Raras
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Síndrome de ativação PIK3 - delta
ORPHA:397596CID-10 · D81.8DOENÇA RARA

O Toxoplasma gondii é conhecido por infectar um número considerável de espécies de mamíferos e aves e uma proporção substancial da população humana mundial. O parasita tem uma capacidade impressionante de se disseminar no corpo do hospedeiro e emprega várias tácticas para ultrapassar a barreira hemato-encefálica altamente reguladora e residir no cérebro. Em indivíduos saudáveis, a infecção por T. gondii é largamente tolerada sem quaisquer efeitos nocivos óbvios. No entanto, a infecção primária em doentes imunodeprimidos pode resultar em doença cerebral ou sistémica aguda, e a reactivação de quistos tecidulares latentes pode levar a um resultado mortal. É imperativo que o tratamento da encefalite toxoplásmica com risco de vida seja atempado e eficaz.

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Introdução

O que você precisa saber de cara

📋

Síndrome de ativação PIK3-delta é uma imunodeficiência primária autossômica dominante causada por mutações nos genes PIK3R1 ou PIK3CD. Manifesta-se com infecções recorrentes, linfadenopatia, esplenomegalia, deficiência auditiva e outras anormalidades.

Pesquisas ativas
1 ensaio
5 total registrados no ClinicalTrials.gov
Publicações científicas
69 artigos
Último publicado: 2026

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
Unknown
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.0
Worldwide
Casos conhecidos
250
pacientes catalogados
Início
Adult
+ childhood, infancy
🏥
SUS: Sem cobertura SUSScore: 0%
CID-10: D81.8
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Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🫁
Pulmão
8 sintomas
🛡️
Imunológico
6 sintomas
🫃
Digestivo
5 sintomas
🩸
Sangue
5 sintomas
👂
Ouvidos
2 sintomas
🧠
Neurológico
2 sintomas

+ 19 sintomas em outras categorias

Características mais comuns

90%prev.
Pneumonia
Muito frequente (99-80%)
90%prev.
Infecções recorrentes do trato respiratório superior e inferior
Muito frequente (99-80%)
55%prev.
Esplenomegalia
Frequente (79-30%)
55%prev.
Nível diminuído de anticorpos circulantes
Frequente (79-30%)
55%prev.
Contagem total de linfócitos B diminuída
Frequente (79-30%)
55%prev.
Linfadenopatia
Frequente (79-30%)
50sintomas
Muito frequente (2)
Frequente (11)
Ocasional (11)
Sem dados (26)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 50 características clínicas mais associadas, ordenadas por frequência.

Pneumonia
Muito frequente (99-80%)90%
Infecções recorrentes do trato respiratório superior e inferiorRecurrent upper and lower respiratory tract infections
Muito frequente (99-80%)90%
EsplenomegaliaSplenomegaly
Frequente (79-30%)55%
Nível diminuído de anticorpos circulantesDecreased circulating antibody level
Frequente (79-30%)55%
Contagem total de linfócitos B diminuídaDecreased total B cell count
Frequente (79-30%)55%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico69PubMed
Últimos 10 anos141publicações
Pico202528 papers
Linha do tempo
2026Hoje · 2026🧪 2015Primeiro ensaio clínico📈 2025Ano de pico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

2 genes identificados com associação a esta condição. Padrão de herança: Autosomal dominant.

PIK3R1Phosphatidylinositol 3-kinase regulatory subunit alphaDisease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Binds to activated (phosphorylated) protein-Tyr kinases, through its SH2 domain, and acts as an adapter, mediating the association of the p110 catalytic unit to the plasma membrane. Necessary for the insulin-stimulated increase in glucose uptake and glycogen synthesis in insulin-sensitive tissues. Plays an important role in signaling in response to FGFR1, FGFR2, FGFR3, FGFR4, KITLG/SCF, KIT, PDGFRA and PDGFRB. Likewise, plays a role in ITGB2 signaling (PubMed:17626883, PubMed:19805105, PubMed:75

LOCALIZAÇÃO

VIAS BIOLÓGICAS (5)
PI5P, PP2A and IER3 Regulate PI3K/AKT SignalingPIP3 activates AKT signalingConstitutive Signaling by Aberrant PI3K in CancerPI3K events in ERBB2 signalingAntigen activates B Cell Receptor (BCR) leading to generation of second messengers
MECANISMO DE DOENÇA

Agammaglobulinemia 7, autosomal recessive

A primary immunodeficiency characterized by profoundly low or absent serum antibodies and low or absent circulating B-cells due to an early block of B-cell development. Affected individuals develop severe infections in the first years of life.

