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Human Carmil2 Deficiency Underlies a Broader Immunological and Clinical Phenotype Than Cd28 Deficiency Publisher



Levy R1, 2, 3, 4 ; Gothe F5 ; Momenilandi M1, 2 ; Magg T5 ; Materna M1, 2 ; Peters P5 ; Raedler J5 ; Philippot Q1, 2 ; Rackhoch AL5 ; Langlais D6 ; Bourgey M6 ; Lanz AL5 ; Ogishi M4 ; Rosain J1, 2 Show All Authors
Authors
  1. Levy R1, 2, 3, 4
  2. Gothe F5
  3. Momenilandi M1, 2
  4. Magg T5
  5. Materna M1, 2
  6. Peters P5
  7. Raedler J5
  8. Philippot Q1, 2
  9. Rackhoch AL5
  10. Langlais D6
  11. Bourgey M6
  12. Lanz AL5
  13. Ogishi M4
  14. Rosain J1, 2
  15. Martin E2, 7
  16. Latour S2, 7
  17. Vladikine N1, 2
  18. Distefano M1, 2
  19. Khan T8
  20. Rapaport F4
  21. Schulz MS9
  22. Holzer U10
  23. Fasth A11, 12
  24. Sogkas G13
  25. Speckmann C14
  26. Troilo A15
  27. Bigley V16
  28. Roppelt A17
  29. Dinurschejter Y18
  30. Toker O19
  31. Martinsen KHB20
  32. Sherkat R21
  33. Somekh I22
  34. Somech R23, 24
  35. Shouval DS24, 25, 26, 57
  36. Kuhl JS9
  37. Ip W27
  38. Mcdermott EM28
  39. Cliffe L28
  40. Ozen A29
  41. Baris S29
  42. Rangarajan HG30
  43. Jouanguy E1, 2, 4
  44. Puel A1, 2, 4
  45. Bustamante J1, 2, 4, 31
  46. Alyanakian MA32
  47. Fusaro M2, 31
  48. Wang Y1, 2
  49. Kong XF4
  50. Cobat A1, 2, 4
  51. Boutboul D33
  52. Castelle M2, 3
  53. Aguilar C34
  54. Hermine O2, 35
  55. Cheminant M2, 35
  56. Suarez F2, 35
  57. Yildiran A36
  58. Bousfiha A37
  59. Almousa H38
  60. Alsohime F39, 40
  61. Cagdas D41
  62. Abraham RS42
  63. Knutsen AP43
  64. Fevang B44
  65. Bhattad S45
  66. Kiykim A46
  67. Erman B47, 48
  68. Arikoglu T49
  69. Unal E50
  70. Kumar A51
  71. Geier CB15
  72. Baumann U52
  73. Neven B2, 3
  74. Rohlfs M5
  75. Walz C53
  76. Abel L1, 2, 4
  77. Malissen B54
  78. Marr N8
  79. Klein C5
  80. Casanova JL1, 2, 4, 55, 56
  81. Hauck F5
  82. Beziat V1, 2, 4
  83. Calas J1, 2
  84. Feuille E66
  85. Chan A67
  86. Yesil G68
  87. Nammour J1, 2
  88. Bandet E1
  89. Picard C2
  90. Benhsaien I37
  91. Lang P10
  92. Atschekzei F58
  93. Warnatz K60
  94. Hambleton S69, 70
  95. Desai M71
  96. Karakocaydiner E63
  97. Kolukisa B63
  98. Almuhsen S64
  99. Alosaimi MF64
  100. Cipe F72
  101. Alazami AM38
  102. Hancioglu G73
  103. Meydan BC74
  104. Sorte HS44
  105. Straypedersen A44
  106. Mammayil G75
  107. Tokmeci N65
  108. Shcherbina A61
  109. Stepensky P62
  110. Eddin AN62
  111. Rouzaud C34
  112. Hoshino A2, 7
  113. Shamriz O76
  114. Ledder O77
  115. Maccari ME59
  116. Castro CN59
  117. Grimbacher B60, 78, 79, 80, 81
  118. Schmidt RE58
  119. Collin M16
  120. Zakharova V82
Show Affiliations
Authors Affiliations
  1. 1. Laboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM, Necker Hospital for Sick Children, Paris, France
  2. 2. Imagine Institute, University of Paris-Cite, Paris, France
  3. 3. Pediatric Immunology-Hematology and Rheumatology Unit, Necker Hospital for Sick Children, AP-HP, Paris, France
  4. 4. St. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY, United States
  5. 5. Dept. of Pediatrics, Dr. von Hauner Children’s Hospital, University Hospital, Ludwig-Maximilians-Universitat Munich, Munich, Germany
  6. 6. Dept. of Human Genetics, McGill University, Montreal, QC, Canada
  7. 7. Laboratory of Lymphocyte Activation and Susceptibility to EBV infection, INSERM UMR 1163, Paris, France
  8. 8. Research Branch, Sidra Medicine, Doha, Qatar
  9. 9. Dept. of Women and Child Health, Hospital for Children and Adolescents, Hospitals University of Leipzig, Leipzig, Germany
  10. 10. Children’s Hospital, University of Tubingen, Tubingen, Germany
  11. 11. Dept. of Pediatrics, Institute of Clinical Sciences, University of Gothenburg, Gothenburg, Sweden
  12. 12. The Queen Silvia Children’s Hospital, Gothenburg, Sweden
  13. 13. Dept. of Immunology and Rheumatology, Medical School Hannover, Hanover, Germany
  14. 14. Dept. of Pediatrics and Adolescent Medicine, Division of Pediatric Hematology and Oncology and Center for Chronic Immunodeficiency (CCI), Institute for Immunodeficiency, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany
  15. 15. Dept. of Rheumatology and CCI for Chronic Immunodeficiency, Division of Immunodeficiency, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany
