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The Immunopathological Landscape of Human Pre-Tcra Deficiency: From Rare to Common Variants Publisher Pubmed



Materna M1, 2 ; Delmonte OM3 ; Bosticardo M3 ; Momenilandi M1, 2 ; Conrey PE4 ; Muylder BCD5 ; Bravetti C6, 7 ; Bellworthy R8 ; Cederholm A9 ; Staels F10 ; Ganoza CA11 ; Darko S12 ; Sayed S4 ; Floch CL1, 2 Show All Authors
Authors
  1. Materna M1, 2
  2. Delmonte OM3
  3. Bosticardo M3
  4. Momenilandi M1, 2
  5. Conrey PE4
  6. Muylder BCD5
  7. Bravetti C6, 7
  8. Bellworthy R8
  9. Cederholm A9
  10. Staels F10
  11. Ganoza CA11
  12. Darko S12
  13. Sayed S4
  14. Floch CL1, 2
  15. Ogishi M13
  16. Rinchai D13
  17. Guenoun A14
  18. Bolze A15
  19. Khan T16
  20. Gervais A1, 2
  21. Kruger R17
  22. Voller M17
  23. Palterer B3
  24. Sadeghishabestari M18
  25. De Septenville AL6
  26. Schramm CA12
  27. Shah S12
  28. Tellocajiao JJ4, 19
  29. Pala F3
  30. Amini K3
  31. Campos JS4
  32. Lima NS12
  33. Eriksson D20
  34. Levy R1, 2, 21
  35. Seeleuthner Y1, 2
  36. Jyonouchi S4
  37. Ata M14
  38. Ali FA14
  39. Deswarte C1, 2
  40. Pereira A1, 2
  41. Megret J22
  42. Le Voyer T1, 2
  43. Bastard P1, 21
  44. Berteloot L23
  45. Dussiot M2, 24
  46. Vladikine N1, 2
  47. Cardenas PP25
  48. Jouanguy E1
  49. Alqahtani M26
  50. Hasan A27
  51. Thanaraj TA28
  52. Rosain J1, 2
  53. Qureshah FA13
  54. Sabato V29
  55. Alyanakian MA30
  56. Leruezville M31
  57. Rozenberg F32
  58. Haddad E33
  59. Regueiro JR25
  60. Toribio ML34
  61. Kelsen JR35
  62. Salehi M36, 37
  63. Nasiri S38
  64. Torabizadeh M39
  65. Roknizadeh H40
  66. Changiashtiani M41
  67. Vatandoost N37, 42
  68. Moravej H43
  69. Akrami SM44, 45
  70. Mazloomrezaei M45
  71. Cobat A1
  72. Meyts I46
  73. Toyofuku E48
  74. Nishimura M49
  75. Moriya K50
  76. Mizukami T49
  77. Imai K50
  78. Abel L1
  79. Malissen B51, 52
  80. Almulla F28
  81. Alkuraya FS26, 53
  82. Parvaneh N54
  83. Von Bernuth H17, 55, 56, 57
  84. Beetz C11
  85. Davi F6, 7
  86. Douek DC12
  87. Langlais D8
  88. Landegren N9, 58
  89. Marr N14, 59
  90. Morio T48
  91. Shahrooei M45, 60
  92. Schrijvers R10
  93. Henrickson SE4, 61, 62
  94. Luche H52
  95. Notarangelo LD3
  96. Casanova JL1, 2, 13, 63, 64
  97. Beziat V2, 13
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. Laboratory of Clinical Immunology and Microbiology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, United States
  4. 4. Division of Allergy Immunology, Department of Pediatrics, Children’s Hospital of Philadelphia, Philadelphia, PA, United States
  5. 5. University of Paris, Institut Cochin, INSERM U1016, CNRS UMR8104, Paris, France
  6. 6. Department of Biological Hematology, Hopital Pitie-Salpetriere, Assistance Publique-Hopitaux de Paris (AP-HP), Sorbonne Universite, Paris, France
  7. 7. Sorbonne University, Paris Cancer Institute CURAMUS, INSERM U1138, Paris, France
  8. 8. Deptartment of Human Genetics, Dahdaleh Institute of Genomic Medicine, McGill University, Montreal, QC, Canada
  9. 9. Science for Life Laboratory, Department of Medical Biochemistry and Microbiology, Uppsala University, Uppsala, Sweden
  10. 10. Allergy and Clinical Immunology Research Group, Department of Microbiology, Immunology and Transplantation, KU Leuven, Leuven, Belgium
  11. 11. Centogene GmbH, Rostock, Germany
  12. 12. Human Immunology Section, Vaccine Research Center, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, United States
  13. 13. St. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY, United States
  14. 14. Department of Human Immunology, Sidra Medicine, Doha, Qatar
  15. 15. Helix, San Mateo, CA, United States
  16. 16. The Jackson Laboratory, Farmington, CT, United States
  17. 17. Department of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine, Charite - Universitatsmedizin Berlin, Freie Universitat Berlin, Humboldt-Universitat zu Berlin, Berlin Institute of Health (BIH), Berlin, Germany
  18. 18. Immunology Research Center, TB and Lung Disease Research Center, Mardaniazar Children Hospital, Tabriz University of Medical Science, Tabriz, Iran
  19. 19. Department of Pathology, Children’s Hospital of Philadelphia, Philadelphia, PA, United States
  20. 20. Department of Immunology, Genetics and Pathology, Uppsala University, University Hospital, Section of Clinical Genetics, Uppsala, Sweden
  21. 21. Pediatric Immunology, Hematology and Rheumatology Unit, Necker Hospital for Sick Children, AP-HP, Paris, France
  22. 22. Cytometry Core Facility, SFR Necker, INSERM US24-CNRS UAR3633, Paris, France
  23. 23. Department of Pediatric Radiology, University Hospital Necker-Enfants Malades, AP-HP, Paris, France
  24. 24. Laboratory of Molecular Mechanisms of Hematological Disorders and Therapeutic Implications, INSERM UMR 1163, Paris, France
  25. 25. Department of Immunology, Ophthalmology and ENT, Complutense University School of Medicine, de Octubre Health Research Institute (imas12), Madrid, Spain
  26. 26. Department of Translational Genomics, Center for Genomic Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
  27. 27. Department of Translational Research, Research Division, Dasman Diabetes Institute, Kuwait City, Dasman, Kuwait
