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CD40 ligand deficiency causes functional defects of peripheral neutrophils that are improved by exogenous IFN-?.


ABSTRACT: BACKGROUND:Patients with X-linked hyper-IgM syndrome caused by CD40 ligand (CD40L) deficiency often present with episodic, cyclic, or chronic neutropenia, suggesting abnormal neutrophil development in the absence of CD40L-CD40 interaction. However, even when not neutropenic and despite immunoglobulin replacement therapy, CD40L-deficient patients are susceptible to life-threatening infections caused by opportunistic pathogens, suggesting impaired phagocyte function and the need for novel therapeutic approaches. OBJECTIVES:We sought to analyze whether peripheral neutrophils from CD40L-deficient patients display functional defects and to explore the in vitro effects of recombinant human IFN-? (rhIFN-?) on neutrophil function. METHODS:We investigated the microbicidal activity, respiratory burst, and transcriptome profile of neutrophils from CD40L-deficient patients. In addition, we evaluated whether the lack of CD40L in mice also affects neutrophil function. RESULTS:Neutrophils from CD40L-deficient patients exhibited defective respiratory burst and microbicidal activity, which were improved in vitro by rhIFN-? but not soluble CD40L. Moreover, neutrophils from patients showed reduced CD16 protein expression and a dysregulated transcriptome suggestive of impaired differentiation. Similar to CD40L-deficient patients, CD40L knockout mice were found to have impaired neutrophil responses. In parallel, we demonstrated that soluble CD40L induces the promyelocytic cell line HL-60 to proliferate and mature by regulating the expression of genes of the same Gene Ontology categories (eg, cell differentiation) when compared with those dysregulated in peripheral blood neutrophils from CD40L-deficient patients. CONCLUSION:Our data suggest a nonredundant role of CD40L-CD40 interaction in neutrophil development and function that could be improved in vitro by rhIFN-?, indicating a potential novel therapeutic application for this cytokine.

SUBMITTER: Cabral-Marques O 

PROVIDER: S-EPMC6123297 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature

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CD40 ligand deficiency causes functional defects of peripheral neutrophils that are improved by exogenous IFN-γ.

Cabral-Marques Otavio O   França Tabata Takahashi TT   Al-Sbiei Ashraf A   Schimke Lena Friederike LF   Khan Taj Ali TA   Feriotti Claudia C   da Costa Tania Alves TA   Junior Osvaldo Reis OR   Weber Cristina Worm CW   Ferreira Janaíra Fernandes JF   Tavares Fabiola Scancetti FS   Valente Claudia C   Di Gesu Regina Sumiko Watanabe RSW   Iqbal Asif A   Riemekasten Gabriela G   Amarante-Mendes Gustavo Pessini GP   Marzagão Barbuto José Alexandre JA   Costa-Carvalho Beatriz Tavares BT   Pereira Paulo Vitor Soeiro PVS   Fernandez-Cabezudo Maria J MJ   Calich Vera Lucia Garcia VLG   Notarangelo Luigi D LD   Torgerson Troy R TR   Al-Ramadi Basel K BK   Ochs Hans D HD   Condino-Neto Antonio A  

The Journal of allergy and clinical immunology 20180305 5


<h4>Background</h4>Patients with X-linked hyper-IgM syndrome caused by CD40 ligand (CD40L) deficiency often present with episodic, cyclic, or chronic neutropenia, suggesting abnormal neutrophil development in the absence of CD40L-CD40 interaction. However, even when not neutropenic and despite immunoglobulin replacement therapy, CD40L-deficient patients are susceptible to life-threatening infections caused by opportunistic pathogens, suggesting impaired phagocyte function and the need for novel  ...[more]

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