  16. 16. Translational and Clinical Research Institute and NIHR Newcastle Biomedical Research Centre, Newcastle University and Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, United Kingdom
  17. 17. Dept. of Immunology, Dmitry Rogachev NationalMedical Research Center of Pediatric Hematology, Oncology and Immunology, Moscow, Russian Federation
  18. 18. Dept. of Bone Marrow Transplantation, Hadassah Medical Center, Faculty of Medicine, Hebrew University, Jerusalem, Israel
  19. 19. Faculty of Medicine, Hebrew University of Jerusalem, The Allergy and Clinical Immunology Unit, Shaare Zedek Medical Center, Jerusalem, Israel
  20. 20. Dept. of Pediatric Immunology, Rikshospitalet, Oslo University Hospital, Oslo, Norway
  21. 21. Acquired Immunodeficiency Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  22. 22. Dept. of Pediatric Hematology/ Oncology, Schneider Children’s Medical Center of Israel, Petah Tikva, Israel
  23. 23. The Institute of Gastroenterology, Nutrition and Liver diseases, Schneider Children’s Medical Center of Israel, Petah Tikva, Israel
  24. 24. The Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
  25. 25. The Institute of Gastroenterology, Nutrition and Liver Diseases, Schneider Children’s Hospital, Petach-Tikva, Israel
  26. 26. Ben-Gurion University of the Negev, Beer Sheva, Israel
  27. 27. Dept. of Immunology, Great Ormond Street Hospital, London, United Kingdom
  28. 28. Dept. of Pediatrics, Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom
  29. 29. Dept. of Pediatric Allergy and Immunology, Marmara University, Istanbul, Turkiye
  30. 30. Division of Hematology, Oncology and Bone Marrow Transplant, Dept. of Pediatrics, Nationwide Children’s Hospital, Columbus, OH, United States
  31. 31. Center for the Study of Primary Immunodeficiencies, Necker Hospital for Sick Children, Paris, France
  32. 32. Dept. of Immunology, Necker Hospital for Sick Children, AP-HP, Paris, France
  33. 33. Dept. of Clinical Immunology, AP-HP, Saint-Louis Hospital, Paris, France
  34. 34. Necker Pasteur Center for Infectious Diseases and Tropical Medicine, Necker Hospital for Sick Children, AP-HP, Paris, France
  35. 35. Dept. of Clinical Hematology, Necker Hospital for Sick Children, AP-HP, Paris, France
  36. 36. Dept. of Pediatric Immunology and Allergy, Ondokuz Mayis University Medical School, Samsun, Turkiye
  37. 37. Clinical Immunology, Inflammation and Auto-immunity Laboratory, Faculty of Medicine and Pharmacy of Casablanca, Hassan II University, Casablanca, Morocco
  38. 38. Translational Genomics, Centre for Genomic Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
  39. 39. Pediatric Intensive Care Unit, Dept. of Pediatrics, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia
  40. 40. Immunology Research Laboratory, Dept. of Pediatrics, College of Medicine, King Saud University, Riyadh, Saudi Arabia
  41. 41. Section of Pediatric Immunology, Hacettepe University, Ihsan Dogramaci Children’s Hospital, Ankara, Turkiye
  42. 42. Dept. of Pathology and Laboratory Medicine, Nationwide Children’s Hospital, Columbus, OH, United States
  43. 43. Pediatric Allergy and Immunology, Cardinal Glennon Children’s Hospital, St. Louis, MO, United States
  44. 44. Section of Clinical Immunology and Infectious Diseases, Oslo University Hospital, Oslo, Norway
  45. 45. Dept. of Pediatrics, Aster CMI Hospital, Bangalore, India
  46. 46. Istanbul University-Cerrahpasa, Cerrahpasa School of Medicine, Pediatric Immunology and Allergy, Istanbul, Turkiye
  47. 47. Institute of Child Health, Hacettepe University, Ankara, Turkiye
  48. 48. Can Sucak Research Laboratory for Translational Immunology, Hacettepe University, Ankara, Turkiye
  49. 49. Dept. of Pediatrics, Division of Pediatric Allergy and Immunology, Mersin University Faculty of Medicine, Mersin, Turkiye
  50. 50. Division of Pediatric Hematology Oncology, Dept. of Pediatrics, Erciyes University Faculty of Medicine, Kayseri, Turkiye
  51. 51. Division of Bone Marrow Transplantation and Immune Deficiency, Dept. of Pediatrics, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, United States
  52. 52. Dept. of Paediatric Pulmonology, Allergy and Neonatology, Hannover Medical School, Hannover, Germany
  53. 53. Institute of Pathology, Faculty of Medicine, Ludwig-Maximilians-Universitat Munchen, Munich, Germany
  54. 54. Centre d’Immunologie de Marseille-Luminy, Aix- Marseille Universite, INSERM, CNRS, Marseille, France
  55. 55. Howard Hughes Medical Institute, New York, NY, United States