EXPRESSÃO TECIDUAL(Ubíquo)
Nervo tibial
154.4 TPM
Esôfago - Muscular
89.5 TPM
Esôfago - Junção
83.7 TPM
Mama
82.2 TPM
Útero
78.3 TPM
OUTRAS DOENÇAS (4)
SHORT syndromeimmunodeficiency 36 with lymphoproliferationagammaglobulinemia 7, autosomal recessiveautosomal agammaglobulinemia
HGNC:8979UniProt:P27986
PIK3CDPhosphatidylinositol 4,5-bisphosphate 3-kinase catalytic subunit delta isoformDisease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Phosphoinositide-3-kinase (PI3K) phosphorylates phosphatidylinositol (PI) and its phosphorylated derivatives at position 3 of the inositol ring to produce 3-phosphoinositides (PubMed:9235916). Uses ATP and PtdIns(4,5)P2 (phosphatidylinositol 4,5-bisphosphate) to generate phosphatidylinositol 3,4,5-trisphosphate (PIP3) (PubMed:15135396). PIP3 plays a key role by recruiting PH domain-containing proteins to the membrane, including AKT1 and PDPK1, activating signaling cascades involved in cell growt

LOCALIZAÇÃO

Cytoplasm

VIAS BIOLÓGICAS (10)
PI5P, PP2A and IER3 Regulate PI3K/AKT SignalingPIP3 activates AKT signalingConstitutive Signaling by Aberrant PI3K in CancerAntigen activates B Cell Receptor (BCR) leading to generation of second messengersCD28 dependent PI3K/Akt signaling
MECANISMO DE DOENÇA

Immunodeficiency 14A with lymphoproliferation, autosomal dominant

A disorder characterized by recurrent respiratory infections, progressive airway damage, lymphopenia, increased circulating transitional B cells, increased immunoglobulin M, reduced immunoglobulin G2 levels in serum, and impaired vaccine responses.

EXPRESSÃO TECIDUAL(Ubíquo)
Linfócitos
111.7 TPM
Sangue
96.7 TPM
Baço
83.9 TPM
Pulmão
24.0 TPM
Intestino delgado
15.7 TPM
OUTRAS DOENÇAS (4)
immunodeficiency 14immunodeficiency 14b, autosomal recessivecombined immunodeficiency with faciooculoskeletal anomaliesautosomal agammaglobulinemia
HGNC:8977UniProt:O00329

Variantes genéticas (ClinVar)

1,613 variantes patogênicas registradas no ClinVar.

🧬 PIK3R1: NM_181523.3(PIK3R1):c.1587T>C (p.Asp529=) ()
🧬 PIK3R1: NM_181523.3(PIK3R1):c.512C>G (p.Ser171Cys) ()
🧬 PIK3R1: NM_181523.3(PIK3R1):c.1869A>G (p.Thr623=) ()
🧬 PIK3R1: NM_181523.3(PIK3R1):c.229A>G (p.Ile77Val) ()
🧬 PIK3R1: NM_181523.3(PIK3R1):c.1186T>C (p.Leu396=) ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 43 variantes classificadas pelo ClinVar.

37
6
VUS (86.0%)
Benigna (14.0%)
VARIANTES MAIS SIGNIFICATIVAS
LOC126805612: NM_005026.5(PIK3CD):c.1318T>C (p.Tyr440His) [Uncertain significance]
PIK3CD: NM_005026.5(PIK3CD):c.896C>T (p.Pro299Leu) [Uncertain significance]
PIK3CD: NM_005026.5(PIK3CD):c.2117C>A (p.Thr706Asn) [Uncertain significance]
PIK3R1: NM_181523.3(PIK3R1):c.207T>G (p.Phe69Leu) [Uncertain significance]
PIK3R1: NM_181523.3(PIK3R1):c.913C>T (p.Pro305Ser) [Uncertain significance]

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

Carregando...

Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
3Fase 31
2Fase 22
·Pré-clínico1
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 4 ensaios
Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Síndrome de ativação PIK3 - delta

🗺️

Selecione um estado ou use sua localização para ver resultados.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

🟢 Recrutando agora

1 pesquisa recrutando participantes. Converse com seu médico sobre a possibilidade de participar.

Outros ensaios clínicos

5 ensaios clínicos encontrados, 1 ativos.

Distribuição por fase
Ver todos no ClinicalTrials.gov
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Publicações mais relevantes

🥉Melhor nível de evidência: Relato de caso
Timeline de publicações
68 papers (10 anos)
#1

E1021K mutation in PIK3CD gene: clinical heterogeneity and therapeutic implications in three pediatric APDS cases.

Open life sciences2026 Jan

The aim of this study was to characterize the clinical manifestations, treatment responses, and prognostic indicators of activated PI3K-δ syndrome (APDS) in pediatric patients. Clinical data from three patients diagnosed with APDS in our department were retrospectively analyzed. All patients carried the same heterozygous E1021K (c.3061G > A) gain-of-function mutation in the PIK3CD gene. Immunoglobulin levels varied: IgM was normal or elevated, while IgG and IgA were normal or decreased, with the extent of change correlating with disease severity. All three children received anti-infective therapy, resulting in significant improvement in clinical symptoms and chest imaging findings. Bronchoscopic re-evaluation in Cases 1 and 2 showed marked regression of airway mucosal hyperplasia. Following diagnosis, Cases 1 and 2 received regular immunoglobulin replacement therapy, which reduced the frequency of infections. Case 2 was treated with rapamycin as targeted therapy, leading to significant improvement in hepatosplenomegaly. In conclusion, bronchoscopic detection of nodular lymphoid hyperplasia is a diagnostic hallmark of APDS. Progressive T-cell exhaustion and immunoglobulin dysregulation may serve as biomarkers of disease severity. Targeted therapy, such as rapamycin, demonstrates clinical efficacy. This case series underscores the variable expressivity of APDS even among individuals sharing the same pathogenic variant, emphasizing the need for personalized management.

