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, The 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 (TLR) 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, 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 of UNC93B1 in TLR7-dependent autoimmunity and highlight the therapeutic potential of targeting TLR7 in SLE.

Publisher

American Association for the Advancement of Science (AAAS)

Subject

General Medicine,Immunology

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