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A Pleiotropic Recurrent Dominant Itpr3 Variant Causes a Complex Multisystemic Disease Publisher Pubmed



Molitor A1, 2 ; Lederle A1, 2 ; Radosavljevic M1, 2, 3 ; Sapuru V4, 5 ; Zavorka Thomas ME6 ; Yang J1, 2 ; Shirin M1, 2 ; Collinbund V1, 2 ; Jerabkovaroda K1, 7 ; Miao Z8, 9 ; Bernard A1, 2, 3 ; Rolli V1, 2, 3 ; Grenot P1, 2 ; Castro CN10 Show All Authors
Authors
  1. Molitor A1, 2
  2. Lederle A1, 2
  3. Radosavljevic M1, 2, 3
  4. Sapuru V4, 5
  5. Zavorka Thomas ME6
  6. Yang J1, 2
  7. Shirin M1, 2
  8. Collinbund V1, 2
  9. Jerabkovaroda K1, 7
  10. Miao Z8, 9
  11. Bernard A1, 2, 3
  12. Rolli V1, 2, 3
  13. Grenot P1, 2
  14. Castro CN10
  15. Rosenzwajg M11, 12
  16. Lewis EG13
  17. Person R14
  18. Esperonmoldes US15
  19. Kaare M15
  20. Nokelainen PT15
  21. Batzir NA16
  22. Hoffer GZ16
  23. Paul N1, 2
  24. Stemmelen T1, 2, 3
  25. Naegely L1, 2
  26. Hanauer A1, 2
  27. Bibitriki S1, 2
  28. Grun S10, 17
  29. Jung S1, 18
  30. Busnelli I1
  31. Tripolszki K19
  32. Alali R19
  33. Ordonez N19
  34. Bauer P19
  35. Song E20
  36. Zajo K21
  37. Partidasanchez S22
  38. Robledoavila F22
  39. Kumanovics A23
  40. Louzoun Y24
  41. Hirschler A25
  42. Pichot A1, 2
  43. Toker O26, 27
  44. Munoz Mejia CA28
  45. Parvaneh N29
  46. Knapp E13
  47. Hersh JH13
  48. Kenney H30
  49. Delmonte OM30
  50. Notarangelo LD30
  51. Goetz JG1, 7
  52. Kahwash SB6
  53. Carapito C25
  54. Bajwa RPS31
  55. Thomas C32
  56. Ehl S10
  57. Isidor B33
  58. Carapito R1, 2, 3
  59. Abraham RS6
  60. Hite RK4
  61. Marcus N34, 35, 36
  62. Bertoliavella A19
  63. Bahram S1, 2, 3
Show Affiliations
Authors Affiliations
  1. 1. Laboratoire d’ImmunoRhumatologie Moleculaire, Institut national de la sante et de la recherche medicale (INSERM) UMR_S 1109, Plateforme GENOMAX, Centre de Recherche d’Immunologie et d’Hematologie, Centre de Recherche en Biomedecine de Strasbourg (CRBS), Faculte de Medecine, Federation Hospitalo, Universitaire OMICARE, Federation de Medecine Translationnelle de Strasbourg (FMTS), Universite de Strasbourg, Strasbourg, France
  2. 2. Institut Thematique Interdisciplinaire (ITI) Transplantex NG de Medecine de Precision de Strasbourg, Faculte de Medecine, Universite de Strasbourg, Strasbourg, France
  3. 3. Laboratoire d’Immunologie, Plateau Technique de Biologie, Pole de Biologie, Nouvel Hopital Civil, Hopitaux Universitaires de Strasbourg, Strasbourg, France
  4. 4. Structural Biology Program, Memorial Sloan Kettering Cancer Center, New York, NY, United States
  5. 5. Physiology, Biophysics, and Systems Biology (PBSB) Program, Weill Cornell Graduate School of Biomedical Sciences, New York, NY, United States
  6. 6. Departmen of Pathology and Laboratory Medicine, Nationwide Children’s Hospital, Columbus, OH, United States
  7. 7. Equipe labellisee, Ligue nationale Contre le Cancer, Strasbourg, France
  8. 8. Guangzhou National Laboratory, Guangzhou International Bio-Island, Guangzhou, China
  9. 9. Translational Research Institute of Brain and Brain-Like Intelligence and Deartment of Anesthesiology, Shanghai Fourth People's Hospital Affiliated to Tongji University School of Medicine, Shanghai, China
  10. 10. Institute for Immunodeficiency, Center for Chronic Immunodeficiency, Medical Center, University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
  11. 11. Assistance Publique Hopitaux de Paris, Hopital Pitie-Salpetriere, Clinical Investigation Center for Biotherapies (CIC-BTi), Immunology-Inflammation-Infectiology and Dermatology Department (3iD), Paris, France
  12. 12. Sorbonne Universite, INSERM UMR_S 959, Immunology-Immunopathology-Immunotherapy (i3), Paris, France
  13. 13. Norton Children’s Medica Group, University of Louisville School of Medicine, Louisville, KY, United States
  14. 14. GeneDx, Gaithersburg, MD, United States
  15. 15. Blueprint Genetics, A Quest Diagnostics Company, Espoo, Finland
  16. 16. Pediatric Genetics Unit, Schneider Children's Medical Center of Israel, Petach Tikvah, Israel
  17. 17. Faculty of Biology, University of Freiburg, Freiburg, Germany
  18. 18. Centre de Reference des maladies rares orales et dentaires (O-Rares), Pole de Medecine et de Chirurgie bucco-dentaires, Hopitaux Universitaires de Strasbourg Strasbourg, France
  19. 19. CENTOGENE GmbH, Rostock, Germany
  20. 20. Division of Infectious Diseases and Host Defense, Department of Pediatrics, Nationwide Children’s Hospital, Columbus, OH, United States
  21. 21. Institute of Genomic Medicine, Nationwide Children’s Hospital, Columbus, OH, United States
  22. 22. Center for Microbial Pathogenesis Abigail Wexner Research Institute, Nationwide Children’s Hospital, Columbus, OH, United States
  23. 23. Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, United States
  24. 24. Department of Mathematics, Bar-Ilan University, Ramat Gan, Israel
  25. 25. Laboratoire de Spectrometrie de Masse Bio-Organique (LSMBO), Institut Pluridisciplinaire Hubert Curien (IPHC), UMR 7178, Universite de Strasbourg, CNRS, Infrastructure Nationale de Proteomique ProFI - FR2048, Strasbourg, France
  26. 26. Allergy and Immunology Unit, Shaare Zedek Medical Center, Jerusalem, Israel
  27. 27. Faculty of Medicine Hebrew university, Jerusalem, Israel
  28. 28. Hospital Infantil Napoleon Franco Pareja, Bolivar, Cartagena de Indias, Colombia
  29. 29. Department of Pediatrics, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran
  30. 30. Laboratory of Clinical Immunology and Microbiology (LCIM), National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH), Bethesda, MD, United States
  31. 31. Division of Pediatric Hematology, Oncology and Bone Marrow Transplantation, Department of Pediatrics, Nationwide Children’s Hospital, Columbus, OH, United States
  32. 32. Service d'Oncologie-Hematologie et Immunologie Pedi atrique, Hopital Enfant-Adolescent, CHU Nantes, Nantes, France
  33. 33. Service de Genetique Medicale, Hopital Hotel-Dieu, CHU de Nantes, Nantes, France
  34. 34. Allergy and Immunology Unit, Kipper Institute of Immunology, Schneider Children’s Medical Center of Israel, Petah Tikva, Israel
  35. 35. Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
  36. 36. The Jeffrey Modell Foundation Israeli Network for Primary Immunodeficiency, New York, NY, United States

