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Inherited Human Itk Deficiency Impairs Ifn-Γ Immunity and Underlies Tuberculosis Publisher Pubmed



Ogishi M1, 2 ; Yang R1 ; Rodriguez R3, 4 ; Golec DP5 ; Martin E3, 4 ; Philippot Q4, 6 ; Bohlen J4, 6 ; Pelham SJ1 ; Arias AA1, 7, 8 ; Khan T9 ; Ata M9 ; Ali FA9 ; Rozenberg F10 ; Kong XF1 Show All Authors
Authors
  1. Ogishi M1, 2
  2. Yang R1
  3. Rodriguez R3, 4
  4. Golec DP5
  5. Martin E3, 4
  6. Philippot Q4, 6
  7. Bohlen J4, 6
  8. Pelham SJ1
  9. Arias AA1, 7, 8
  10. Khan T9
  11. Ata M9
  12. Ali FA9
  13. Rozenberg F10
  14. Kong XF1
  15. Chrabieh M4, 6
  16. Laine C4, 6
  17. Lei WT1
  18. Han JE1
  19. Seeleuthner Y4, 6
  20. Kaul Z5
  21. Jouanguy E1, 4, 6
  22. Beziat V4, 6
  23. Youssefian L11, 12
  24. Vahidnezhad H11, 12
  25. Rao VK13
  26. Neven B14
  27. Fieschi C15, 16
  28. Mansouri D17
  29. Shahrooei M18
  30. Pekcan S19
  31. Alkan G20
  32. Emiroglu M20
  33. Tokgoz H21
  34. Uitto J11, 12
  35. Hauck F3, 4, 22
  36. Bustamante J1, 4, 6, 23
  37. Abel L1, 4, 6
  38. Keles S24
  39. Parvaneh N25, 26
  40. Marr N9, 27
  41. Schwartzberg PL5
  42. Latour S3, 4
  43. Casanova JL1, 4, 6, 28, 29
  44. Boissondupuis S1, 4, 6
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. The David Rockefeller Graduate Program, Rockefeller University, New York, NY, United States
  3. 3. Laboratory of Lymphocyte Activation and Susceptibility to EBV Infection, INSERM UMR1163, Paris, France
  4. 4. Imagine Institute, University of Paris Cite, Paris, France
  5. 5. Cell Signaling and Immunity Section, Laboratory of Immune System Biology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, United States
  6. 6. Laboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Paris, France
  7. 7. Primary Immunodeficiencies Group, University of Antioquia UdeA, Medellin, Colombia
  8. 8. School of Microbiology, University of Antioquia UdeA, Medellin, Colombia
  9. 9. Department of Immunology, Research Branch, Sidra Medicine, Doha, Qatar
  10. 10. Department of Virology, Cochin Hospital, University of Paris, Paris, France
  11. 11. Department of Dermatology and Cutaneous Biology, Sidney Kimmel Medical College, Philadelphia, PA, United States
  12. 12. Jefferson Institute of Molecular Medicine, Thomas Jefferson University, Philadelphia, PA, United States
  13. 13. Laboratory of Clinical Immunology and Microbiology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, United States
  14. 14. Pediatric Immunology and Hematology Department, Necker Hospital for Sick Children Assistance Publique-Hopitaux de Paris (AP-HP), Paris, France
  15. 15. Clinical Immunology Department, Saint Louis Hospital, AP-HP Universite de Paris, Paris, France
  16. 16. INSERM UMR1126, Institut de Recherche Saint-Louis, Universite de Paris, Paris, France
  17. 17. Clinical Tuberculosis and Epidemiology Research Center, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  18. 18. Department of Microbiology and Immunology, Laboratory of Clinical Bacteriology and Mycology, KU Leuven, Leuven, Belgium
  19. 19. Department of Pediatric Pulmonology, Necmettin Erbakan University, Meram Medical Faculty, Konya, Turkey
  20. 20. Division of Pediatric Infectious Diseases, Department of Pediatrics, Selcuk University, Faculty of Medicine, Konya, Turkey
  21. 21. Department of Pediatric Hematology, Meram School of Medicine, Necmettin Erbakan University, Konya, Turkey
  22. 22. Division of Pediatric Immunology and Rheumatology, Department of Pediatrics, Dr. von Hauner Children’s Hospital, University Hospital, Ludwig-Maximilians-Universitat Munchen, Munich, Germany
  23. 23. Center for the Study of Primary Immunodeficiencies, Necker Hospital for Sick Children Assistance Publique-Hopitaux de Paris (AP-HP), Paris, France
  24. 24. Division of Pediatric Allergy and Immunology, Necmettin Erbakan University, Meram Medical Faculty, Konya, Turkey
  25. 25. Division of Allergy and Clinical Immunology, Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran
  26. 26. Research Center for Immunodeficiencies, Tehran University of Medical Sciences, Tehran, Iran
  27. 27. College of Health and Life Sciences, Hamad Bin Khalifa University, Doha, Qatar
  28. 28. Department of Pediatrics, Necker Hospital for Sick Children, Paris, France
  29. 29. Howard Hughes Medical Institute, New York, NY, United States

Source: Journal of Experimental Medicine Published:2023


Abstract

Inborn errors of IFN-γ immunity can underlie tuberculosis (TB). We report three patients from two kindreds without EBV viremia or disease but with severe TB and inherited complete ITK deficiency, a condition associated with severe EBV disease that renders immunological studies challenging. They have CD4+ αβ T lymphocytopenia with a concomitant expansion of CD4−CD8− double-negative (DN) αβ and Vδ2− γδ T lymphocytes, both displaying a unique CD38+CD45RA+T-bet+EOMES− phenotype. Itk-deficient mice recapitulated an expansion of the γδ TandDNαβ T lymphocyte populations in the thymus and spleen, respectively. Moreover, the patients’ T lymphocytes secrete small amounts of IFN-γ in response to TCR crosslinking, mitogens, or forced synapse formation with autologous B lymphocytes. Finally, the patients’ total lymphocytes secrete small amounts of IFN-γ, and CD4+, CD8+,DNαβ T, Vδ2+ γδ T, and MAIT cells display impaired IFN-γ production in response to BCG. Inherited ITK deficiency undermines the development and function of various IFN-γ–producing T cell subsets, thereby underlying TB. © 2022 Ogishi et al.
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