  56. 56. Dept. of Pediatrics, Necker Hospital for Sick Children, Paris, France
  57. 57. Pediatric Immunology-Hematology and Rheumatology Unit, Necker Hospital for Sick Children, Assistance Publique–Hopitaux de Paris (AP-HP), Paris, France
  58. 58. Department of Immunology and Rheumatology, Medical School Hannover, Hanover, Germany
  59. 59. Department of Pediatrics and Adolescent Medicine, Division of Pediatric Hematology and Oncology and Center for Chronic Immunodeficiency, Institute for Immunodeficiency, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany
  60. 60. Department of Rheumatology and Clinical Immunology and Center for Chronic Immunodeficiency, Division of Immunodeficiency, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany
  61. 61. Department of Immunology, Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Moscow, Russian Federation
  62. 62. Department of Bone Marrow Transplantation, Hadassah Medical Center, Faculty of Medicine, Hebrew University, Jerusalem, Israel
  63. 63. Department of Pediatric Allergy and Immunology, Marmara University, Istanbul, Turkiye
  64. 64. Immunology Research Laboratory, Department of Pediatrics, College of Medicine, King Saud University, Riyadh, Saudi Arabia
  65. 65. Department of Pediatrics, Division of Pediatric Allergy and Immunology, Mersin University Faculty of Medicine, Mersin, Turkiye
  66. 66. Weill Cornell Medicine, New York, NY, United States
  67. 67. Division of Allergy, Immunology, and Rheumatology, Department of Pediatrics, Columbia University Irving Medical Center, New York, NY, United States
  68. 68. Department of Medical Genetics, Istanbul University Faculty of Medicine, Istanbul, Turkiye
  69. 69. Translational and Clinical Research Institute, Immunity and Inflammation Theme, Newcastle University, Newcastle upon Tyne, United Kingdom
  70. 70. Great North Children’s Hospital, The Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, NE1 4LP, United Kingdom
  71. 71. Department of Immunology, B.J. Wadia Hospital for Children, Mumbai, India
  72. 72. Department of Pediatric Allergy and Immunology, Istinye University, Istanbul, Turkiye
  73. 73. Department of Pediatric Immunology and Allergy, Ondokuz Mayis University Medical School, Samsun, Turkiye
  74. 74. Department of Pathology, Ondokuz Mayis University Medical School, Samsun, Turkiye
  75. 75. Department of Pediatrics, Aster Medcity Hospital, Kochi, India
  76. 76. Allergy and Clinical Immunology Unit, Hadassah Medical Organization, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel
  77. 77. Shaare Zedek Medical Center, Hebrew University of Jerusalem, Jerusalem, Israel
  78. 78. Institute for Immunodeficiency, Center for Chronic Immunodeficiency, Medical Center, Faculty of Medicine, Albert-Ludwigs-University of Freiburg, Germany
  79. 79. German Center for Infection Research, Satellite Center Freiburg, Freiburg im Breisgau, Germany
  80. 80. Center for Integrative Biological Signaling Studies, Albert-Ludwigs University, Freiburg, Germany
  81. 81. RESIST—Cluster of Excellence 2155 to Hanover Medical School, Satellite Center Freiburg, Freiburg im Breisgau, Germany
  82. 82. Molecular Biology Laboratory, Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Moscow, Russian Federation

Source: Journal of Experimental Medicine Published:2023


Abstract

Patients with inherited CARMIL2 or CD28 deficiency have defective T cell CD28 signaling, but their immunological and clinical phenotypes remain largely unknown. We show that only one of three CARMIL2 isoforms is produced and functional across leukocyte subsets. Tested mutant CARMIL2 alleles from 89 patients and 52 families impair canonical NF-κB but not AP-1 and NFAT activation in T cells stimulated via CD28. Like CD28-deficient patients, CARMIL2-deficient patients display recalcitrant warts and low blood counts of CD4+ and CD8+ memory T cells and CD4+ TREGs. Unlike CD28-deficient patients, they have low counts of NK cells and memory B cells, and their antibody responses are weak. CARMIL2 deficiency is fully penetrant by the age of 10 yr and is characterized by numerous infections, EBV+ smooth muscle tumors, and mucocutaneous inflammation, including inflammatory bowel disease. Patients with somatic reversions of a mutant allele in CD4+ T cells have milder phenotypes. Our study suggests that CARMIL2 governs immunological pathways beyond CD28. © 2022 Levy et al.