Human DEF6 deficiency underlies an immunodeficiency syndrome with systemic autoimmunity and aberrant CTLA-4 homeostasis

CTLA-4 is critical for balancing protective immunity with self-tolerance. Here the authors identify homozygous DEF6 mutations in patients with severe autoimmunity, one of which received and responds to CTLA-4-Ig, and show that DEF6 is crucial for CTLA-4 cell surface trafficking and immune regulatory...

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Main Authors: Nina K. Serwas, Birgit Hoeger, Rico C. Ardy, Sigrun V. Stulz, Zhenhua Sui, Nima Memaran, Marie Meeths, Ana Krolo, Özlem Yüce Petronczki, Laurène Pfajfer, Tie Z. Hou, Neil Halliday, Elisangela Santos-Valente, Artem Kalinichenko, Alan Kennedy, Emily M. Mace, Malini Mukherjee, Bianca Tesi, Anna Schrempf, Winfried F. Pickl, Joanna I. Loizou, Renate Kain, Bettina Bidmon-Fliegenschnee, Jean-Nicolas Schickel, Salomé Glauzy, Jakob Huemer, Wojciech Garncarz, Elisabeth Salzer, Iro Pierides, Ivan Bilic, Jens Thiel, Peter Priftakis, Pinaki P. Banerjee, Elisabeth Förster-Waldl, David Medgyesi, Wolf-Dietrich Huber, Jordan S. Orange, Eric Meffre, David M. Sansom, Yenan T. Bryceson, Amnon Altman, Kaan Boztug
Format: Article
Language:English
Published: Nature Publishing Group 2019-07-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-019-10812-x
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author Nina K. Serwas
Birgit Hoeger
Rico C. Ardy
Sigrun V. Stulz
Zhenhua Sui
Nima Memaran
Marie Meeths
Ana Krolo
Özlem Yüce Petronczki
Laurène Pfajfer
Tie Z. Hou
Neil Halliday
Elisangela Santos-Valente
Artem Kalinichenko
Alan Kennedy
Emily M. Mace
Malini Mukherjee
Bianca Tesi
Anna Schrempf
Winfried F. Pickl
Joanna I. Loizou
Renate Kain
Bettina Bidmon-Fliegenschnee
Jean-Nicolas Schickel
Salomé Glauzy
Jakob Huemer
Wojciech Garncarz
Elisabeth Salzer
Iro Pierides
Ivan Bilic
Jens Thiel
Peter Priftakis
Pinaki P. Banerjee
Elisabeth Förster-Waldl
David Medgyesi
Wolf-Dietrich Huber
Jordan S. Orange
Eric Meffre
David M. Sansom
Yenan T. Bryceson
Amnon Altman
Kaan Boztug
spellingShingle Nina K. Serwas
Birgit Hoeger
Rico C. Ardy
Sigrun V. Stulz
Zhenhua Sui
Nima Memaran
Marie Meeths
Ana Krolo
Özlem Yüce Petronczki
Laurène Pfajfer
Tie Z. Hou
Neil Halliday
Elisangela Santos-Valente
Artem Kalinichenko
Alan Kennedy
Emily M. Mace
Malini Mukherjee
Bianca Tesi
Anna Schrempf
Winfried F. Pickl
Joanna I. Loizou
Renate Kain
Bettina Bidmon-Fliegenschnee
Jean-Nicolas Schickel
Salomé Glauzy
Jakob Huemer
Wojciech Garncarz
Elisabeth Salzer
Iro Pierides
Ivan Bilic
Jens Thiel
Peter Priftakis
Pinaki P. Banerjee
Elisabeth Förster-Waldl
David Medgyesi
Wolf-Dietrich Huber
Jordan S. Orange
Eric Meffre
David M. Sansom
Yenan T. Bryceson
Amnon Altman
Kaan Boztug
Human DEF6 deficiency underlies an immunodeficiency syndrome with systemic autoimmunity and aberrant CTLA-4 homeostasis
Nature Communications
author_facet Nina K. Serwas
Birgit Hoeger
Rico C. Ardy
Sigrun V. Stulz
Zhenhua Sui
Nima Memaran
Marie Meeths
Ana Krolo
Özlem Yüce Petronczki
Laurène Pfajfer
Tie Z. Hou
Neil Halliday
Elisangela Santos-Valente
Artem Kalinichenko
Alan Kennedy
Emily M. Mace
Malini Mukherjee
Bianca Tesi
Anna Schrempf
Winfried F. Pickl
Joanna I. Loizou
Renate Kain
Bettina Bidmon-Fliegenschnee
Jean-Nicolas Schickel
Salomé Glauzy
Jakob Huemer
Wojciech Garncarz