#2

Diagnostic odyssey of patients with the rare immunodeficiency activated PI3 kinase delta syndrome (APDS): case study from expert and patient surveys.

Frontiers in immunology2026

Activated phosphoinositide 3-kinase delta syndrome (APDS) is an inborn error of immunity first described in 2013. With an estimated prevalence of 1-2 per 1,000,000 individuals, it is considered an ultra-rare disease. The aim of this survey was to explore the diagnostic and therapeutic challenges of patients with APDS from the patients` and physicians` perspective in Austria, Germany, and Switzerland. A qualitative case study approach was applied. Semi-structured interviews were conducted with six patients or legal guardians of children with APDS, and four clinical immunologists with direct experience in APDS care. Transcripts were analyzed using inductive content analysis. The interviews revealed a median diagnostic delay of several years, mainly due to the rarity and phenotypic heterogeneity of APDS and the involvement of multiple specialties prior to referral to an immunologist. Many patients initially received symptomatic treatment before an underlying immune disorder was suspected. Physicians emphasized the decisive role of genetic testing for confirmation, while patients frequently described the diagnosis as a "lucky coincidence". Both groups highlighted structural barriers including limited awareness, fragmented care, and delayed access to targeted therapy. Early recognition of APDS requires specific education across specialties, wider access to genetic testing, and the development of standardized diagnostic and disease activity tools. Strengthening interdisciplinary care pathways and timely initiation of APDS-specific therapy may substantially improve outcomes in this ultra-rare immunodeficiency.

#3

Phosphoinositide 3-kinase δ activity in patients with systemic lupus erythematosus.

Frontiers in immunology2026

New biomarkers are needed for better stratification and personalized treatment of Systemic Lupus Erythematosus (SLE). Phosphoinositide 3-kinase δ (PI3Kδ) has been implicated in SLE pathogenesis. Here, we investigated whether a subset of SLE patients has increased PI3Kδ activity after T cell activation. T cells were isolated from frozen PBMCs of 108 SLE patients, 19 healthy controls, and one patient with Activated PI3K Delta syndrome (APDS), which provided a benchmark of increased PI3Kδ activity. After 90-minute anti-CD3/CD28 stimulation, phosphatidylinositol 3,4,5-trisphosphate (PIP3) and phosphatidylinositol 4,5-bisphosphate (PIP2) were measured using high-performance liquid chromatography-mass spectrometry. Higher levels of PIP3 (measured as the ratio of PIP3/PIP2) in stimulated T cells distinguished APDS patient from other subjects providing a useful biomarker of increased PI3Kδ activity. We observed no significant difference in T-cell PIP3 levels between SLE patients and healthy controls. However, a subset of SLE patients (n = 4) exhibited strong upregulation of PIP3 following T-cell stimulation, comparable to that observed in the APDS patient. PIP3 levels in stimulated T cells positively correlated with the frequency of CD4+ T cells and negatively correlated with the frequencies of CD8+, EMRA CD4+, and EMRA CD8+ T cells. We describe the range of variation of PI3Kδ activity in T cells from a large cohort of patients with SLE and from healthy subjects. Our findings suggest that increased PI3Kδ activity is not associated with SLE in general, although some SLE patients exhibit a particularly strong upregulation of PIP3 levels after T-cell stimulation. This subgroup of SLE patients warrants further investigation given the promising effect of PI3Kδ inhibitors in restoring normal immune regulation.

#4

Allergic airway reactions rewired by PI3Kδ mutation.

The Journal of experimental medicine2026 Apr 06

In this issue of JEM, Golec et al. (https://doi.org/10.1084/jem.20252154) report that a mutation of PI-3 kinase underlying activated PI3K δ syndrome (APDS) impairs type 2 immunity. Surprisingly, mice with this mutation have disordered responses to allergic insults, with enhanced production of IFN-γ and a decrease in Th2 cytokines.

#5

Natural history of clinical manifestations in activated phosphoinositide 3-kinase δ syndrome (APDS): Time-to-event analyses using the European Society for Immunodeficiencies-APDS registry.

Clinical immunology (Orlando, Fla.)2026 Feb

Activated phosphoinositide 3-kinase delta (PI3Kδ) syndrome (APDS) is an ultra-rare, progressive disease characterised by immunodeficiency, immune dysregulation, and risk of malignancies. To further characterise the natural history of APDS, we analysed patient characteristics, manifestations, treatment use, and combinations of manifestations and combinations of treatments over time using longitudinal data from registration and follow-up visits in the European Society for Immunodeficiencies (ESID)-APDS registry. 140 patients were included (mean age: 17.7 years at registration; 19.1 years at last follow-up). Manifestation burden was high from childhood (patients experienced up to 9 manifestations by age 10). The number of treatments increased with age, with a 64 % probability of receiving ≥1 by age 10. Life-threatening APDS complications led to 13 deaths reported over 2.6 years' mean follow-up. These data highlight the chronic, progressive nature of APDS and its long-term impact on patients, with a high manifestation load and early mortality, despite widespread symptomatic treatment use.

