2009
DOI: 10.1016/j.jaci.2009.05.004
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Defects along the TH17 differentiation pathway underlie genetically distinct forms of the hyper IgE syndrome

Abstract: Background-The hyper IgE syndrome (HIES) is characterized by abscesses, eczema, recurrent infections, skeletal and connective tissue abnormalities, elevated serum IgE and diminished inflammatory responses. It exists as autosomal dominant (AD) and recessive (AR) forms that manifest common and distinguishing clinical features. A majority of those with AD-HIES suffers from heterozygous mutations in Signal Transducer and Activator of Transcription 3 (STAT3) and impaired Th17 differentiation.

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Cited by 92 publications
(84 citation statements)
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“…Defects in T lymphocyte IL-17 production also occurs in DOCK8 deficiency (Fig. 2), but unlike STAT3 mutations, which impair the initial steps in Th17 differentiation, DOCK8-deficient patients have defects in Th17 cell terminal differentiation and persistence (Khatib et al 2009). DOCK8 deficiency is caused by homozygous or compound heterozygous point mutations as well as large deletions in DOCK8 with resultant reduced or absent protein (Engelhardt et al 2009;Zhang et al 2009).…”
Section: Dock8 and Tyk2 Deficiencies (Autosomal Recessive Hies)mentioning
confidence: 99%
“…Defects in T lymphocyte IL-17 production also occurs in DOCK8 deficiency (Fig. 2), but unlike STAT3 mutations, which impair the initial steps in Th17 differentiation, DOCK8-deficient patients have defects in Th17 cell terminal differentiation and persistence (Khatib et al 2009). DOCK8 deficiency is caused by homozygous or compound heterozygous point mutations as well as large deletions in DOCK8 with resultant reduced or absent protein (Engelhardt et al 2009;Zhang et al 2009).…”
Section: Dock8 and Tyk2 Deficiencies (Autosomal Recessive Hies)mentioning
confidence: 99%
“…Patients with DOCK8 deficiency do not have the same skeletal findings, such as fractures, scoliosis and retention of primary dentition, which subjects with STAT3 deficiency do [2,23,26]. There may be some developmental or cognitive delay, but this has not been formally ascertained.…”
Section: Dock8 In Non-human Model Systemsmentioning
confidence: 99%
“…Although identified as a primary immunodeficiency, HIES involves also non-immunologic abnormalities, primarily in dentition, connective tissues and bones [1][2][3][4][5][6][7]. In view of the phenotypic variability of the disease, a scor-HIES was provided by publications documenting a deficiency in T helper 17 (Th17) cells in HIES patients, and showing that HIES T cells are impaired in production of Th17 cytokines [12,13,[16][17][18]. In addition, it was suggested that the STAT3 mutations may lead to increased IgE levels and to down-regulation of inflammatory responses in HIES patients [10,11].…”
Section: Introductionmentioning
confidence: 99%