UNC93B1 variants underlie TLR7-dependent autoimmunity

Author:

Wolf Christine1ORCID,Lim Ee Lyn2ORCID,Mokhtari Mohammad3ORCID,Kind Barbara1ORCID,Odainic Alexandru45ORCID,Lara-Villacanas Eusebia6,Koss Sarah1,Mages Simon3ORCID,Menzel Katharina1ORCID,Engel Kerstin1,Dückers Gregor7,Bernbeck Benedikt6,Schneider Dominik T.6ORCID,Siepermann Kathrin7,Niehues Tim7ORCID,Goetzke Carl Christoph8910ORCID,Durek Pawel9ORCID,Minden Kirsten89,Dörner Thomas911ORCID,Stittrich Anna12ORCID,Szelinski Franziska911ORCID,Guerra Gabriela Maria9ORCID,Massoud Mona9,Bieringer Markus13ORCID,de Oliveira Mann Carina C.14ORCID,Beltrán Eduardo15ORCID,Kallinich Tilmann8910ORCID,Mashreghi Mir-Farzin9ORCID,Schmidt Susanne V.4ORCID,Latz Eicke416,Klughammer Johanna3ORCID,Majer Olivia2ORCID,Lee-Kirsch Min Ae117ORCID

Affiliation:

1. Department of Pediatrics, Medizinische Fakultät Carl Gustav Carus, Technische Universität Dresden, Dresden 01307, Germany.

2. Max Planck Institute for Infection Biology, Berlin 10117, Germany.

3. Gene Center, Systems Immunology, Ludwig-Maximilians-Universität Munich, Munich 81377, Germany.

4. Institute of Innate Immunity, University of Bonn, Bonn 53127, Germany.

5. Department of Microbiology and Immunology, Peter Doherty Institute for Infection & Immunity, University of Melbourne, Melbourne, VIC 3010, Australia.

6. Department of Pediatrics, Klinikum Dortmund, University Witten/Herdecke, Dortmund 44145, Germany.

7. Department of Pediatrics, Helios Klinik Krefeld, Krefeld 47805, Germany.

8. Department of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine, Charité-Universitätsmedizin Berlin, Berlin 10117, Germany.

9. Deutsches Rheuma-Forschungszentrum (DRFZ), an institute of the Leibniz Association, Berlin 10117, Germany.

10. Berlin Institute of Health at Charité-Universitätsmedizin Berlin, Berlin 10178, Germany.

11. Department of Medicine, Rheumatology and Clinical Immunology, Charite-Universitätsmedizin Berlin, Berlin 10117, Germany.

12. Labor Berlin Charité-Vivantes GmbH, Department of Human Genetics, Berlin 13353, Germany.

13. Department of Cardiology and Nephrology, HELIOS Klinikum Berlin-Buch, Berlin 13125, Germany.

14. Institute of Virology, Technical University of Munich, Munich 81675, Germany.

15. Institute for Clinical Neuroimmunology, BioMedizinisches Zentrum, Ludwig-Maximilians-Universität Munich, Munich 82152, Germany.

16. German Center for Neurodegenerative Diseases (DZNE), Bonn 53175, Germany.

17. University Center for Rare Diseases, Medizinische Fakultät Carl Gustav Carus, Technische Universität Dresden, Dresden 01307, Germany.

Abstract

UNC93B1 is critical for trafficking and function of nucleic acid–sensing Toll-like receptors (TLRs) TLR3, TLR7, TLR8, and TLR9, which are essential for antiviral immunity. Overactive TLR7 signaling induced by recognition of self–nucleic acids has been implicated in systemic lupus erythematosus (SLE). Here, we report UNC93B1 variants (E92G and R336L) in four patients with early-onset SLE. Patient cells or mouse macrophages carrying the UNC93B1 variants produced high amounts of TNF-α and IL-6 and upon stimulation with TLR7/TLR8 agonist, but not with TLR3 or TLR9 agonists. E92G causes UNC93B1 protein instability and reduced interaction with TLR7, leading to selective TLR7 hyperactivation with constitutive type I IFN signaling. Thus, UNC93B1 regulates TLR subtype–specific mechanisms of ligand recognition. Our findings establish a pivotal role for UNC93B1 in TLR7-dependent autoimmunity and highlight the therapeutic potential of targeting TLR7 in SLE.

Publisher

American Association for the Advancement of Science (AAAS)

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