Publicações recentes

Ver todas no PubMed

📚 EuropePMC23 artigos no totalmostrando 139

2026

Diagnostic odyssey of patients with the rare immunodeficiency activated PI3 kinase delta syndrome (APDS): case study from expert and patient surveys.

Frontiers in immunology
2026

E1021K mutation in PIK3CD gene: clinical heterogeneity and therapeutic implications in three pediatric APDS cases.

Open life sciences
2026

Phosphoinositide 3-kinase δ activity in patients with systemic lupus erythematosus.

Frontiers in immunology
2026

Allergic airway reactions rewired by PI3Kδ mutation.

The Journal of experimental medicine
2025

Activated PI3Kδ syndrome in inborn errors of immunity: diagnostic strategies and clinical challenges.

Frontiers in immunology
2025

Recurrent Macular Vasculitis in Hypergammaglobulinemia as an Underrecognized Presenting Manifestation of Activated PI3K Delta Syndrome.

Pediatric dermatology
2025

A rare case report of activated PI3K delta syndrome (APDS): diagnostic pitfalls.

BMC pediatrics
2026

Natural history of clinical manifestations in activated phosphoinositide 3-kinase δ syndrome (APDS): Time-to-event analyses using the European Society for Immunodeficiencies-APDS registry.

Clinical immunology (Orlando, Fla.)
2025

Key outcomes in treatment of activated phosphoinositide 3-kinase delta syndrome: An e-Delphi panel study and responder threshold application.

PloS one
2025

Real-World Health Care Resource Utilization and Costs Among Patients with Activated Phosphoinositide 3-Kinase Delta (PI3Kδ) Syndrome in the United States.

Advances in therapy
2025

Activated PI3K-δ syndrome presenting with cervical lymphadenopathy in a pediatric patient: a case report and review of the literature.

Frontiers in immunology
2025

The double-edged sword of PI3Kδ pathway-related immune dysregulation: insights from two case reports.

Immunologic research
2025

Is it time for the A/I (allergist/immunologist) to embrace AI (artificial intelligence) in diagnosis and treatment of the inborn errors of immunity?

Allergy and asthma proceedings
2025

Activated PI3K Delta Syndrome: A Case Presentation and Literature Review.

Cureus
2025

PI3K GOF leads to dysregulation of T and B cells that both contribute to extrinsically driving activation and differentiation of other CD4+ T cells.

Immunology and cell biology
2025

Systematic literature reviews to identify epidemiological, clinical, economic and health-related quality of life evidence in activated PI3Kδ syndrome (APDS).

BMC immunology
2025

Loss of B cell tolerance at the T2/T3a B cell transition is a convergent pathogenic mechanism in common variable immunodeficiency.

bioRxiv : the preprint server for biology
2025

Estimated annual direct medical costs of manifestations among patients with activated phosphoinositide 3-kinase delta syndrome.

Clinical and experimental medicine
2025

Refractory marginal zone lymphoma uncovers activated phosphoinositide 3-kinase delta syndrome type 1 (APDS1).

The journal of allergy and clinical immunology. Global
2025

Scalable generation and functional classification of genetic variants in inborn errors of immunity to accelerate clinical diagnosis and treatment.

Cell
2025

The Impact of Activated Phosphoinositide 3-Kinase δ Syndrome (APDS) on Health-Related Quality of Life (HRQoL): Elicitation of Health State Utility Values Through Time Trade-Off (TTO) and EQ-5D.

Advances in therapy
2025

EBV-positive diffuse large B cell lymphoma secondary to activated phosphoinositide 3 kinase δ syndrome type 1 (APDS1): a case report and literature review.

Frontiers in immunology
2025

Precision Medicine in Pediatric Autoimmunity: Leniolisib Treatment of Childhood-Onset Lupus Nephritis Due to Activated Phosphoinositide 3-Kinase δ Syndrome.

Arthritis &amp; rheumatology (Hoboken, N.J.)
2025

Case Report: Activated PI3-kinase-δ syndrome and ovarian malignancies: a case series from the European ESID-APDS registry.

Frontiers in immunology
2025

Overall survival among patients with activated phosphoinositide 3-kinase delta syndrome (APDS).

Orphanet journal of rare diseases
2025

Disseminated Ureaplasma urealyticum Infection and Hyperammonemic Encephalopathy in a Patient With Activated PI3K Delta Syndrome 2.

Open forum infectious diseases
2025

Spanish Consensus on the Diagnosis and Management of Patients With Activated PI3K Delta Syndrome (APDS).

