| 1. |
- Maccari, Maria Elena, et al.
(författare)
-
Activated phosphoinositide 3-kinase δ syndrome: Update from the ESID Registry and comparison with other autoimmune-lymphoproliferative inborn errors of immunity.
- 2023
-
Ingår i: The Journal of allergy and clinical immunology. - 1097-6825. ; 152:4
-
Tidskriftsartikel (refereegranskat)abstract
- Activated phosphoinositide-3-kinase δ syndrome (APDS) is an inborn error of immunity (IEI) with infection susceptibility and immune dysregulation, clinically overlapping with other conditions. Management depends on disease evolution, but predictors of severe disease are lacking.This study sought to report the extended spectrum of disease manifestations in APDS1 versus APDS2; compare these to CTLA4 deficiency, NFKB1 deficiency, and STAT3 gain-of-function (GOF) disease; and identify predictors of severity in APDS.Data was collected from the ESID (European Society for Immunodeficiencies)-APDS registry and was compared with published cohorts of the other IEIs.The analysis of 170 patients with APDS outlines high penetrance and early onset of APDS compared to the other IEIs. The large clinical heterogeneity even in individuals with the same PIK3CD variant E1021K illustrates how poorly the genotype predicts the disease phenotype and course. The high clinical overlap between APDS and the other investigated IEIs suggests relevant pathophysiological convergence of the affected pathways. Preferentially affected organ systems indicate specific pathophysiology: bronchiectasis is typical of APDS1; interstitial lung disease and enteropathy are more common in STAT3 GOF and CTLA4 deficiency. Endocrinopathies are most frequent in STAT3 GOF, but growth impairment is also common, particularly in APDS2. Early clinical presentation is a risk factor for severe disease in APDS.APDS illustrates how a single genetic variant can result in a diverse autoimmune-lymphoproliferative phenotype. Overlap with other IEIs is substantial. Some specific features distinguish APDS1 from APDS2. Early onset is a risk factor for severe disease course calling for specific treatment studies in younger patients.
|
|
| 2. |
- Nemeth, Alexandra, et al.
(författare)
-
Double-quantum two-dimensional electronic spectroscopy of a three-level system: Experiments and simulations
- 2010
-
Ingår i: Journal of Chemical Physics. - : AIP Publishing. - 0021-9606 .- 1089-7690. ; 133:9
-
Tidskriftsartikel (refereegranskat)abstract
- Double-quantum coherence two-dimensional (2Q2D) electronic spectroscopy is utilized to probe the dynamic fluctuations of electronic states in a solvated molecule at approximately twice the energy of the ground state bleach transition. The 2Q2D spectrum gives insight into the energetic position and spectral fluctuations (system-bath interaction) of the probed excited states. Combining it with single-quantum two-dimensional (1Q2D) electronic spectroscopy enables one to determine the strength of the excited state absorption transition and the relative detuning of electronic states, as well as the dynamics of the single-quantum coherence. To investigate the correlation of spectral fluctuations in different electronically excited states, we have carried out experiments on a solvated dye (Rhodamine 6G) with 23 fs pulses centered at the maximum of the linear absorption spectrum. The 2Q2D spectrum reveals three peaks of alternating signs with the major negative peak located at higher frequencies along the emission axis compared to the single positive peak. The 1Q2D spectrum, on the other hand, shows a negative peak stemming from excited state absorption at lower frequencies along the emission axis. Analysis of the signal in the homogeneous limit fails to account for this observation as well as the number of peaks in the 2Q2D spectrum. Employing a three-level model in which all time correlations of the third-order response function are accounted for via second-order cumulant expansion gives good agreement with both the 1Q2D and 2Q2D data. Furthermore, the analysis shows that the fluctuations of the probed electronic states are highly correlated, reflecting the modulation by a common nuclear bath and similarities in the nature of the electronic transitions. (C) 2010 American Institute of Physics. [doi: 10.1063/1.3474995]
|
|
