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Impaired Purinergic Axis as a Novel Mechanism of CD8+ T Cell Dysregulation in STAT3 Gain-of-Function Syndrome
Impaired Purinergic Axis as a Novel Mechanism of CD8+ T Cell Dysregulation in STAT3 Gain-o...
Impaired Purinergic Axis as a Novel Mechanism of CD8+ T Cell Dysregulation in STAT3 Gain-of-Function Syndrome

상세정보

자료유형  
 학위논문 서양
최종처리일시  
20260202103156
ISBN  
9798280759725
DDC  
616.079
저자명  
Campos Duran, Jose Stebhen.
서명/저자  
Impaired Purinergic Axis as a Novel Mechanism of CD8+ T Cell Dysregulation in STAT3 Gain-of-Function Syndrome
발행사항  
[Sl] : University of Pennsylvania, 2025
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2025
형태사항  
202 p
주기사항  
Source: Dissertations Abstracts International, Volume: 86-12, Section: B.
주기사항  
Advisor: Henrickson, Sarah E.
학위논문주기  
Thesis (Ph.D.)--University of Pennsylvania, 2025.
초록/해제  
요약Signal transduction downstream of activating and inhibitory stimuli controls CD8+ T cell biology, however these external inputs can become uncoupled from transcriptional regulation in Primary Immune Regulatory Disorders. Gain-of-function (GOF) variants in STAT3 amplify cytokine signaling and cause a complex disorder characterized by early-onset autoimmunity, lymphoproliferation, recurrent infections, and immune dysregulation. In both primary human and mouse models of STAT3 GOF, CD8+ T cells have been implicated as pathogenic drivers of autoimmunity, though the exact mechanisms remain poorly understood. Here, we investigated the molecular mechanisms by which STAT3 GOF variants drive this pathology. We first investigated how the CD8+ T cell compartment is dysregulated in patients with STAT3 GOF. We found that STAT3 GOF CD8+ T cells exist in an activated state both phenotypically and transcriptionally. Functional assessment revealed that naive CD8+ T cells in STAT3 GOF have an increased capacity for IFN-γ and TNF-α secretion. We explored immunoregulatory pathways that could be altered in these patients and found evidence of dysregulated purinergic signaling via high dimensional immune profiling, single-cell RNA sequencing, and functional assessment. Specifically, while CD39, which transforms ATP to AMP, was increased on CD8+ T cells from patients with STAT3 GOF, downstream purinergic family members, CD73 and the adenosine receptor, A2AR, were downregulated, impairing the potential to produce or sense inhibitory adenosine. Patients with STAT3 GOF can be clinically treated with JAK inhibitors and this partially normalized naive CD8+ T cell dysregulation, including aberrant cytokine production. The extent of normalization of cytokine secretion scaled with normalization of CD73 and A2AR. Finally, we investigated the role of STAT3 in modulating expression purinergic molecules through in vitro studies in human and mouse cells, mouse models of STAT3 GOF, and an overexpression system. Together, this body of work suggests that a dysregulated purinergic signaling axis plays a key role in CD8+ T cell dysregulation in STAT3 GOF, which may have implications for other rare monogenic immune disorders and more common inflammatory disorders with amplified STAT signaling.
일반주제명  
Immunology
일반주제명  
Cellular biology
일반주제명  
Genetics
키워드  
Gain-of-function
키워드  
CD8+ T cell biology
키워드  
Autoimmunity
키워드  
Immune dysregulation
키워드  
Patients
기타저자  
University of Pennsylvania Immunology
기본자료저록  
Dissertations Abstracts International. 86-12B.
전자적 위치 및 접속  
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MARC