Journal of investigational allergology &amp; clinical immunology
2025

Recurrent Panuveitis as a Manifestation of a Novel PIK3CD Gene Mutation: A Diagnostic and Management Challenge.

Ocular immunology and inflammation
2025

Overlapping Clinical Phenotypes in Patients with Primary Ciliary Dyskinesia or Activated Phosphoinositide 3-Kinase Delta Syndrome.

The Journal of pediatrics
2025

Listeria Meningitis as an Indication of Undiagnosed Primary Immune Deficiency, Activated Phosphoinositide 3-Kinase Delta Syndrome: A Case Report.

The Pediatric infectious disease journal
2024

Expert insights on Hodgkin's lymphoma development in an activated PI3K delta syndrome patient undergoing leniolisib treatment.

Frontiers in immunology
2024

Lymphoproliferation and hyper-IgM as the first manifestation of activated phosphoinositide 3-kinase δ syndrome: A case report.

Biomedica : revista del Instituto Nacional de Salud
2024

Report of the Italian Cohort with Activated Phosphoinositide 3-Kinase δ Syndrome in the Target Therapy Era.

Journal of clinical immunology
2024

Hyperactivation of the PI3K pathway in inborn errors of immunity: current understanding and therapeutic perspectives.

Immunotherapy advances
2025

Comparative efficacy of leniolisib (CDZ173) versus standard of care on rates of respiratory tract infection and serum immunoglobulin M (IgM) levels among individuals with activated phosphoinositide 3-kinase delta (PI3Kδ) syndrome (APDS): an externally controlled study.

Clinical and experimental immunology
2024

Beyond FAScinating: advances in diagnosis and management of autoimmune lymphoproliferative syndrome and activated PI3 kinase δ syndrome.

Hematology. American Society of Hematology. Education Program
2025

Genetic Etiologies and Outcomes in Malignancy and Mortality in Activated Phosphoinositide 3-Kinase Delta Syndrome: A Systematic Review.

Advances in therapy
2024

Technical challenges of intracellular flow cytometry-based assays as a functional complement to diagnosis of signaling defects of inborn errors of immunity: PI3K pathway as a case of study.

Frontiers in immunology
2025

A randomised, placebo-controlled, phase III trial of leniolisib in activated phosphoinositide 3-kinase delta (PI3Kδ) syndrome (APDS): Adolescent and adult subgroup analysis.

Clinical immunology (Orlando, Fla.)
2024

A single center experience on PI3K/AKT/MTOR signaling defects: Towards pathogenicity assessment for four novel defects.

Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology
2024

Case report: Deep sequencing and long-read genome sequencing refine prior genetic analyses in families with apparent gonadal mosaicism in PIK3CD-related activated PI3K delta syndrome.

Frontiers in immunology
2024

Case report on activated PI3K-delta syndrome.

Boletin medico del Hospital Infantil de Mexico
2024

Flow cytometry-based diagnostic approach for inborn errors of immunity: experience from Algeria.

Frontiers in immunology
2024

Activated PI3Kδ Specifically Perturbs Mouse Regulatory T Cell Homeostasis and Function Leading to Immune Dysregulation.

Journal of immunology (Baltimore, Md. : 1950)
2024

[Activated phosphoinositide 3-kinase delta syndrome: report of seven cases].

Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics
2024

Activated phosphoinositde 3-kinase (PI3Kδ) syndrome: an Italian point of view on diagnosis and new advances in treatment.

Italian journal of pediatrics
2024

A qualitative study to explore the burden of disease in activated phosphoinositide 3-kinase delta syndrome (APDS).

Orphanet journal of rare diseases
2024

Long-term treatment with selective PI3Kδ inhibitor leniolisib in adults with activated PI3Kδ syndrome.

Blood advances
2024

Hypogammaglobulinemia in 2 children with Zhu-Tokita-Takenouchi-Kim syndrome.

Annals of allergy, asthma &amp; immunology : official publication of the American College of Allergy, Asthma, &amp; Immunology
2024

APDS patients with immune-complex vasculitis and resolution with leniolisib.

Clinical immunology (Orlando, Fla.)
2024

Systematic review of mortality and survival rates for APDS.

Clinical and experimental medicine
2023

Modulating the PI3K Signalling Pathway in Activated PI3K Delta Syndrome: a Clinical Perspective.

Journal of clinical immunology
2023

A somatic splice-site variant in PIK3R1 in a patient with vascular overgrowth and low immunoglobulin levels: A case report.

Molecular genetics &amp; genomic medicine
2023

Activated PI3K delta syndrome 1 mutations cause neutrophilia in zebrafish larvae.

Disease models &amp; mechanisms
2022

Case Report: Successful Treatment With Monoclonal Antibodies in One APDS Patient With Prolonged SARS-CoV-2 Infection Not Responsive to Previous Lines of Treatment.

Frontiers in immunology
2022

Clinical and immunological assessment of APDS2 with features of the SHORT syndrome related to a novel mutation in PIK3R1 with reduced penetrance.

Allergologia et immunopathologia
2022

Case Report: A Severe Paediatric Presentation of COVID-19 in APDS2 Immunodeficiency.

