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Recessive Inborn Errors of Type I Ifn Immunity in Children With Covid-19 Pneumonia Publisher



Zhang Q1, 2, 3 ; Matuozzo D2, 3 ; Le Pen J4 ; Lee D1, 2, 3 ; Moens L4 ; Asano T1 ; Bohlen J2, 3 ; Liu Z1 ; Moncadavelez M1 ; Kendirdemirkol Y1 ; Jing H6 ; Bizien L2, 3 ; Marchal A2, 3 ; Abolhassani H7, 8 Show All Authors
Authors
  1. Zhang Q1, 2, 3
  2. Matuozzo D2, 3
  3. Le Pen J4
  4. Lee D1, 2, 3
  5. Moens L4
  6. Asano T1
  7. Bohlen J2, 3
  8. Liu Z1
  9. Moncadavelez M1
  10. Kendirdemirkol Y1
  11. Jing H6
  12. Bizien L2, 3
  13. Marchal A2, 3
  14. Abolhassani H7, 8
  15. Delafontaine S5, 9
  16. Bucciol G5
  17. Bayhan GI10
  18. Keles S11
  19. Kiykim A12
  20. Hancerli S13
  21. Haerynck F14
  22. Florkin B15
  23. Hatipoglu N16
  24. Ozcelik T17
  25. Morelle G18
  26. Zatz M19
  27. Ng LFP20
  28. Lye DC21, 22, 23, 24
  29. Young BE21, 23, 24
  30. Leo YS21, 22, 23, 24
  31. Dalgard CL25, 26
  32. Lifton RP27, 28, 29
  33. Renia L20, 23, 30
  34. Meyts I5
  35. Jouanguy E1, 2, 3
  36. Hammarstrom L7
  37. Panhammarstrom Q7
  38. Boisson B1, 2, 3
  39. Bastard P1, 2, 3, 31
  40. Su HC6
  41. Boissondupuis S1, 2, 3
  42. Abel L1, 2, 3
  43. Rice CM4
  44. Zhang SY1, 2, 3
  45. Cobat A1, 2, 3
  46. Casanova JL1, 2, 3, 31, 32
Show Affiliations
Authors Affiliations
  1. 1. St. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY, United States
  2. 2. Laboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Paris, France
  3. 3. University Paris Cite, Imagine Institute, Paris, France
  4. 4. Laboratory of Virology and Infectious Diseases, The Rockefeller University, New York, NY, United States
  5. 5. Laboratory for Inborn Errors of Immunity, Department of Microbiology, Immunology and Transplantation, KU Leuven, Leuven, Belgium
  6. 6. Laboratory of Clinical Immunology and Microbiology, Intramural Research Program, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, United States
  7. 7. Department of Biosciences and Nutrition, Karolinska Institute, Stockholm, Sweden
  8. 8. Research Center for Immunodeficiencies, Pediatrics Center of Excellence, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran
  9. 9. Department of Pediatrics, University Hospitals Leuven, Leuven, Belgium
  10. 10. Yildirim Beyazit University, Ankara City Hospital, Ankara, Turkey
  11. 11. Necmettin Erbakan University, Meram Medical Faculty, Division of Pediatric Allergy and Immunology, Konya, Turkey
  12. 12. Istanbul University-Cerrahpasa, Pediatric Allergy and Immunology, Istanbul, Turkey
  13. 13. Department of Pediatrics (Infectious Diseases), Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
  14. 14. Department of Pediatric Immunology and Pulmonology, Department of Internal Medicine and Pediatrics, Centre for Primary Immunodeficiency Ghent, PID Research Laboratory, Jeffrey Modell Diagnosis and Research Centre, Ghent University Hospital, Ghent, Belgium
  15. 15. Department of Pediatrics, Hopital de la Citadelle, Liege, Belgium
  16. 16. Pediatric Infectious Diseases Unit, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, University of Health Sciences, Istanbul, Turkey
  17. 17. Department of Molecular Biology and Genetics, Bilkent University, Bilkent-Ankara, Turkey
  18. 18. Department of General Pediatrics, Bicetre Hospital, Assistance Publique – Hopitaux de Paris, University of Paris Saclay, Le Kremlin-Bicetre, France
  19. 19. Biosciences Institute, University of Sao Paulo, Sao Paulo, Brazil
  20. 20. A*STAR Infectious Diseases Labs (A*STAR ID Labs), Agency for Science, Technology and Research (A*STAR), Singapore, Singapore
  21. 21. National Centre for Infectious Diseases, Singapore, Singapore
  22. 22. Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore
  23. 23. Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
  24. 24. Tan Tock Seng Hospital, Singapore, Singapore
  25. 25. The American Genome Center, Uniformed Services University of the Health Sciences, Bethesda, MD, United States
  26. 26. Department of Anatomy, Physiology & Genetics, Uniformed Services University of the Health Sciences, Bethesda, MD, United States
  27. 27. Laboratory of Genetics and Genomics, The Rockefeller University, New York, NY, United States
  28. 28. Department of Genetics, Yale University School of Medicine, New Haven, CT, United States
  29. 29. Yale Center for Genome Analysis, Yale School of Medicine, New Haven, CT, United States
  30. 30. School of Biological Sciences, Nanyang Technological University, Singapore, Singapore
  31. 31. Department of Pediatrics, Necker Hospital for Sick Children, Paris, France
  32. 32. Howard Hughes Medical Institute, New York, NY, United States

Source: Journal of Experimental Medicine Published:2022


Abstract

Recessive or dominant inborn errors of type I interferon (IFN) immunity can underlie critical COVID-19 pneumonia in unvaccinated adults. The risk of COVID-19 pneumonia in unvaccinated children, which is much lower than in unvaccinated adults, remains unexplained. In an international cohort of 112 children (<16 yr old) hospitalized for COVID-19 pneumonia, we report 12 children (10.7%) aged 1.5–13 yr with critical (7 children), severe (3), and moderate (2) pneumonia and 4 of the 15 known clinically recessive and biochemically complete inborn errors of type I IFN immunity: X-linked recessive TLR7 deficiency (7 children) and autosomal recessive IFNAR1 (1), STAT2 (1), or TYK2 (3) deficiencies. Fibroblasts deficient for IFNAR1, STAT2, or TYK2 are highly vulnerable to SARS-CoV-2. These 15 deficiencies were not found in 1,224 children and adults with benign SARS-CoV-2 infection without pneumonia (P = 1.2 × 10−11) and with overlapping age, sex, consanguinity, and ethnicity characteristics. Recessive complete deficiencies of type I IFN immunity may underlie ∼10% of hospitalizations for COVID-19 pneumonia in children. © 2022 Zhang et al.
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