Elisabeth Salzer
Iro Pierides
Ivan Bilic
Jens Thiel
Peter Priftakis
Pinaki P. Banerjee
Elisabeth Förster-Waldl
David Medgyesi
Wolf-Dietrich Huber
Jordan S. Orange
Eric Meffre
David M. Sansom
Yenan T. Bryceson
Amnon Altman
Kaan Boztug
author_sort Nina K. Serwas
title Human DEF6 deficiency underlies an immunodeficiency syndrome with systemic autoimmunity and aberrant CTLA-4 homeostasis
title_short Human DEF6 deficiency underlies an immunodeficiency syndrome with systemic autoimmunity and aberrant CTLA-4 homeostasis
title_full Human DEF6 deficiency underlies an immunodeficiency syndrome with systemic autoimmunity and aberrant CTLA-4 homeostasis
title_fullStr Human DEF6 deficiency underlies an immunodeficiency syndrome with systemic autoimmunity and aberrant CTLA-4 homeostasis
title_full_unstemmed Human DEF6 deficiency underlies an immunodeficiency syndrome with systemic autoimmunity and aberrant CTLA-4 homeostasis
title_sort human def6 deficiency underlies an immunodeficiency syndrome with systemic autoimmunity and aberrant ctla-4 homeostasis
publisher Nature Publishing Group
series Nature Communications
issn 2041-1723
publishDate 2019-07-01
description CTLA-4 is critical for balancing protective immunity with self-tolerance. Here the authors identify homozygous DEF6 mutations in patients with severe autoimmunity, one of which received and responds to CTLA-4-Ig, and show that DEF6 is crucial for CTLA-4 cell surface trafficking and immune regulatory function.
url https://doi.org/10.1038/s41467-019-10812-x
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spelling doaj-2b28c1d1ae924d86a02c99db5aac2d802021-05-11T12:41:44ZengNature Publishing GroupNature Communications2041-17232019-07-0110111510.1038/s41467-019-10812-xHuman DEF6 deficiency underlies an immunodeficiency syndrome with systemic autoimmunity and aberrant CTLA-4 homeostasisNina K. Serwas0Birgit Hoeger1Rico C. Ardy2Sigrun V. Stulz3Zhenhua Sui4Nima Memaran5Marie Meeths6Ana Krolo7Özlem Yüce Petronczki8Laurène Pfajfer9Tie Z. Hou10Neil Halliday11Elisangela Santos-Valente12Artem Kalinichenko13Alan Kennedy14Emily M. Mace15Malini Mukherjee16Bianca Tesi17Anna Schrempf18Winfried F. Pickl19Joanna I. Loizou20Renate Kain21Bettina Bidmon-Fliegenschnee22Jean-Nicolas Schickel23Salomé Glauzy24Jakob Huemer25Wojciech Garncarz26Elisabeth Salzer27Iro Pierides28Ivan Bilic29Jens Thiel30Peter Priftakis31Pinaki P. Banerjee32Elisabeth Förster-Waldl33David Medgyesi34Wolf-Dietrich Huber35Jordan S. Orange36Eric Meffre37David M. Sansom38Yenan T. Bryceson39Amnon Altman40Kaan Boztug41Ludwig Boltzmann Institute for Rare and Undiagnosed DiseasesLudwig Boltzmann Institute for Rare and Undiagnosed DiseasesLudwig Boltzmann Institute for Rare and Undiagnosed DiseasesCentre for Hematology and Regenerative Medicine, Department of Medicine Huddinge, Karolinska Institutet, Karolinska University Hospital HuddingeDivision of Cell Biology, La Jolla Institute for Allergy & ImmunologyDepartment of Pediatrics and Adolescent Medicine, Medical University of ViennaChildhood Cancer Research Unit, Department of Women’s and Children’s Health, Karolinska Institutet, Karolinska University Hospital SolnaLudwig Boltzmann Institute for Rare and Undiagnosed DiseasesLudwig Boltzmann Institute for Rare and Undiagnosed DiseasesLudwig Boltzmann Institute for Rare and