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Autoantibodies Against Type I Ifns in Humans With Alternative Nf-Κb Pathway Deficiency Publisher Pubmed



Le Voyer T1, 2 ; Parent AV3 ; Liu X3 ; Cederholm A4 ; Gervais A1, 2 ; Rosain J1, 2, 5 ; Nguyen T6, 7 ; Perez Lorenzo M1, 2 ; Rackaityte E8 ; Rinchai D9 ; Zhang P9 ; Bizien L1, 2 ; Hancioglu G10 ; Ghillanidalbin P11 Show All Authors
Authors
  1. Le Voyer T1, 2
  2. Parent AV3
  3. Liu X3
  4. Cederholm A4
  5. Gervais A1, 2
  6. Rosain J1, 2, 5
  7. Nguyen T6, 7
  8. Perez Lorenzo M1, 2
  9. Rackaityte E8
  10. Rinchai D9
  11. Zhang P9
  12. Bizien L1, 2
  13. Hancioglu G10
  14. Ghillanidalbin P11
  15. Charuel JL11
  16. Philippot Q1, 2
  17. Gueye MS1, 2
  18. Maglorius Renkilaraj MRL1, 2
  19. Ogishi M9
  20. Soudee C1, 2
  21. Migaud M1, 2
  22. Rozenberg F12
  23. Momenilandi M1, 2
  24. Riller Q13
  25. Imberti L14
  26. Delmonte OM15
  27. Muller G16, 17
  28. Keller B17, 18
  29. Orrego J19
  30. Franco Gallego WA19
  31. Rubin T20
  32. Emiroglu M21
  33. Parvaneh N22
  34. Eriksson D23, 24, 25
  35. Arandaguillen M25
  36. Berrios DI3
  37. Vong L26, 27
  38. Katelaris CH28
  39. Mustillo P29
  40. Raedler J30
  41. Bohlen J1, 2
  42. Bengi Celik J31
  43. Astudillo C32, 33
  44. Winter S34
  45. Boissondupuis S1, 2, 9
  46. Oksenhendler E73
  47. Okada S109
  48. Caluseriu O110
  49. Ursini MV111
  50. Ballot E112
  51. Lafarge G11, 87
  52. Freiberger T66
  53. Arangofranco CA1, 2
  54. Levy R1, 2, 52
  55. Aiuti A113
  56. Almuhsen S114
  57. Almulla F115
  58. Andreakos E116
  59. Arias AA9, 117, 118
  60. Feldman HB119
  61. Bastard P1, 2, 9, 52
  62. Bondarenko A120
  63. Borghesi A121
  64. Bousfiha AA122
  65. Brodin P123
  66. Bryceson Y124
  67. Casari G125
  68. Christodoulou J126
  69. Colobran R127
  70. Condinoneto A128
  71. Fellay J129, 130
  72. Flores C131, 132, 133
  73. Franco JL19
  74. Haerynck F134
  75. Halwani R114, 135
  76. Hammarstrom L39, 40
  77. Heath JR136
  78. Hsieh EWY137
  79. Itan Y138, 139
  80. Kaja E140
  81. Kisand K141
  82. Ku CL142
  83. Ling Y143
  84. Lau YL144
  85. Mansouri D145
  86. Meyts I146, 147
  87. Milner JD148
  88. Mogensen TH149
  89. Novelli A150
  90. Novelli G151
  91. Okamoto K152
  92. Ozcelik T153
  93. De Diego RP154
  94. Pereztur J155
  95. Perlin DS156
  96. Prando C157
  97. Pujol A158, 159, 160
  98. Quintanamurci L161
  99. Renia L163, 164
  100. Resnick I165
  101. Rodriguezgallego C133, 166
  102. Sanchoshimizu V167, 168
  103. Sediva A55
  104. Seppanen MRJ169, 170
  105. Shahrooei M78
  106. Shcherbina A171
  107. Palacin PS172
  108. Pesole G173
  109. Spaan AN9
  110. Su HC15, 41
  111. Tancevski I174
  112. Tayoun AA175
  113. Amara A176
  114. Gorochov G177
  115. Temel SG178, 179
  116. Thorball C130
  117. Tiberghien P180
  118. Trouillet Assant S38, 104
  119. Turvey S181
  120. Uddin KMF182
  121. Uddin MJ183, 184
  122. Van De Beek D185
  123. Vidigal M186
  124. Vinh DC187, 188
  125. Von Bernuth H189, 190, 191
  126. Wauters J192
  127. Zatz M186
  128. Zhang SY1, 2, 9
  129. Ng LFP163, 164
  130. Mclean C35
  131. Guffroy A36
  132. Derisi JL8, 37
  133. Yu D3
  134. Miller C3
  135. Feng Y9
  136. Guichard A38
  137. Beziat V1, 2, 9
  138. Bustamante J1, 2, 5, 9
  139. Panhammarstrom Q39, 40
  140. Zhang Y15, 41
  141. Rosen LB15
  142. Holland SM15
  143. Bosticardo M15
  144. Kenney H15
  145. Castagnoli R42, 43
  146. Slade CA44, 45, 46
  147. Boztug K47, 48, 49, 50
  148. Mahlaoui N51, 52
  149. Latour S34
  150. Abraham RS53
  151. Lougaris V54
  152. Hauck F30
  153. Atschekzei F56
  154. Sogkas G56
  155. Poli MC32, 33
  156. Slatter MA57
  157. Palterer B58
  158. Keller MD59
  159. Pinzoncharry A60, 61
  160. Sullivan A60, 61
  161. Droney L60, 61
  162. Suan D60, 62
  163. Wong M60, 62, 63
  164. Kane A7, 60, 64, 65
  165. Hu H60, 64, 65
  166. Ma C6, 7, 60
  167. Grombirikova H66
  168. Ciznar P67
  169. Dalal I68
  170. Aladjidi N69
  171. Hie M70
  172. Lazaro E71
  173. Keles S72
  174. Malphettes M73
  175. Pasquet M74
  176. Maccari ME16, 75
  177. Meinhardt A76
  178. Ikinciogullari A77
  179. Shahrooei M78
  180. Celmeli F80
  181. Frosk P81
  182. Goodnow CC6, 7, 60
  183. Gray PE60, 82
  184. Belot A83, 84, 85
  185. Kuehn HS86
  186. Rosenzweig SD86
  187. Miyara M11, 87
  188. Licciardi F88
  189. Servettaz A89, 90
  190. Barlogis V91
  191. Le Guenno G92
  192. Herrmann VM93
  193. Kuijpers T94
  194. Ducoux G95
  195. Sarrotreynauld F96
  196. Schuetz C97
  197. Cunninghamrundles C98
  198. Rieuxlaucat F13
  199. Tangye SG6, 7, 60
  200. Sobacchi C99, 100
  201. Doffinger R101
  202. Warnatz K17, 18
  203. Grimbacher B16, 17
  204. Fieschi C73, 102
  205. Berteloot L103
  206. Bryant VL44, 45, 46
  207. Neven B52
  208. Abel L1, 2, 9
  209. Zhang Q1, 2, 9
  210. Boisson B1, 2, 9
  211. Cobat A1, 2, 9
  212. Jouanguy E1, 2, 9
  213. Kampe O105
  214. Roifman CM26, 27
  215. Landegren N4, 25
  216. Notarangelo LD15
  217. Anderson MS3, 106
  218. Casanova JL1, 2, 9, 107, 108
  219. Puel A1, 2, 9