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■1001  ▼aCampos  Duran,  Jose  Stebhen.
■24510▼aImpaired  Purinergic  Axis  as  a  Novel  Mechanism  of  CD8+  T  Cell  Dysregulation  in  STAT3  Gain-of-Function  Syndrome
■260    ▼a[Sl]▼bUniversity  of  Pennsylvania▼c2025
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2025
■300    ▼a202  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  86-12,  Section:  B.
■500    ▼aAdvisor:  Henrickson,  Sarah  E.
■5021  ▼aThesis  (Ph.D.)--University  of  Pennsylvania,  2025.
■520    ▼aSignal  transduction  downstream  of  activating  and  inhibitory  stimuli  controls  CD8+  T  cell  biology,  however  these  external  inputs  can  become  uncoupled  from  transcriptional  regulation  in  Primary  Immune  Regulatory  Disorders.  Gain-of-function  (GOF)  variants  in  STAT3  amplify  cytokine  signaling  and  cause  a  complex  disorder  characterized  by  early-onset  autoimmunity,  lymphoproliferation,  recurrent  infections,  and  immune  dysregulation.  In  both  primary  human  and  mouse  models  of  STAT3  GOF,  CD8+  T  cells  have  been  implicated  as  pathogenic  drivers  of  autoimmunity,  though  the  exact  mechanisms  remain  poorly  understood.  Here,  we  investigated  the  molecular  mechanisms  by  which  STAT3  GOF  variants  drive  this  pathology.  We  first  investigated  how  the  CD8+  T  cell  compartment  is  dysregulated  in  patients  with  STAT3  GOF.  We  found  that  STAT3  GOF  CD8+  T  cells  exist  in  an  activated  state  both  phenotypically  and  transcriptionally.  Functional  assessment  revealed  that  naive  CD8+  T  cells  in  STAT3  GOF  have  an  increased  capacity  for  IFN-γ  and  TNF-α  secretion.  We  explored  immunoregulatory  pathways  that  could  be  altered  in  these  patients  and  found  evidence  of  dysregulated  purinergic  signaling  via  high  dimensional  immune  profiling,  single-cell  RNA  sequencing,  and  functional  assessment.  Specifically,  while  CD39,  which  transforms  ATP  to  AMP,  was  increased  on  CD8+  T  cells  from  patients  with  STAT3  GOF,  downstream  purinergic  family  members,  CD73  and  the  adenosine  receptor,  A2AR,  were  downregulated,  impairing  the  potential  to  produce  or  sense  inhibitory  adenosine.  Patients  with  STAT3  GOF  can  be  clinically  treated  with  JAK  inhibitors  and  this  partially  normalized  naive  CD8+  T  cell  dysregulation,  including  aberrant  cytokine  production.  The extent  of  normalization  of  cytokine  secretion  scaled  with  normalization  of  CD73  and  A2AR.  Finally,  we  investigated  the  role  of  STAT3  in  modulating  expression  purinergic  molecules  through  in  vitro  studies  in  human  and  mouse  cells,  mouse  models  of  STAT3  GOF,  and  an  overexpression  system.  Together,  this  body  of  work  suggests  that  a  dysregulated  purinergic  signaling  axis  plays  a  key  role  in  CD8+  T  cell  dysregulation  in  STAT3  GOF,  which  may  have  implications  for  other  rare  monogenic  immune  disorders  and  more  common  inflammatory  disorders  with  amplified  STAT  signaling.
■590    ▼aSchool  code:  0175.
■650  4▼aImmunology
■650  4▼aCellular  biology
■650  4▼aGenetics
■653    ▼aGain-of-function
■653    ▼aCD8+  T  cell  biology
■653    ▼aAutoimmunity
■653    ▼aImmune  dysregulation
■653    ▼aPatients  
■690    ▼a0982
■690    ▼a0379
■690    ▼a0369
■690    ▼a0769
■71020▼aUniversity  of  Pennsylvania▼bImmunology.
■7730  ▼tDissertations  Abstracts  International▼g86-12B.
■790    ▼a0175
■791    ▼aPh.D.
■792    ▼a2025
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17357252▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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