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X-linked susceptibility to mycobacteria is caused by mutations in NEMO impairing CD40-dependent IL-12 production.


ABSTRACT: Germline mutations in five autosomal genes involved in interleukin (IL)-12-dependent, interferon (IFN)-gamma-mediated immunity cause Mendelian susceptibility to mycobacterial diseases (MSMD). The molecular basis of X-linked recessive (XR)-MSMD remains unknown. We report here mutations in the leucine zipper (LZ) domain of the NF-kappaB essential modulator (NEMO) gene in three unrelated kindreds with XR-MSMD. The mutant proteins were produced in normal amounts in blood and fibroblastic cells. However, the patients' monocytes presented an intrinsic defect in T cell-dependent IL-12 production, resulting in defective IFN-gamma secretion by T cells. IL-12 production was also impaired as the result of a specific defect in NEMO- and NF-kappaB/c-Rel-mediated CD40 signaling after the stimulation of monocytes and dendritic cells by CD40L-expressing T cells and fibroblasts, respectively. However, the CD40-dependent up-regulation of costimulatory molecules of dendritic cells and the proliferation and immunoglobulin class switch of B cells were normal. Moreover, the patients' blood and fibroblastic cells responded to other NF-kappaB activators, such as tumor necrosis factor-alpha, IL-1beta, and lipopolysaccharide. These two mutations in the NEMO LZ domain provide the first genetic etiology of XR-MSMD. They also demonstrate the importance of the T cell- and CD40L-triggered, CD40-, and NEMO/NF-kappaB/c-Rel-mediated induction of IL-12 by monocyte-derived cells for protective immunity to mycobacteria in humans.

SUBMITTER: Filipe-Santos O 

PROVIDER: S-EPMC2118353 | biostudies-literature | 2006 Jul

REPOSITORIES: biostudies-literature

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X-linked susceptibility to mycobacteria is caused by mutations in NEMO impairing CD40-dependent IL-12 production.

Filipe-Santos Orchidée O   Bustamante Jacinta J   Haverkamp Margje H MH   Vinolo Emilie E   Ku Cheng-Lung CL   Puel Anne A   Frucht David M DM   Christel Karin K   von Bernuth Horst H   Jouanguy Emmanuelle E   Feinberg Jacqueline J   Durandy Anne A   Senechal Brigitte B   Chapgier Ariane A   Vogt Guillaume G   de Beaucoudrey Ludovic L   Fieschi Claire C   Picard Capucine C   Garfa Meriem M   Chemli Jalel J   Bejaoui Mohamed M   Tsolia Maria N MN   Kutukculer Necil N   Plebani Alessandro A   Notarangelo Luigi L   Bodemer Christine C   Geissmann Frédéric F   Israël Alain A   Véron Michel M   Knackstedt Maike M   Barbouche Ridha R   Abel Laurent L   Magdorf Klaus K   Gendrel Dominique D   Agou Fabrice F   Holland Steven M SM   Casanova Jean-Laurent JL  

The Journal of experimental medicine 20060703 7


Germline mutations in five autosomal genes involved in interleukin (IL)-12-dependent, interferon (IFN)-gamma-mediated immunity cause Mendelian susceptibility to mycobacterial diseases (MSMD). The molecular basis of X-linked recessive (XR)-MSMD remains unknown. We report here mutations in the leucine zipper (LZ) domain of the NF-kappaB essential modulator (NEMO) gene in three unrelated kindreds with XR-MSMD. The mutant proteins were produced in normal amounts in blood and fibroblastic cells. Howe  ...[more]

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