Source: Science Advances Published:2024


Abstract

Inositol 1,4,5-trisphosphate (IP3) receptor type 1 (ITPR1), 2 (ITPR2), and 3 (ITPR3) encode the IP3 receptor (IP3R), a key player in intracellular calcium release. In four unrelated patients, we report that an identical ITPR3 de novo variant—NM_002224.3:c.7570C>T, p.Arg2524Cys—causes, through a dominant-negative effect, a complex multisystemic disorder with immunodeficiency. This leads to defective calcium homeostasis, mitochondrial malfunction, CD4+ lymphopenia, a quasi-absence of naive CD4+ and CD8+ cells, an increase in memory cells, and a distinct TCR repertoire. The calcium defect was recapitulated in Jurkat knock-in. Site-directed mutagenesis displayed the exquisite sensitivity of Arg2524 to any amino acid change. Despite the fact that all patients had severe immunodeficiency, they also displayed variable multisystemic involvements, including ectodermal dysplasia, Charcot-Marie-Tooth disease, short stature, and bone marrow failure. In conclusion, unlike previously reported ITPR1-3 deficiencies leading to narrow, mainly neurological phenotypes, a recurrent dominant ITPR3 variant leads to a multisystemic disease, defining a unique role for IP3R3 in the tetrameric IP3R complex. © 2024 American Association for the Advancement of Science. All rights reserved.
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