New Dominant-Negative IL6ST Variants Expand the Immunological and Clinical Spectrum of GP130-Dependent Hyper-IgE Syndrome.
Details
Serval ID
serval:BIB_BB16C2AE927C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
New Dominant-Negative IL6ST Variants Expand the Immunological and Clinical Spectrum of GP130-Dependent Hyper-IgE Syndrome.
Journal
Journal of clinical immunology
ISSN
1573-2592 (Electronic)
ISSN-L
0271-9142
Publication state
Published
Issued date
10/2023
Peer-reviewed
Oui
Volume
43
Number
7
Pages
1566-1580
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
Publication Status: ppublish
Publication Status: ppublish
Abstract
Patients with autosomal dominant (AD) hyper-IgE syndrome (HIES) suffer from a constellation of manifestations including recurrent bacterial and fungal infections, severe atopy, and skeletal abnormalities. This condition is typically caused by monoallelic dominant-negative (DN) STAT3 variants. In 2020, we described 12 patients from eight kindreds with DN IL6ST variants resulting in a new form of AD HIES. These variants encoded truncated GP130 receptors, with intact extracellular and transmembrane domains, but lacking the intracellular recycling motif and the four STAT3-binding residues, resulting in an inability to recycle and activate STAT3. We report here two new DN variants of IL6ST in three unrelated families with HIES-AD. The biochemical and clinical impacts of these variants are different from those of the previously reported variants. The p.(Ser731Valfs*8) variant, identified in seven patients from two families, lacks the recycling motif and all the STAT3-binding residues, but its levels on the cell surface are only slightly increased and it underlies mild biological phenotypes with variable clinical expressivity. The p.(Arg768*) variant, identified in a single patient, lacks the recycling motif and the three most distal STAT3-binding residues. This variant accumulates at the cell surface and underlies severe biological and clinical phenotypes. The p.(Ser731Valfs*8) variant shows that a DN GP130 expressed at near normal levels on the cell surface can underlie heterogeneous clinical presentations, ranging from mild to severe. The p.(Arg768*) variant demonstrates that a truncated GP130 protein retaining one STAT3-binding residue can underlie severe HIES.
Keywords
Humans, Job Syndrome/diagnosis, Job Syndrome/genetics, Cytokine Receptor gp130/genetics, Cytokine Receptor gp130/metabolism, Phenotype, STAT3 Transcription Factor, Hypersensitivity, Immediate/complications, Mutation/genetics, GP130, Hyper-IgE, IL6ST, Inborn errors of immunity, Job's syndrome, STAT3
Pubmed
Web of science
Open Access
Yes
Create date
08/06/2023 14:05
Last modification date
08/08/2024 6:39