Publications by authors named "Sartirana C"

Article Synopsis
  • The study examines a previously healthy patient who suffered two severe infections: West Nile Virus (WNV) and SARS-CoV-2, revealing factors that contributed to the severity of these illnesses.
  • During the hospital stay for COVID-19, the patient was diagnosed with a thymoma, a tumor of the thymus gland, which was present during the WNV infection.
  • Genetic factors, such as certain variants in the TLR3 and CCR5 genes, as well as the presence of auto-antibodies linked to the thymoma, were identified as increasing the patient's susceptibility to serious complications from both infections.
View Article and Find Full Text PDF
Article Synopsis
  • Gain-of-function mutations in STING lead to STING-associated vasculopathy with onset in infancy (SAVI), which is marked by systemic inflammation, skin issues, and lung disease.
  • A new STING variant (F269S) was discovered in a SAVI patient; this variant causes abnormal activation of immune pathways and an increase in circulating naïve T cells in the patient's bone marrow.
  • The STING F269S variant enhances protein signaling and protects against viral infections but disrupts immune function, contributing to inflammation and damage in endothelial cells, thereby linking immune and lung diseases.
View Article and Find Full Text PDF
Article Synopsis
  • DADA2 is a rare genetic disorder that affects both immune function and blood health, leading to symptoms like vasculitis and increased risk of strokes, as seen in two identical twin sisters studied in this report.
  • Genetic testing revealed both twins lacked adenosine deaminase 2 activity due to mutations inherited from each parent, contributing to their severe health issues.
  • The twins' disease progression varied significantly; one sister required urgent stem cell transplantation due to severe neutropenia, while the other was managed with medication, illustrating the importance of early diagnosis and tailored treatment plans for DADA2.
View Article and Find Full Text PDF

X-linked chronic granulomatous disease is a rare disease caused by mutations in the CYBB gene. While more extensive knowledge is available on genetics, pathogenesis, and possible therapeutic options, mitochondrial activity and its implications on patient monitoring are still not well-characterized. We have developed a novel protocol to study mitochondrial activity on whole blood of XCGD patients before and after transplantation, as well as on XCGD carriers.

View Article and Find Full Text PDF
Article Synopsis
  • The case discusses a 1.5-year-old boy with severe Wiskott-Aldrich Syndrome who contracted SARS-CoV-2 five months post-gene therapy treatment.
  • Before the infection, the boy had successful gene-corrected cell engraftment, which restored his WASP expression and improved his immune system.
  • Upon infection, he produced high levels of specific antibodies against SARS-CoV-2 and experienced a mild illness with minimal inflammation, contrasting his pre-treatment condition.
View Article and Find Full Text PDF
Article Synopsis
  • IPEX syndrome is a severe autoimmune disease caused by mutations in the FOXP3 gene, which is essential for the proper function of regulatory T cells (Treg), leading to a lack of immune regulation.
  • The primary treatment for IPEX patients is hematopoietic stem cell transplantation, but if unavailable, other immunosuppressive therapies have been less effective, though rapamycin shows promise in preserving Treg function while suppressing harmful immune responses.
  • Research on six IPEX patients revealed that rapamycin treatment led to improved Treg cell function and clinical outcomes, highlighting increased expression of specific proteins associated with Treg activity, which could help develop better therapies for the disease.
View Article and Find Full Text PDF

ARPC1B is a key factor for the assembly and maintenance of the ARP2/3 complex that is involved in actin branching from an existing filament. Germline biallelic mutations in have been recently described in 6 patients with clinical features of combined immunodeficiency (CID), whose neutrophils and platelets but not T lymphocytes were studied. We hypothesized that ARPC1B deficiency may also lead to cytoskeleton and functional defects in T cells.

View Article and Find Full Text PDF

T-cell therapy after hematopoietic stem cell transplantation (HSCT) has been used alone or in combination with immunosuppression to cure hematologic malignancies and to prevent disease recurrence. Here, we describe the outcome of patients with high-risk/advanced stage hematologic malignancies, who received T-cell depleted (TCD) haploidentical-HSCT (haplo-HSCT) combined with donor T lymphocytes pretreated with IL-10 (ALT-TEN trial). IL-10-anergized donor T cells (IL-10-DLI) contained T regulatory type 1 (Tr1) cells specific for the host alloantigens, limiting donor-vs.

