degree
and
pattern
of
skewing
in
the
variable
region
of
the
TCR
β-chain
(
Vβ
)
in
different
T
-
cell
subsets
from
patients
with
WAS
.
T
he
TCR
repertoire
diversity
in
total
peripheral
T
Â
cells
,
sorted
CD
4
(
+
)
and
CD
8
(
+
)
T
cells
,
and
CD
4
5
RA
(
+
)
(
CD
4
5
RA
(
+
)
CD
4
5
RO
(
-
)
cells
)
and
CD
4
5
RO
(
+
)
(
CD
4
5
RA
(
-
)
CD
4
5
RO
(
+
)
cells
)
CD
4
(
+
)
and
CD
8
(
+
)
T
cells
from
patients
with
WAS
and
age-matched
healthy
control
subjects
was
analyzed
and
compared
by
using
spectratyping
of
complementarity-determining
region
3
.
The
complementarity-determining
region
3
of
TCRβ
transcripts
in
CD
4
5
RA
(
+
)
CD
4
(
+
)
and
CD
4
5
RA
(
+
)
CD
8
(
+
)
T
cells
,
CD
4
5
RO
(
+
)
CD
4
(
+
)
T
cells
,
CD
8
(
+
)
terminally
differentiated
effector
memory
T
(
Temra
)
cells
,
and
naive
CD
8
(
+
)
T
cells
(
CD
8
(
+
)
CD
4
5
RO
(
-
)
CCR
7
(
+
)
cells
)
from
patients
and
control
subjects
were
analyzed
and
compared
by
using
high
-throughput
sequencing
.
The
TCR
repertoire
diversity
in
CD
4
5
RO
(
+
)
CD
4
(
+
)
T
cells
and
CD
8
(
+
)
Temra
cells
of
patients
with
WAS
was
significantly
skewed
in
comparison
with
that
seen
in
age-matched
control
subjects
.
Our
results
indicate
that
WAS
gene
mutations
selectively
influence
TCR
repertoire
development
or
expansion
in
CD
4
5
RO
(
+
)
(
memory
)
CD
4
(
+
)
T
cells
.
Diseases
Validation
Diseases presenting
"total peripheral t cells"
symptom
wiskott-aldrich syndrome
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