Source: Nature Published:2023


Abstract

Patients with autoimmune polyendocrinopathy syndrome type 1 (APS-1) caused by autosomal recessive AIRE deficiency produce autoantibodies that neutralize type I interferons (IFNs)1,2, conferring a predisposition to life-threatening COVID-19 pneumonia3. Here we report that patients with autosomal recessive NIK or RELB deficiency, or a specific type of autosomal-dominant NF-κB2 deficiency, also have neutralizing autoantibodies against type I IFNs and are at higher risk of getting life-threatening COVID-19 pneumonia. In patients with autosomal-dominant NF-κB2 deficiency, these autoantibodies are found only in individuals who are heterozygous for variants associated with both transcription (p52 activity) loss of function (LOF) due to impaired p100 processing to generate p52, and regulatory (IκBδ activity) gain of function (GOF) due to the accumulation of unprocessed p100, therefore increasing the inhibitory activity of IκBδ (hereafter, p52LOF/IκBδGOF). By contrast, neutralizing autoantibodies against type I IFNs are not found in individuals who are heterozygous for NFKB2 variants causing haploinsufficiency of p100 and p52 (hereafter, p52LOF/IκBδLOF) or gain-of-function of p52 (hereafter, p52GOF/IκBδLOF). In contrast to patients with APS-1, patients with disorders of NIK, RELB or NF-κB2 have very few tissue-specific autoantibodies. However, their thymuses have an abnormal structure, with few AIRE-expressing medullary thymic epithelial cells. Human inborn errors of the alternative NF-κB pathway impair the development of AIRE-expressing medullary thymic epithelial cells, thereby underlying the production of autoantibodies against type I IFNs and predisposition to viral diseases. © 2023, The Author(s).
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