View Article and Find Full Text PDF

In humans, mutations in the gene encoding for forkhead box P3 (FOXP3), a critically important transcription factor for CD4⁺CD25⁺ regulatory T (T(reg)) cell function, lead to a life-threatening systemic poly-autoimmune disease, known as immune dysregulation, polyendocrinopathy, enteropathy, X-linked (IPEX) syndrome. Severe autoimmunity results from the inborn dysfunction and instability of FOXP3-mutated T(reg) cells. Hematopoietic stem cell transplantation is the only current curative option for affected patients.

View Article and Find Full Text PDF

Immune dysregulation, Polyendocrinopathy, Enteropathy X-linked (IPEX) syndrome is a unique example of primary immunodeficiency characterized by autoimmune manifestations due to defective regulatory T (Treg) cells, in the presence of FOXP3 mutations. However, autoimmune symptoms phenotypically resembling IPEX often occur in the absence of detectable FOXP3 mutations. The cause of this "IPEX-like" syndrome presently remains unclear.

View Article and Find Full Text PDF

Background: CD4(+) regulatory T cells are a specialized subset of T cells that actively control immune responses. Several experimental protocols have been used to expand natural regulatory T cells and to generate adaptive type 1 regulatory T cells for regulatory T-cell-based therapies.

Design And Methods: The ability of exogenous recombinant human interleukin-10 to induce alloantigen-specific anergy in T cells was investigated and compared to that of interleukin-10 derived from tolerogenic dendritic cells, in mixed lymphocyte cultures.

View Article and Find Full Text PDF

Celiac disease (CD) results from a permanent intolerance to dietary gluten and is due to a massive T cell-mediated immune response to gliadin, the main component of gluten. In this disease, the regulation of immune responses to dietary gliadin is altered. Herein, we investigated whether IL-10 could modulate anti-gliadin immune responses and whether gliadin-specific type 1 regulatory T (Tr1) cells could be isolated from the intestinal mucosa of CD patients in remission.

View Article and Find Full Text PDF

The autoimmune disease immune dysregulation, polyendocrinopathy, enteropathy, X-linked (IPEX) is caused by mutations in the forkhead box protein P3 (FOXP3) gene. In the mouse model of FOXP3 deficiency, the lack of CD4+ CD25+ Tregs is responsible for lethal autoimmunity, indicating that FOXP3 is required for the differentiation of this Treg subset. We show that the number and phenotype of CD4+ CD25+ T cells from IPEX patients are comparable to those of normal donors.

View Article and Find Full Text PDF

T regulatory (Tr) cells are essential for the induction of peripheral tolerance. Several types of Tr cells exist, including CD4(+) T cells which express CD25 constitutively and suppress immune responses via direct cell-to-cell interactions, and type 1 T regulatory (Tr1) cells, which function via secretion of interleukin (IL)-10 and transforming growth factor (TGF)-beta. The relationship between CD25(+)CD4(+) T cells and Tr1 cells remains unclear.

View Article and Find Full Text PDF

Cloned T regulatory type 1 (Tr1) cells produce IL-10, TGF-beta, IFN-gamma, and very low or non-detectable levels of IL-2 and IL-4, following TCR-mediated activation. In addition, upon TCR stimulation, Tr1 cell clones up-regulate activation markers but show low proliferative responses, partially due to the suppressive effect of autocrine IL-10 and TGF-beta. Here we show that Tr1 cells have growth requirements different from those of Th1 and Th2 cells.

View Article and Find Full Text PDF

In an attempt to transduce monocyte-derived dendritic cells (DCs) by a retroviral vector coding for a cell surface marker, we were confronted by the observation of high transfer of the surface molecule in the absence of vector proviral DNA in the treated cells. Indeed, DCs acquired the surface marker by a mechanism independent of the vector machinery, requiring cell-to-cell contact and involving transfer of lipids and a variety of intact membrane proteins. Most important, this property of DCs also includes acquisition of foreign human leukocyte antigen (HLA) molecules.

View Article and Find Full Text PDF