Singh Ankita, Joshi Vibhu, Jindal Ankur Kumar, Mathew Babu, Rawat Amit
Allergy Immunology Unit, Department of Pediatrics, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Genes Dis. 2019 Oct 14;7(1):67-74. doi: 10.1016/j.gendis.2019.09.015. eCollection 2020 Mar.
Activated Phosphoinositide 3-kinase δ syndrome (APDS) is a newly recognised primary immunodeficiency disease. It has currently been a hot topic of clinical research and new data are emerging regarding its pathogenesis, clinical manifestations and treatment. Patients with APDS syndrome have significant autoimmune manifestations and lymphoproliferation. It is important to differentiate APDS from the usual polygenic CVID in view of the availability of targeted therapy like mTOR inhibitors such as Rapamycin and selective PI3Kδ inhibitors. We provide a comprehensive review on this interesting disorder focusing light on its etiology, genetic research and emerging therapy.
活化磷脂酰肌醇3-激酶δ综合征(APDS)是一种新发现的原发性免疫缺陷病。目前它已成为临床研究的热点话题,关于其发病机制、临床表现和治疗的新数据不断涌现。APDS综合征患者有明显的自身免疫表现和淋巴细胞增殖。鉴于有雷帕霉素等mTOR抑制剂和选择性PI3Kδ抑制剂等靶向治疗方法,将APDS与常见的多基因CVID区分开来很重要。我们对这种有趣的疾病进行了全面综述,重点介绍了其病因、基因研究和新兴治疗方法。