Table 1.
Characteristic immune phenotypes of Jak deficiencies
Tyk2 deficiency | Jak3 deficiency | |
---|---|---|
Lymphocyte development and proliferation | Not affected | T cell development ↓↓ T cell proliferation ↓↓ |
DC differentiation | IL-12 ↓, IL-23 ↓(in response to TLR4 or TLR9 activation) | Number of CD11c+ DC ↓ IL-12 ↑, IL-10 ↑(in response to TLR4 or TLR9 activation) |
Pro-inflammatory Th cell responses | IL-12 signaling ↓ IFN signaling ↓ Susceptibility to viral infections ↑ |
IFN-g production ↓(by epigenetic modification of the IFN-g locus) |
Th2 responses | IL-4 ↑ IgE ↑ |
IL-4 signaling ↓ |
Phenotype in humans | Susceptibility to infections ↑ HIES-like disease |
SCID |
The only viable Jak deficiencies, Tyk2 and Jak3, show distinct immune phenotypes. Whereas in the absence of Tyk2 pro-inflammatory immune responses are impaired and Th2 responses enhanced, Jak3-deficient individuals are primarily characterized by severe immunodeficiency.