RT Journal Article T1 The immunopathological landscape of human pre-TCRα deficiency: from rare to common variants A1 Materna, Marie A1 Cárdenas Mastrascusa, Paula Patricia A1 Regueiro González-Barros, José Ramón A1 Béziat, Vivien AB We describe humans with rare biallelic loss-of-function PTCRA variants impairing pre-TCRα expression. Low circulating naïve αβ T cell counts at birth persisted over time, with normal memory αβ and high γδ T cell counts. Their TCRα repertoire was biased, suggesting that noncanonical thymic differentiation pathways can rescue αβ T cell development. Only a minority of these individuals were sick, with infection, lymphoproliferation, and/or autoimmunity. We alsoreport that 1 in 4000 individuals from the Middle East and South Asia are homozygous for a common hypomorphic PTCRA variant. They had normal circulating naïve αβ T cell counts but high γδ T cell counts. Although residual pre-TCRα expression drove the differentiation of more αβ T cells, autoimmune conditions were more frequent in these patients than in the general population. PB American Association for the Advancement of Science SN 0036-8075 YR 2024 FD 2024-03-22 LK https://hdl.handle.net/20.500.14352/107408 UL https://hdl.handle.net/20.500.14352/107408 LA eng NO Marie Materna et al. ,The immunopathological landscape of human pre-TCRα deficiency: From rare to common variants.Science383,eadh4059(2024).DOI:10.1126/science.adh4059 NO French National Research Agency NO Unión Europea DS Docta Complutense RD 9 abr 2025