  28. 28. Department of Genetics and Bioinformatics, Research Division, Dasman Diabetes Institute, Kuwait City, Dasman, Kuwait
  29. 29. Department of Immunology, Allergology and Rheumatology, University of Antwerp, Antwerp University Hospital, Antwerp, Belgium
  30. 30. Immunology Laboratory, Necker Hospital for Sick Children, Assistance Publique-Hopitaux de Paris (AP-HP), Paris, France
  31. 31. Necker Hospital for Sick Children, AP-HP, Paris, France
  32. 32. Virology, Cochin Hospital, AP-HP, APHP-CUP, Paris, France
  33. 33. Department of Pediatrics, Department of Microbiology, Immunology and Infectious Diseases, University of Montreal, CHU Sainte-Justine, Montreal, QC, Canada
  34. 34. Immune System Development and Function Unit, Centro de Biologia Molecular Severo Ochoa, Consejo Superior de Investigaciones Cientificas (CSIC), Universidad Autonoma de Madrid (UAM), Madrid, Spain
  35. 35. Division of Gastroenterology, Hepatology and Nutrition, Children’s Hospital of Philadelphia, Philadelphia, PA, United States
  36. 36. Cellular, Molecular and Genetics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  37. 37. Department of Genetics and Molecular Biology, Medical School, Isfahan University of Medical Sciences, Isfahan, Iran
  38. 38. Department of Pediatric Neurology, Children’s Medical Center of Abuzar, Jundishapur University of Medical Sciences, Ahvaz, Iran
  39. 39. Golestan Hospital Clinical Research Development Unit, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  40. 40. Department of Medical Biotechnology, School of Medicine, Zanjan University of Medical Sciences (ZUMS), Zanjan, Iran
  41. 41. School of Mathematics, Institute for Research in Fundamental Sciences (IPM), Tehran, Iran
  42. 42. Pediatric Inherited Diseases Research Center, Research Institute for Primordial Prevention of NonCommunicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
  43. 43. Neonatal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  44. 44. Medical Genetics Poursina St., Genetic Department, Medical Faculty, Tehran University of Medical Sciences, Tehran, Iran
  45. 45. Dr. Shahrooei Laboratory, Tehran, Iran
  46. 46. Laboratory for Inborn Errors of Immunity, Department of Microbiology, Immunology and Transplantation, Department of Pediatrics, University Hospitals Leuven, KU Leuven, Leuven, Belgium
  47. 47. Department of Pediatrics, University Hospitals Leuven, KU Leuven, Leuven, Belgium
  48. 48. Department of Pediatrics and Developmental Biology, Tokyo Medical and Dental University, Tokyo, Japan
  49. 49. Department of Pediatrics, NHO Kumamoto Medical Center, Kumamoto, Japan
  50. 50. Department of Pediatrics, National Defense Medical College, Saitama, Japan
  51. 51. Immunology Center of Marseille-Luminy, Aix Marseille University, Inserm, CNRS, Marseille, France
  52. 52. Immunophenomics Center (CIPHE), Aix Marseille Universite, Inserm, CNRS, Marseille, France
  53. 53. Department of Anatomy and Cell Biology, College of Medicine, Alfaisal University, Riyadh, Saudi Arabia
  54. 54. Division of Allergy and Clinical Immunology, Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran
  55. 55. Berlin Institute of Health, Charite - Universitatsmedizin Berlin, Berlin, Germany
  56. 56. Berlin-Brandenburg Center for Regenerative Therapies (BCRT), Charite - Universitatsmedizin Berlin, Berlin, Germany
  57. 57. Labor Berlin GmbH, Department of Immunology, Berlin, Germany
  58. 58. Center for Molecular Medicine, Department of Medicine (Solna), Karolinska Institute, Stockholm, Sweden
  59. 59. College of Health and Life Sciences, Hamad Bin Khalifa University, Doha, Qatar
  60. 60. Clinical and Diagnostic Immunology, Department of Microbiology, Immunology, and Transplantation, KU Leuven, Leuven, Belgium
  61. 61. Institute for Immunology and Immune Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States
  62. 62. Department of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States
  63. 63. Department of Pediatrics, Necker Hospital for Sick Children, AP-HP, Paris, France
  64. 64. Howard Hughes Medical Institute, The Rockefeller University, New York, NY, United States

Source: Science Published:2024


Abstract

We describe humans with rare biallelic loss-of-function PTCRA variants impairing pre-a T cell receptor (pre-TCRa) expression. Low circulating naive a|! T cell counts at birth persisted over time, with normal memory a|>, and high T5 T cell counts. Their TCRa repertoire was biased, which suggests that noncanonical thymic differentiation pathways can rescue aft T cell development. Only a minority of these individuals were sick, with infection, lymphoproliferation, and/or autoimmunity. We also report that 1 in 4000 individuals from the Middle East and South Asia are homozygous for a common hypomorphic PTCRA variant. They had normal circulating naive aft T cell counts but high yS T cell counts. Although residual pre-TCRa expression drove the differentiation of more ap T cells, autoimmune conditions were more frequent in these patients compared with the general population. © 2024 American Association for the Advancement of Science. All rights reserved.