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Tuberculosis and Impaired Il-23–Dependent Ifn- Immunity in Humans Homozygous for a Common Tyk2 Missense Variant Publisher Pubmed



Boissondupuis S1, 2, 3 ; Ramirezalejo N1 ; Li Z4, 5 ; Patin E6, 7, 8 ; Rao G9 ; Kerner G2, 3 ; Lim CK10, 11 ; Krementsov DN12 ; Hernandez N1 ; Ma CS9, 13 ; Zhang Q1, 14 ; Markle J1 ; Martinezbarricarte R1 ; Payne K9 Show All Authors
Authors
  1. Boissondupuis S1, 2, 3
  2. Ramirezalejo N1
  3. Li Z4, 5
  4. Patin E6, 7, 8
  5. Rao G9
  6. Kerner G2, 3
  7. Lim CK10, 11
  8. Krementsov DN12
  9. Hernandez N1
  10. Ma CS9, 13
  11. Zhang Q1, 14
  12. Markle J1
  13. Martinezbarricarte R1
  14. Payne K9
  15. Fisch R1
  16. Deswarte C2, 3
  17. Halpern J1
  18. Bouaziz M2, 3
  19. Mulwa J1
  20. Sivanesan D15, 16
  21. Lazarov T17
  22. Naves R18
  23. Garcia P19
  24. Itan Y1, 20, 21
  25. Boisson B1, 2, 3
  26. Checchi A2, 3
  27. Jabothanin F2, 3
  28. Cobat A2, 3
  29. Guennoun A14
  30. Jackson CC1, 22
  31. Pekcan S23
  32. Caliskaner Z24
  33. Inostroza J25
  34. Costacarvalho BT26
  35. Tavares De Albuquerque JA27
  36. Garciaortiz H28
  37. Orozco L28
  38. Ozcelik T29
  39. Abid A30
  40. Rhorfi IA30, 31
  41. Souhi H30
  42. Amrani HN30
  43. Zegmout A30
  44. Geissmann F17
  45. Michnick SW15
  46. Mullerfleckenstein I31
  47. Fleckenstein B31
  48. Puel A1, 2, 3
  49. Ciancanelli MJ1
  50. Marr N14
  51. Abolhassani H10, 32
  52. Balcells ME33
  53. Condinoneto A27
  54. Strickler A34
  55. Abarca K35
  56. Teuscher C36
  57. Ochs HD37
  58. Reisli I38
  59. Sayar EH38
  60. Elbaghdadi J39
  61. Bustamante J1, 2, 3, 40
  62. Hammarstrom L10, 11, 41
  63. Tangye SG9, 13
  64. Pellegrini S4, 5
  65. Quintanamurci L6, 7, 8
  66. Abel L1, 2, 3
  67. Casanova JL1, 2, 3, 42, 43
Show Affiliations
Authors Affiliations
  1. 1. St. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, Rockefeller University, New York, NY, United States
  2. 2. Laboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Paris, France
  3. 3. Paris Descartes University, Imagine Institute, Paris, France
  4. 4. Cytokine Signaling Unit, Pasteur Institute, Paris, France
  5. 5. INSERM U1221, Paris, France
  6. 6. Human Evolutionary Genetics Unit, Pasteur Institute, Paris, France
  7. 7. CNRS UMR2000, Paris, France
  8. 8. Center of Bioinformatics, Biostatistics and Integrative Biology, Pasteur Institute, Paris, France
  9. 9. Immunology Division, Garvan Institute of Medical Research, Darlinghurst, NSW, Australia
  10. 10. Division of Clinical Immunology, Department of Laboratory Medicine, Karolinska Institute, Karolinska University Hospital Huddinge, Stockholm, Sweden
  11. 11. Department of Clinical Translational Research, Singapore General Hospital, Singapore, Singapore
  12. 12. Department of Biomedical and Health Sciences, University of Vermont, Burlington, VT, United States
  13. 13. St. Vincent's Clinical School, University of New South Wales, Darlinghurst, NSW, Australia
  14. 14. Sidra Medicine, Doha, Qatar
  15. 15. Department of Biochemistry, University of Montreal, Montreal, QC, Canada
  16. 16. Department of Biochemistry, Microbiology, and Immunology, University of Ottawa, Ottawa, ON, Canada
  17. 17. Im-munology Program, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY, United States
  18. 18. Institute of Biochemical Sciences, Faculty of Medicine, University of Chile, Santiago, Chile
  19. 19. Laboratory of Microbiology, Clinical Laboratory Department School of Medicine, Pontifical Catholic University of Chile, Santiago, Chile
  20. 20. Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United States
  21. 21. Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, United States
  22. 22. Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, United States
  23. 23. Department of Pediatric Pulmonology, Necmettin Erbakan University, Meram Medical Faculty, Konya, Turkey
  24. 24. Meram Faculty of Medicine, Department of Internal Medicine, Division of Allergy and Immunology, Necmettin Erbakan University, Konya, Turkey
  25. 25. Jeffrey Modell Center for Diagnosis and Research in Primary Immunodeficiencies, Faculty of Medicine University of La Frontera, Temuco, Chile
  26. 26. Department of Pediatrics, Federal University of Sao Paulo Medical School, Sao Paulo, Brazil
  27. 27. Department of Immunology, Institute of Biomedical Sciences, Institute of Tropical Medicine, University of Sao Paulo, Sao Paulo, Brazil
  28. 28. National Institute of Genomic Medicine, Mexico City, Mexico
  29. 29. Department of Molecular Biology and Genetics, Bilkent University, Ankara, Turkey
  30. 30. Department of Pneumology, Military Hospital Mohammed V, Rabat, Morocco
  31. 31. Institute of Clinical and Molecular Virology, University of Erlangen-Nuremberg, Erlangen, Germany
  32. 32. Research Center for Immunodeficiencies, Pediatrics Center of Excellence, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran
  33. 33. Department of Infectious Diseases, Medical School, Pontifical Catholic University of Chile, Santiago, Chile
  34. 34. Department of Pediatrics, San Sebastian University, Santiago, Chile
  35. 35. Department of Infectious Diseases and Pediatric Immunology, School of Medicine, Pontifical Catholic University of Chile, Santiago, Chile
  36. 36. Department of Medicine, Immunobiology Program, University of Vermont, Burlington, VT, United States
  37. 37. Seattle Children's Research Institute, Department of Pediatrics, University of Washington, Seattle, WA, United States
  38. 38. Department of Pediatric Immunology and Allergy, Necmettin Erbakan University, Meram Medical Faculty, Konya, Turkey
  39. 39. Genetics Unit, Military Hospital Mohamed V, Hay Riad, Rabat, Morocco
  40. 40. Center for the Study of Primary Immunodeficiencies, AP-HP, Necker Hospital for Sick Children, Paris, France
  41. 41. Beijing Genomics Institute BGI-Shenzhen, Shenzhen, China
  42. 42. Pediatric Hematology-Immunology Unit, Necker Hospital for Sick Children, AP-HP, Paris, France
  43. 43. Howard Hughes Medical Institute, New York, NY, United States

