Frontiers in Immunology · 1966 · 52 citations · 0 references
EducationEducational AssessmentEducational MeasurementPsychometricsTest ConstructionTest DevelopmentAnchor Item SelectionCriterion-referenced TestingItem AnalysisItem ReviewNedelsky MethodNorm-referenced TestingItem Selection Algorithms
BCL11B is a transcription factor with six C<sub>2</sub>H<sub>2</sub>-type zinc-finger domains. Studies in mice have shown that Bcl11b plays essential roles in T cell development. Several germline heterozygous BCL11B variants have been identified in human patients with inborn errors of immunity (IEI) patients. Among these, two <i>de novo</i> mis-sense variants cause asparagine (N) to lysine (K) replacement in distinct zinc-finger domains, BCL11B<sup>N441K</sup> and BCL11B<sup>N807K</sup>. To elucidate the pathogenesis of the BCL11B<sup>N807K</sup> variant, we generated a mouse model of BCL11B<sup>N807K</sup> by inserting the corresponding mutation, <i>Bcl11b<sup>N797K</sup></i>, into the mouse genome. In <i>Bcl11b<sup>+/N797K</sup></i> mice, the proportion of immature CD4<sup>-</sup>CD8<sup>+</sup> single-positive thymocytes was increased, and the development of invariant natural killer cells was severely inhibited in a T-cell-intrinsic manner. Under competitive conditions, γδT cell development was outcompeted by control cells. <i>Bcl11b<sup>N797K/N797K</sup></i> mice died within one day of birth. Recipient mice reconstituted with <i>Bcl11b<sup>N797K/N797K</sup></i> fetal liver cells nearly lacked CD4<sup>+</sup>CD8<sup>+</sup> double-positive thymocytes, which was consistent with the lack of their emergence in culture from <i>Bcl11b<sup>N797K/N797K</sup></i> fetal liver progenitors. Interestingly, <i>Bcl11b<sup>N797K/N797K</sup></i> progenitors gave rise to aberrant c-Kit<sup>+</sup> and CD44<sup>+</sup> cells both <i>in vivo</i> and <i>in vitro</i>. The increase in the proportion of immature CD8 single-positive thymocytes in the Bcl11b<sup>N797K</sup> mutants is caused, in part, by the inefficient activation of the <i>Cd4</i> gene due to the attenuated function of the two <i>Cd4</i> enhancers via distinct mechanisms. Therefore, we conclude that immunodeficient patient-derived Bcl11b<sup>N797K</sup> mutant mice elucidated a novel role for Bcl11b in driving the appropriate transition of CD4<sup>-</sup>CD8<sup>-</sup> into CD4<sup>+</sup>CD8<sup>+</sup> thymocytes.