Frontiers in immunology
2022

Activated Phosphoinositide 3-Kinase δ Syndrome: a Large Pediatric Cohort from a Single Center in China.

Journal of clinical immunology
2022

AKT Hyperphosphorylation and T Cell Exhaustion in Down Syndrome.

Frontiers in immunology
2022

Dysregulated PI3K Signaling in B Cells of CVID Patients.

Cells
2021

Autoimmune Cytopenias and Dysregulated Immunophenotype Act as Warning Signs of Inborn Errors of Immunity: Results From a Prospective Study.

Frontiers in immunology
2021

Case Report: First Occurrence of Plasmablastic Lymphoma in Activated Phosphoinositide 3-Kinase δ Syndrome.

Frontiers in immunology
2021

Case Report: Intestinal Nodular Lymphoid Hyperplasia as First Manifestation of Activated PI3Kδ Syndrome Due to a Novel PIK3CD Variant.

Frontiers in pediatrics
2021

PI3Kδ coordinates transcriptional, chromatin, and metabolic changes to promote effector CD8+ T cells at the expense of central memory.

Cell reports
2021

Clinical and Cytometric Study of Immune Involvement in a Heterogeneous Cohort of Subjects With RASopathies and mTORopathies.

Frontiers in pediatrics
2021

Disorders Related to PI3Kδ Hyperactivation: Characterizing the Clinical and Immunological Features of Activated PI3-Kinase Delta Syndromes.

Frontiers in pediatrics
2021

PI3K in T Cell Adhesion and Trafficking.

Frontiers in immunology
2021

Phosphatidylinositol 3-kinase signaling and immune regulation: insights into disease pathogenesis and clinical implications.

Expert review of clinical immunology
2021

Hemophagocytic Lymphohistiocytosis in Activated PI3K Delta Syndrome: an Illustrative Case Report.

Journal of clinical immunology
2021

Autoimmune Cytopenia as an Early and Initial Presenting Manifestation in Activated PI3 Kinase Delta Syndrome: Case Report and Review.

Journal of pediatric hematology/oncology
2021

Infections in activated PI3K delta syndrome (APDS).

Current opinion in immunology
2022

International retrospective study of allogeneic hematopoietic cell transplantation for activated PI3K-delta syndrome.

The Journal of allergy and clinical immunology
2021

Case Report: Activating PIK3CD Mutation in Patients Presenting With Granulomatosis With Polyangiitis.

Frontiers in immunology
2021

Update on Infections in Primary Antibody Deficiencies.

Frontiers in immunology
2020

Generation, establishment and characterization of a pluripotent stem cell line (CVTTHi001-A) from primary fibroblasts isolated from a patient with activated PI3 kinase delta syndrome (APDS2).

Stem cell research
2020

Endoscopic airway manifestations in a pediatric patient with activated PI3K-delta syndrome.

Pediatric pulmonology
2021

Evaluation of B-cell intracellular signaling by monitoring the PI3K-Akt axis in patients with common variable immunodeficiency and activated phosphoinositide 3-kinase delta syndrome.

Cytometry. Part B, Clinical cytometry
2020

APDS2 and SHORT Syndrome in a Teenager with PIK3R1 Pathogenic Variant.

Journal of clinical immunology
2020

Transverse myelitis in a patient with activated phosphoinositide 3-kinase δ syndrome type 1.

Clinical immunology (Orlando, Fla.)
2020

Paediatric MAS/HLH caused by a novel monoallelic activating mutation in p110δ.

Clinical immunology (Orlando, Fla.)
2020

Successful Sirolimus Treatment for Korean Patients with Activated Phosphoinositide 3-kinase δ Syndrome 1: the First Case Series in Korea.

Yonsei medical journal
2020

[Clinical and immunological characteristics of a case with activated phosphoinositide 3-kinase δ syndrome 2].

Zhonghua er ke za zhi = Chinese journal of pediatrics
2020

Activated PI3K-delta syndrome in an Egyptian pediatric cohort with primary immune deficiency.

Allergologia et immunopathologia
2020

Activated phosphoinositide 3-kinase delta syndrome 1 and 2 (APDS 1 and APDS 2): similarities and differences based on clinical presentation in two boys.

Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology
2020

Multidrug-resistant Salmonella enterica serovar London carrying blaNDM-1 encoding plasmid from Singapore.

Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases
2020

E1021K Homozygous Mutation in PIK3CD Leads to Activated PI3K-Delta Syndrome 1.

Journal of clinical immunology
2019

Secondary C1q Deficiency in Activated PI3Kδ Syndrome Type 2.

Frontiers in immunology
2020

Dysregulated actin dynamics in activated PI3Kδ syndrome.

Clinical immunology (Orlando, Fla.)
2019

T and B-cell signaling in activated PI3K delta syndrome: From immunodeficiency to autoimmunity.

Immunological reviews
2020

Clinical, Immunological, and Genetic Features in Patients with Activated PI3Kδ Syndrome (APDS): a Systematic Review.

Clinical reviews in allergy &amp; immunology
2019

A mutation in PIK3CD gene causing pediatric systemic lupus erythematosus: A case report.