Source: Science Immunology Published:2018


Abstract

Inherited IL-12R1 and TYK2 deficiencies impair both IL-12– and IL-23–dependent IFN- immunity and are rare monogenic causes of tuberculosis, each found in less than 1/600,000 individuals. We show that homozygosity for the common TYK2 P1104A allele, which is found in about 1/600 Europeans and between 1/1000 and 1/10,000 individuals in regions other than East Asia, is more frequent in a cohort of patients with tuberculosis from endemic areas than in ethnicity-adjusted controls (P = 8.37 × 10−8; odds ratio, 89.31; 95% CI, 14.7 to 1725). Moreover, the frequency of P1104A in Europeans has decreased, from about 9% to 4.2%, over the past 4000 years, consistent with purging of this variant by endemic tuberculosis. Surprisingly, we also show that TYK2 P1104A impairs cellular responses to IL-23, but not to IFN-, IL-10, or even IL-12, which, like IL-23, induces IFN- via activation of TYK2 and JAK2. Moreover, TYK2 P1104A is properly docked on cytokine receptors and can be phosphorylated by the proximal JAK, but lacks catalytic activity. Last, we show that the catalytic activity of TYK2 is essential for IL-23, but not IL-12, responses in cells expressing wild-type JAK2. In contrast, the catalytic activity of JAK2 is redundant for both IL-12 and IL-23 responses, because the catalytically inactive P1057A JAK2, which is also docked and phosphorylated, rescues signaling in cells expressing wild-type TYK2. In conclusion, homozygosity for the catalytically inactive P1104A missense variant of TYK2 selectively disrupts the induction of IFN- by IL-23 and is a common monogenic etiology of tuberculosis. Copyright © 2018 The Authors, some rights reserved.
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