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
Author(s)
Arlabosse T., Materna M., Riccio O., Schnider C., Angelini F., Perreau M., Rochat I., Superti-Furga A., Campos-Xavier B., Héritier S., Pereira A., Deswarte C., Lévy R., Distefano M., Bustamante J., Roelens M., Borie R., Le Brun M., Crestani B., Casanova J.L., Puel A., Hofer M., Fieschi C., Theodoropoulou K., Béziat V., Candotti F.
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
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 15:05
Last modification date
20/12/2023 8:15
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