Medicine
2020

A Rare Case of Activated Phosphoinositide 3-Kinase Delta Syndrome (APDS) Presenting With Hemophagocytosis Complicated With Hodgkin Lymphoma.

Journal of pediatric hematology/oncology
2019

Case Study: Mechanism for Increased Follicular Helper T Cell Development in Activated PI3K Delta Syndrome.

Frontiers in immunology
2019

Immune Dysregulation and Disease Pathogenesis due to Activating Mutations in PIK3CD-the Goldilocks' Effect.

Journal of clinical immunology
2019

PIK3R1 Mutation Associated with Hyper IgM (APDS2 Syndrome): A Case Report and Review of the Literature.

Endocrine, metabolic &amp; immune disorders drug targets
2018

PI3K Orchestrates T Follicular Helper Cell Differentiation in a Context Dependent Manner: Implications for Autoimmunity.

Frontiers in immunology
2019

A novel monoallelic gain of function mutation in p110δ causing atypical activated phosphoinositide 3-kinase δ syndrome (APDS-1).

Clinical immunology (Orlando, Fla.)
2018

Report of a Chinese Cohort with Activated Phosphoinositide 3-Kinase δ Syndrome.

Journal of clinical immunology
2019

Activated Phosphoinositide 3 Kinase Delta Syndrome (APDS): A Primary Immunodeficiency Mimicking Lymphoma.

Journal of pediatric hematology/oncology
2018

The Treatment of Activated PI3Kδ Syndrome.

Frontiers in immunology
2018

Activated PIK3CD drives innate B cell expansion yet limits B cell-intrinsic immune responses.

The Journal of experimental medicine
2018

Identification of a novel de novo gain-of-function mutation of PIK3CD in a patient with activated phosphoinositide 3-kinase δ syndrome.

Clinical immunology (Orlando, Fla.)
2018

Genetic Defects in Phosphoinositide 3-Kinase δ Influence CD8+ T Cell Survival, Differentiation, and Function.

Frontiers in immunology
2018

Long-term follow-up of an activated PI3K-δ syndrome 2 in patient presenting with an agammaglobulinemia phenotype.

Annals of allergy, asthma &amp; immunology : official publication of the American College of Allergy, Asthma, &amp; Immunology
2019

Successful haploidentical transplantation with post-transplant cyclophosphamide for activated phosphoinositide 3-kinase δ syndrome.

The journal of allergy and clinical immunology. In practice
2018

CD57 identifies T cells with functional senescence before terminal differentiation and relative telomere shortening in patients with activated PI3 kinase delta syndrome.

Immunology and cell biology
2019

Hematopoietic stem cell transplantation for progressive combined immunodeficiency and lymphoproliferation in patients with activated phosphatidylinositol-3-OH kinase δ syndrome type 1.

The Journal of allergy and clinical immunology
2018

Disease Evolution and Response to Rapamycin in Activated Phosphoinositide 3-Kinase δ Syndrome: The European Society for Immunodeficiencies-Activated Phosphoinositide 3-Kinase δ Syndrome Registry.

Frontiers in immunology
2018

Herpesviruses in the Activated Phosphatidylinositol-3-Kinase-δ Syndrome.

Frontiers in immunology
2018

Exhaustion of the CD8+ T Cell Compartment in Patients with Mutations in Phosphoinositide 3-Kinase Delta.

Frontiers in immunology
2018

Respiratory Manifestations of the Activated Phosphoinositide 3-Kinase Delta Syndrome.

Frontiers in immunology
2018

Activated PI3 Kinase Delta Syndrome: From Genetics to Therapy.

Frontiers in immunology
2018

Phosphoinositide 3-kinase δ (PI3Kδ) in respiratory disease.

Biochemical Society transactions
2018

Disseminated abscesses due to Mycoplasma faucium in a patient with activated PI3Kδ syndrome type 2.

The journal of allergy and clinical immunology. In practice
2018

Liver disturbances in activated phosphoinositide 3-kinase δ syndrome.

The journal of allergy and clinical immunology. In practice
2018

Hematopoietic cell transplantation in primary immunodeficiency - conventional and emerging indications.

Expert review of clinical immunology
2018

Type 1 diabetes mellitus associated with activated phosphatidylinositol 3-kinase delta syndrome, type 2.

Journal of diabetes
2017

Effective "activated PI3Kδ syndrome"-targeted therapy with the PI3Kδ inhibitor leniolisib.

Blood
2017

Successful bone marrow transplantation in two sisters with activated phosphoinositide 3-kinase δ syndrome 2.

Bone marrow transplantation
2017

Early diagnosis of PI3Kδ syndrome in a 2 years old girl with recurrent otitis and enlarged spleen.

Immunology letters
2017

Finding patients using similarity measures in a rare diseases-oriented clinical data warehouse: Dr. Warehouse and the needle in the needle stack.

Journal of biomedical informatics
2017

The Selective Phosphoinoside-3-Kinase p110δ Inhibitor IPI-3063 Potently Suppresses B Cell Survival, Proliferation, and Differentiation.

