RT Journal Article T1 Patients with CD3G mutations reveal a role for human CD3g in Treg diversity and suppressive function A1 Rowe, Jared H A1 Delmonte, Ottavia M A1 Keles, Sevgi A1 Stadinski, Brian D A1 Dobbs, Adam K A1 Henderson, Lauren A A1 Yamazaki, Yasuhiro A1 Allende Martínez, Luis Miguel A1 Bonilla, Francisco A A1 González Granado, Luis Ignacio A1 Celikbilek Celik, Seyma A1 Guner, Sukru N A1 Kapakli, Hasan A1 Yee, Christina A1 Pai, Sung-Yun A1 Huseby, Eric S A1 Reisli, Ismail A1 Regueiro González-Barros, José Ramón A1 Notarangelo, Luigi D AB Integrity of the T-cell receptor/CD3 complex is crucial for positive and negative selection of T cells in the thymus and for effector and regulatory functions of peripheral T lymphocytes. In humans, CD3D, CD3E, and CD3Z gene defects are a cause of severe immune deficiency and present early in life with increased susceptibility to infections. By contrast, CD3G mutations lead to milder phenotypes, mainly characterized by autoimmunity. However, the role of CD3g in establishing and maintaining immune tolerance has not been elucidated. In this manuscript, we aimed to investigate abnormalities of T-cell repertoire and function in patients with genetic defects in CD3G associated with autoimmunity. High throughput sequencing was used to study composition and diversity of the T-cell receptor b (TRB) repertoire in regulatory T cells (Tregs), conventional CD41 (Tconv), and CD81 T cells from 6 patientswith CD3Gmutations and healthy controls. Treg function was assessed by studying its ability to suppress proliferation of Tconv cells. Treg cells of patients with CD3G defects had reduced diversity, increased clonality, and reduced suppressive function. The TRB repertoire of Tconv cells from patients with CD3G deficiency was enriched for hydrophobic amino acids at positions 6 and 7 of the CDR3, a biomarker of self-reactivity. These data demonstrate that the T-cell repertoire of patients with CD3G mutations is characterized by a molecular signature that may contribute to the increased rate of autoimmunity associated with this condition. PB American Society of Hematology SN 1528-0020; 0006-4971 YR 2018 FD 2018-05-24 LK https://hdl.handle.net/20.500.14352/12713 UL https://hdl.handle.net/20.500.14352/12713 LA eng NO Division of Intramural Research NO National Institute of Allergy and Infectious Diseases NO National Institutes of Health DS Docta Complutense RD 10 abr 2025