Article
Scalable generation and functional classification of genetic variants in inborn errors of immunity to accelerate clinical diagnosis and treatment.
Cell - 4 Sept 2025
Walsh Zachary H, Frangieh Chris J, Kothapalli Neeharika, Levy Jay, Heck Clarissa K, Melms Johannes C, Gejman Ron S, Shah Parin, Pollard Jared M, Naik Akul, Grauman Sarah L, Huang Lei Haley, Lee Ashley, Bogunovic Dusan, Milner Joshua D, Izar Benjamin
Abstract excerpt
Next-generation sequencing is pivotal for diagnosing inborn errors of immunity (IEI) but predominantly yields variants of uncertain significance (VUS), creating clinical ambiguity. Activated PI3Kδ syndrome (APDS) is caused by gain-of-function (GOF) variants in PIK3CD or PIK3R1, which encode the PI3Kδ heterodimer. We performed massively parallel base editing of PIK3CD/PIK3R1 in human T cells and mapped thousands...
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