Frontiers in immunology
2017

Thyroid Carcinoma in a Child with Activated Phosphoinositide 3-Kinase δ Syndrome: Somatic Effect of a Germline Mutation.

Journal of clinical immunology
2017

Immunodeficiency-Associated Lymphoid Hyperplasia As a Cause of Intussusception in a Case of Activated PI3K-δ Syndrome.

Frontiers in pediatrics
2017

Persistent Impairment of T-Cell Regeneration in a Patient with Activated PI3K δ Syndrome.

Journal of clinical immunology
2017

Mutations in the adaptor-binding domain and associated linker region of p110δ cause Activated PI3K-δ Syndrome 1 (APDS1).

Haematologica
2017

Mutations in PIK3R1 can lead to APDS2, SHORT syndrome or a combination of the two.

Clinical immunology (Orlando, Fla.)
2017

Conformational disruption of PI3Kδ regulation by immunodeficiency mutations in PIK3CD and PIK3R1.

Proceedings of the National Academy of Sciences of the United States of America
2017

Genetic defects in PI3Kδ affect B-cell differentiation and maturation leading to hypogammaglobulineamia and recurrent infections.

Clinical immunology (Orlando, Fla.)
2017

Hematopoietic stem cell transplant in patients with activated PI3K delta syndrome.

The Journal of allergy and clinical immunology
2016

Gain-of-function mutation in PIK3R1 in a patient with a narrow clinical phenotype of respiratory infections.

Clinical immunology (Orlando, Fla.)
2016

[Clinical and genetic analysis for activated PI3K-δ syndrome by PIK3CD gene mutation].

Zhonghua er ke za zhi = Chinese journal of pediatrics
2016

Precision treatment with sirolimus in a case of activated phosphoinositide 3-kinase δ syndrome.

Clinical immunology (Orlando, Fla.)
2016

Phosphatase and tensin homolog (PTEN) mutation can cause activated phosphatidylinositol 3-kinase δ syndrome-like immunodeficiency.

The Journal of allergy and clinical immunology
2016

Activated PI3-kinase δ Syndrome: Long-term Follow-up after Cord Blood Transplantation.

Journal of clinical immunology
2016

Activated PI3Kδ syndrome type 2: Two patients, a novel mutation, and review of the literature.

Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology
2017

The case of an APDS patient: Defects in maturation and function and decreased in vitro anti-mycobacterial activity in the myeloid compartment.

Clinical immunology (Orlando, Fla.)
2015

Gain-of-function mutations and immunodeficiency: at a loss for proper tuning of lymphocyte signaling.

Current opinion in allergy and clinical immunology
2015

Activated phosphoinositide 3-kinase δ syndrome in a patient with a former diagnosis of common variable immune deficiency, bronchiectasis, and lymphoproliferative disease.

Annals of allergy, asthma &amp; immunology : official publication of the American College of Allergy, Asthma, &amp; Immunology

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Doenças relacionadas

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Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. E1021K mutation in PIK3CD gene: clinical heterogeneity and therapeutic implications in three pediatric APDS cases.
    Open life sciences· 2026· PMID 41815640mais citado
  2. Diagnostic odyssey of patients with the rare immunodeficiency activated PI3 kinase delta syndrome (APDS): case study from expert and patient surveys.
    Frontiers in immunology· 2026· PMID 41859081mais citado
  3. Phosphoinositide 3-kinase &#x3b4; activity in patients with systemic lupus erythematosus.
    Frontiers in immunology· 2026· PMID 41782874mais citado
  4. Allergic airway reactions rewired by PI3K&#x3b4; mutation.
    The Journal of experimental medicine· 2026· PMID 41718715mais citado
  5. Natural history of clinical manifestations in activated phosphoinositide 3-kinase &#x3b4; syndrome (APDS): Time-to-event analyses using the European Society for Immunodeficiencies-APDS registry.
    Clinical immunology (Orlando, Fla.)· 2026· PMID 41177421mais citado
  6. Recurrent Macular Vasculitis in Hypergammaglobulinemia as an Underrecognized Presenting Manifestation of Activated PI3K Delta Syndrome.
    Pediatr Dermatol· 2026· PMID 41190409recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:397596(Orphanet)
  2. MONDO:0018338(MONDO)
  3. GARD:11983(GARD (NIH))
  4. Variantes catalogadas(ClinVar)
  5. Busca completa no PubMed(PubMed)
  6. Q25098828(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Síndrome de ativação PIK3 - delta
Compêndio · Raras BR

Síndrome de ativação PIK3 - delta

ORPHA:397596 · MONDO:0018338
Prevalência
Unknown
Casos
250 casos conhecidos
Herança
Autosomal dominant
CID-10
D81.8 · Outras deficiências imunitárias combinadas
Ensaios
1 ativos
Início
Adult, Childhood, Infancy
Prevalência
0.0 (Worldwide)
MedGen
UMLS
C3714976
EuropePMC
Wikidata
Papers 10a
Evidência
🥉 Relato de caso
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