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P. 109

Class	
  I	
  phosphoinositide	
  3-­-kinases	
  in	
  immunity…	
  

	
  
could	
  add	
  to	
  the	
  stronger	
  inhibition	
  induced	
  by	
  the	
  p110d	
  inhibitor	
  IC87114	
  on	
  the	
  
same	
  phenomena,	
  that	
  was	
  not	
  complete	
  (81).	
  	
  

        In	
   vivo,	
   unlike	
   administration	
   of	
   MLN1117,	
   daily	
   administration	
   of	
   a	
   p110d	
  
(IC87114)	
   or	
   a	
   pan-­-PI3K	
   inhibitor	
   (GDC-­-0941)	
   to	
   immunized	
   mice	
   strongly	
  
reduced	
   marginal	
   zone	
   B	
   cell	
   numbers	
   in	
   the	
   spleen;	
   GDC-­-0941	
   also	
   reduced	
   the	
  
number	
   of	
   germinal	
   centers	
   (81).	
   Despite	
   these	
   effects,	
   antigen	
   specific	
   IgM,	
   IgG1	
  
titers	
   in	
   the	
   serum	
   of	
   immunized	
   mice	
   was	
   not	
   significantly	
   lower	
   or	
   were	
  
elevated,	
   and	
   in	
   fact	
   IgE	
   titers	
   were	
   significantly	
   enhanced	
   by	
   the	
   p110d	
   inhibitor	
  
IC87114	
   or	
   the	
   pan-­-PI3K	
   inhibitor	
   GDC-­-0941,	
   but	
   not	
   by	
   p110a	
   inhibitors	
   (81).	
  
Our	
   own	
   results	
   with	
   a	
   dual	
   p110a/d	
   inhibitor	
   (ETP-­-46321)	
   administered	
   after	
  
initiation	
   of	
   antigen	
   responses	
   showed	
   inhibition	
   of	
   antigen-­-specific	
   serum	
   IgG3,	
  
but	
  not	
  of	
  IgM,	
  IgG1,	
  or	
  IgG2b	
  antibody	
  (82).	
  

        As	
   mentioned	
   above,	
   p110a	
   inhibition	
   did	
   not	
   affect	
   B	
   cell	
   Akt	
   and	
   FOXO	
  
signaling	
  or	
  survival	
  induced	
  by	
  cytokines	
  like	
  IL-­-4	
  or	
  BAFF,	
  yet	
  p110d	
  inhibitors,	
  
pan-­-PI3K	
   inhibitors,	
   and	
   to	
   a	
   lesser	
   extent,	
   also	
   p110ß	
   inhibitors	
   like	
   TGX-­-221	
  
produced	
  significant	
  results	
  (80,81).	
  

        It	
   has	
   been	
   observed	
   that	
   p110d	
   signals	
   play	
   an	
   essential	
   role	
   in	
   inhibiting	
  
excess	
   IgE	
   production	
   by	
   maintaining	
   the	
   levels	
   of	
   the	
   BCL6	
   that	
   negatively	
  
controls	
   the	
   IgG1	
   to	
   IgE	
   switch.	
   These	
   effects	
   can	
   be	
   mimicked	
   in	
   vitro	
   or	
   in	
   vivo	
  
using	
   p110d-­-specific	
   inhibitors	
   like	
   IC87114,	
   or	
   broad-­-spectrum	
   PI3K	
   inhibitors	
  
like	
   PIK-­-90	
   and	
   PI-­-103,	
   or	
   GDC-­-0941,	
   but	
   not	
   by	
   	
   p110a	
   inhibitors	
   like	
   MLN1117	
  
(67,68,81).	
  

11.	
  CLASS	
  IA	
  AND	
  IB	
  PI3K	
  IN	
  IMMUNITY:	
  LESSONS	
  FROM	
  SPECIFIC	
  INHIBITORS	
  
    IN	
  T	
  LYMPHOCYTES	
  

        Early	
   data	
   by	
   Shi	
   et	
   al.	
   using	
   the	
   PI3K	
   inhibitor	
   Wortmannin	
   indicated	
   that	
  
the	
  role	
  of	
  PI3K	
  in	
  (CD4+)	
  T	
  lymphocyte	
  activation	
  was	
  dependent	
  on	
  the	
  stimulus	
  
used.	
   Production	
   of	
   IL-­-2	
   by	
   the	
   surrogate	
   antigen	
   activation	
   anti-­-CD3	
   antibodies	
  
plus	
   CD28	
   costimulus	
   seemed	
   largely	
   PI3K-­-independent,	
   whereas	
   activation	
   and	
  
Th2	
   differentiation	
   of	
   the	
   same	
   cells	
   by	
   peptide	
   antigen	
   and	
   antigen-­-presenting	
  
cells	
   was	
   clearly	
   inhibited	
   by	
   Wortmannin	
   (83).	
   Although	
   the	
   specificity	
   of	
  
Wortmannin	
   for	
   PI3K	
   has	
   been	
   questioned	
   (see,	
   i.e.	
   (9,84)),	
   later	
   studies	
   by	
  
Okkenhaugh	
   et	
   al.	
   in	
   mice	
   expressing	
   the	
   inactive	
   p110dD910A	
   mutant	
   also	
   found	
  
that	
   antigen	
   activation,	
   rather	
   that	
   activation	
   by	
   anti-­-CD3	
   plus	
   anti-­-CD28,	
   was	
  
impaired	
   in	
   the	
   mutant	
   mice(66,85).	
   Furthermore,	
   differentiation	
   of	
   p110dD910A	
  
CD4+	
   T	
   lymphocyte	
   into	
   the	
   Th1	
   (IFN-­-?-­-producing)	
   and	
   Th2	
   (IL-­-4-­-producing)	
   T	
  
helper	
  cell	
  subsets	
  was	
  also	
  impaired.	
  The	
  p110d	
  inhibitor	
  IC87114	
  inhibited	
  Th1	
  
differentiation,	
  but	
  Th17	
  differentiation	
  was	
  even	
  more	
  sensitive	
  to	
  inhibition	
  (86).	
  
In	
   contrast,	
   we	
   found	
   that	
   in	
   cultures	
   of	
   naive	
   CD4+	
   T	
   lymphocytes	
   activated	
   with	
  

                                                                                                                            	
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