Impairment of immunity to Candida and Mycobacterium in humans with bi-allelic RORC mutations

Author:

Okada Satoshi12,Markle Janet G.1,Deenick Elissa K.34,Mele Federico5,Averbuch Dina6,Lagos Macarena78,Alzahrani Mohammed9,Al-Muhsen Saleh910,Halwani Rabih10,Ma Cindy S.34,Wong Natalie3,Soudais Claire11,Henderson Lauren A.12,Marzouqa Hiyam13,Shamma Jamal13,Gonzalez Marcela7,Martinez-Barricarte Rubén1,Okada Chizuru1,Avery Danielle T.3,Latorre Daniela5,Deswarte Caroline1415,Jabot-Hanin Fabienne1415,Torrado Egidio16,Fountain Jeffrey16,Belkadi Aziz1415,Itan Yuval1,Boisson Bertrand1,Migaud Mélanie1415,Arlehamn Cecilia S. Lindestam17,Sette Alessandro17,Breton Sylvain18,McCluskey James19,Rossjohn Jamie202122,de Villartay Jean-Pierre23,Moshous Despina2324,Hambleton Sophie25,Latour Sylvain26,Arkwright Peter D.27,Picard Capucine114152428,Lantz Olivier11,Engelhard Dan6,Kobayashi Masao2,Abel Laurent11415,Cooper Andrea M.16,Notarangelo Luigi D.1229,Boisson-Dupuis Stéphanie11415,Puel Anne11415,Sallusto Federica530,Bustamante Jacinta1141528,Tangye Stuart G.34,Casanova Jean-Laurent114152431

Affiliation:

1. St. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY 10065, USA.

2. Department of Pediatrics, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, Japan.

3. Immunology Division, Garvan Institute of Medical Research, Darlinghurst, New South Wales, Australia.

4. St Vincent’s Clinical School, University of New South Wales, Sydney, New South Wales, Australia.

5. Institute for Research in Biomedicine, University of Italian Switzerland, Bellinzona, Switzerland.

6. Department of Pediatrics, Hadassah University Hospital, Jerusalem, Israel.

7. Department of Immunology, School of Medicine, Universidad de Valparaíso, Santiago, Chile.

8. Department of Pediatrics, Padre Hurtado Hospital and Clinica Alemana, Santiago, Chile.

9. Department of Pediatrics, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.

10. Department of Pediatrics, Prince Naif Center for Immunology Research, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

11. Institut Curie, INSERM U932, Paris, France.

12. Division of Immunology, Boston Children’s Hospital, Boston, MA 02115, USA.

13. Caritas Baby Hospital, Post Office Box 11535, Jerusalem, Israel.

14. Laboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM UMR 1163, Paris, France.

15. Paris Descartes University, Imagine Institute, Paris, France.

16. Trudeau Institute, Saranac Lake, NY 12983, USA.

17. La Jolla Institute for Allergy and Immunology, La Jolla, CA 92037, USA.

18. Department of Radiology, Assistance Publique–Hôpitaux de Paris (AP-HP), Necker Hospital for Sick Children, Paris, France.

19. Department of Microbiology and Immunology, Peter Doherty Institute for Infection and Immunity, University of Melbourne, Parkville, Victoria, Australia.

20. Department of Biochemistry and Molecular Biology, School of Biomedical Sciences, Monash University, Clayton, Victoria, Australia.

21. Australian Research Council Centre of Excellence for Advanced Molecular Imaging, Monash University, Clayton, Victoria, Australia.

22. Institute of Infection and Immunity, Cardiff University, School of Medicine, Heath Park, Cardiff CF14 4XN, UK.

23. Laboratoire Dynamique du Génome et Système Immunitaire, INSERM UMR 1163, Université Paris Descartes–Sorbonne Paris Cité, Imagine Institute, Paris, France.

24. Pediatric Hematology-Immunology Unit, AP-HP, Necker Hospital for Sick Children, Paris, France.

25. Institute of Cellular Medicine, Newcastle University and Great North Children’s Hospital, Newcastle upon Tyne NE4 6BE, UK.

26. Laboratory of Lymphocyte Activation and Susceptibility to EBV Infection, INSERM UMR 1163, Université Paris Descartes–Sorbonne Paris Cité, Imagine Institute, Paris, France.

27. Department of Paediatric Allergy Immunology, University of Manchester, Royal Manchester Children’s Hospital, Manchester, UK.

28. Center for the Study of Primary Immunodeficiencies, AP-HP, Necker Hospital for Sick Children, Paris, France.

29. Manton Center for Orphan Disease Research, Children’s Hospital, Boston, MA 02115, USA.

30. Center of Medical Immunology, Institute for Research in Biomedicine, University of Italian Switzerland, Bellinzona, Switzerland.

31. Howard Hughes Medical Institute, New York, NY 10065, USA.

Abstract

A surprising immune twist for RORC The immune system needs its full array of soldiers—including cells and the molecules they secrete—to optimally protect the host. When this isn't the case, minor infections can become chronic or even deadly. Markle et al. report the discovery of seven individuals carrying loss-of-function mutations in RORC, which encodes the transcription factors RORγ and RORγT. These individuals lacked immune cells that produce the cytokine interleukin-17, causing them to suffer from chronic candidiasis. RORC-deficient individuals also exhibited impaired immunity to mycobacterium, probably due to reduced production of the cytokine interferon-γ, a molecule not known to require RORC for its induction. Science , this issue p. 606

Funder

NIH

National Institute of Allergy and Infectious Diseases

National Center for Research Resources

St. Giles Foundation

European Molecular Biology Organization

European Research Council

Canadian Institutes of Health Research

National Health and Medical Research Council (NHMRC)

French National Research Agency (ANR)

INSERM

Japan Society for the Promotion of Science

Swiss National Science Foundation

AXA Research Fund

Université Paris Descartes

National Center for Advancing Sciences

Laboratoire d’Excellence Integrative Biology of Emerging Infectious Diseases

Rockefeller University

Rheumatology Research Foundation’s Scientist Development Award

Helmut Horten Foundation

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

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