Human STAT3 variants underlie autosomal dominant hyper-IgE syndrome by negative dominance

Author:

Asano Takaki1ORCID,Khourieh Joëlle23ORCID,Zhang Peng1ORCID,Rapaport Franck1ORCID,Spaan András N.1ORCID,Li Juan1ORCID,Lei Wei-Te1ORCID,Pelham Simon J.1ORCID,Hum David1ORCID,Chrabieh Maya23ORCID,Han Ji Eun1ORCID,Guérin Antoine45ORCID,Mackie Joseph45ORCID,Gupta Sudhir6ORCID,Saikia Biman7ORCID,Baghdadi Jamila E.I.8ORCID,Fadil Ilham910ORCID,Bousfiha Aziz910ORCID,Habib Tanwir11ORCID,Marr Nico1112ORCID,Ganeshanandan Luckshman13ORCID,Peake Jane14ORCID,Droney Luke15ORCID,Williams Andrew16ORCID,Celmeli Fatih17ORCID,Hatipoglu Nevin18ORCID,Ozcelik Tayfun19ORCID,Picard Capucine20212223ORCID,Abel Laurent123ORCID,Tangye Stuart G.45ORCID,Boisson-Dupuis Stéphanie123ORCID,Zhang Qian123ORCID,Puel Anne123ORCID,Béziat Vivien123ORCID,Casanova Jean-Laurent12324ORCID,Boisson Bertrand123ORCID

Affiliation:

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

2. Paris University, Imagine Institute, Paris, France

3. Laboratory of Human Genetics of Infectious Disease, Necker Branch, Institut National de la Santé et de la Recherche Médicale U1163, Paris, France

4. Garvan Institute of Medical Research, Darlinghurst, Australia

5. St. Vincent’s Clinical School, Faculty of Medicine and Health, University of New South Wales, Sydney, Australia

6. Division of Basic and Clinical Immunology, Department of Medicine, School of Medicine, University of California, Irvine, Irvine, CA

7. Department of Immunopathology, Post Graduate Institute of Medical Education and Research, Chandigarh, India

8. Genetics Unit, Military Hospital Mohamed V, Rabat, Morocco

9. Laboratory of Clinical Immunology, Inflammation and Allergy, Faculty of Medicine and Pharmacy of Casablanca, King Hassan II University, Casablanca, Morocco

10. Clinical Immunology Unit, Department of Pediatric Infectious Diseases, Children’s Hospital, Averroes University Hospital Center, Casablanca, Morocco

11. Research Branch, Sidra Medicine, Qatar Foundation, Doha, Qatar

12. College of Health & Life Sciences, Hamad Bin Khalifa University, Qatar Foundation, Doha, Qatar

13. Department of Clinical Immunology, PathWest Laboratory Medicine Western Australia, Fiona Stanley Hospital, Perth, Australia

14. Queensland Children’s Hospital, South Brisbane, Australia

15. Department of Clinical Immunology, Princess Alexandra Hospital, Brisbane, Australia

16. Immunology Laboratory, Children’s Hospital Westmead, Westmead, Australia

17. Department of Allergy and Immunology, University of Medical Science Antalya Education and Research Hospital, Antalya, Turkey

18. Bakirkoy Dr Sadi Konuk Education and Training Hospital, Istanbul, Turkey

19. Department of Molecular Biology and Genetics, Bilkent University, Ankara, Turkey

20. Université de Paris, Paris, France

21. Study Center for Primary Immunodeficiencies, Hôpital Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, Paris, France

22. Laboratory of Lymphocyte Activation and Susceptibility to EBV Infection, Institut National de la Santé et de la Recherche Médicale UMR 1163, Imagine Institute, Paris, France

23. Pediatric Immunology-Hematology Unit, Assistance Publique-Hôpitaux de Paris, Necker Hospital for Sick Children, Paris, France

24. Howard Hughes Medical Institute, New York, NY

Abstract

Most patients with autosomal dominant hyper-IgE syndrome (AD-HIES) carry rare heterozygous STAT3 variants. Only six of the 135 in-frame variants reported have been experimentally shown to be dominant negative (DN), and it has been recently suggested that eight out-of-frame variants operate by haploinsufficiency. We experimentally tested these 143 variants, 7 novel out-of-frame variants found in HIES patients, and other STAT3 variants from the general population. Strikingly, all 15 out-of-frame variants were DN via their encoded (1) truncated proteins, (2) neoproteins generated from a translation reinitiation codon, and (3) isoforms from alternative transcripts or a combination thereof. Moreover, 128 of the 135 in-frame variants (95%) were also DN. The patients carrying the seven non-DN STAT3 in-frame variants have not been studied for other genetic etiologies. Finally, none of the variants from the general population tested, including an out-of-frame variant, were DN. Overall, our findings show that heterozygous STAT3 variants, whether in or out of frame, underlie AD-HIES through negative dominance rather than haploinsufficiency.

Funder

Job Research Foundation

National Center for Research Resources

National Center for Advancing Sciences

National Institutes of Health

National Institute of Allergy and Infectious Diseases

National Research Agency

Foundation for Medical Research

Howard Hughes Medical Institute

The Rockefeller University

St. Giles Foundation

Institut National de la Santé et de la Recherche Médicale

Université de Paris

European Commission

Dutch Research Council

European Molecular Biology Organization

ANR

Publisher

Rockefeller University Press

Subject

Immunology,Immunology and Allergy

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