Immunodeficiency, autoinflammation and amylopectinosis in humans with inherited HOIL-1 and LUBAC deficiency.

Immunodeficiency, autoinflammation and amylopectinosis in humans with inherited HOIL-1 and LUBAC deficiency.
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DOI:
10.1038/ni.2457
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发表时间:
2012-12
期刊:
影响因子:
30.5
通讯作者:
--
中科院分区:
医学1区
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--
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我们报告了一种新的致命的人类遗传性疾病的临床描述和分子解剖,其特征是慢性自身炎症,侵袭性细菌感染和肌支链淀粉病。来自两种激酶的患者携带HOIL 1的双等位基因表达缺失和功能缺失突变,HOIL 1是线性泛素化链组装复合物(LUBAC)的一个组成部分。这些突变导致LUBAC稳定性受损。在患者的成纤维细胞中,响应于白细胞介素-1 β(IL-1β)的NF-κB活化受到损害。相比之下,患者的单核白细胞,特别是单核细胞,对IL-1β反应过度。因此,人HOIL-1和LUBAC缺陷对IL-1β应答的影响在细胞类型之间不同,这与这些患者中自身炎症和免疫缺陷的独特相关性一致。这些数据表明LUBAC在不同细胞类型中不同地调节NF-κ B依赖性IL-1β应答。
We report the clinical description and molecular dissection of a new fatal human inherited disorder characterized by chronic auto-inflammation, invasive bacterial infections and muscular amylopectinosis. Patients from two kindreds carried biallelic loss-of-expression and loss-of-function mutations in HOIL1, a component the linear ubiquitination chain assembly complex (LUBAC). These mutations resulted in impairment of LUBAC stability. NF-κB activation in response to interleukin-1β (IL-1β) was compromised in the patients’ fibroblasts. By contrast, the patients’ mononuclear leukocytes, particularly monocytes, were hyperresponsive to IL-1β. The consequences of human HOIL-1 and LUBAC deficiencies for IL-1β responses thus differed between cell types, consistent with the unique association of auto-inflammation and immunodeficiency in these patients. These data suggest that LUBAC regulates NF-κB-dependent IL-1β responses differently in different cell types.
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