Undiagnosed DiseasesInstitute of Immunity and Transplantation, Division of Infection & Immunity, School of Life and Medical Sciences, University College LondonInstitute of Immunity and Transplantation, Division of Infection & Immunity, School of Life and Medical Sciences, University College LondonCeMM Research Center for Molecular Medicine of the Austrian Academy of SciencesLudwig Boltzmann Institute for Rare and Undiagnosed DiseasesInstitute of Immunity and Transplantation, Division of Infection & Immunity, School of Life and Medical Sciences, University College LondonDepartment of Pediatrics, Baylor College of Medicine and Center for Human Immunobiology, Texas Children’s HospitalDepartment of Pediatrics, Baylor College of Medicine and Center for Human Immunobiology, Texas Children’s HospitalClinical Genetics Unit, Department of Molecular Medicine and Surgery, and Center for Molecular Medicine, Karolinska Institutet, Karolinska University Hospital SolnaCeMM Research Center for Molecular Medicine of the Austrian Academy of SciencesInstitute of Immunology, Center for Pathophysiology, Infectiology and Immunology, Medical University of ViennaCeMM Research Center for Molecular Medicine of the Austrian Academy of SciencesClinical Institute of Pathology, Medical University of ViennaDepartment of Pediatrics and Adolescent Medicine, Medical University of ViennaDepartment of Immunobiology, Yale University School of MedicineDepartment of Immunobiology, Yale University School of MedicineLudwig Boltzmann Institute for Rare and Undiagnosed DiseasesLudwig Boltzmann Institute for Rare and Undiagnosed DiseasesLudwig Boltzmann Institute for Rare and Undiagnosed DiseasesLudwig Boltzmann Institute for Rare and Undiagnosed DiseasesCeMM Research Center for Molecular Medicine of the Austrian Academy of SciencesDepartment of Rheumatology and Clinical Immunology, University Medical Center FreiburgAstrid Lindgren Children’s Hospital, Karolinska University Hospital HuddingeDepartment of Pediatrics, Baylor College of Medicine and Center for Human Immunobiology, Texas Children’s HospitalDepartment of Pediatrics and Adolescent Medicine, Division of Neonatology, Pediatric Intensive Care and Neuropediatrics, Medical University of ViennaLudwig Boltzmann Institute for Rare and Undiagnosed DiseasesDepartment of Pediatrics and Adolescent Medicine, Medical University of ViennaDepartment of Pediatrics, Baylor College of Medicine and Center for Human Immunobiology, Texas Children’s HospitalDepartment of Immunobiology, Yale University School of MedicineInstitute of Immunity and Transplantation, Division of Infection & Immunity, School of Life and Medical Sciences, University College LondonCentre for Hematology and Regenerative Medicine, Department of Medicine Huddinge, Karolinska Institutet, Karolinska University Hospital HuddingeDivision of Cell Biology, La Jolla Institute for Allergy & ImmunologyLudwig Boltzmann Institute for Rare and Undiagnosed DiseasesCTLA-4 is critical for balancing protective immunity with self-tolerance. Here the authors identify homozygous DEF6 mutations in patients with severe autoimmunity, one of which received and responds to CTLA-4-Ig, and show that DEF6 is crucial for CTLA-4 cell surface trafficking and immune regulatory function.https://doi.org/10.1038/s41467-019-10812-x