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Aberrant inflammatory responses to type I interferon in STAT2 or IRF9 deficiency - 04/10/22

Doi : 10.1016/j.jaci.2022.01.026 
Florian Gothe, MD a, b, Jarmila Stremenova Spegarova, PhD a, Catherine F. Hatton, MSc a, Helen Griffin, PhD a, Thomas Sargent, BSc a, Sally A. Cowley, PhD c, William James, DPhil c, Anna Roppelt, MD d, Anna Shcherbina, MD d, Fabian Hauck, MD, PhD b, Hugh T. Reyburn, PhD e, Christopher J.A. Duncan, DPhil a, f, , Sophie Hambleton, DPhil a, g,
a Immunity and Inflammation Theme, Translational and Clinical Research Institute, Newcastle University, Newcastle, United Kingdom 
b Department of Pediatrics, Dr von Hauner Children’s Hospital, University Hospital, Ludwig-Maximilians-Universität Munich, Munich, Germany 
c James & Lillian Martin Centre for Stem Cell Research, Sir William Dunn School of Pathology, Oxford University, Oxford, United Kingdom 
d Department of Immunology, Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Moscow, Russia 
e Department of Immunology and Oncology, Spanish Center for Biotechnology (CNB-CSIC), Madrid, Spain 
f Infection and Tropical Medicine, Royal Victoria Infirmary, The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, United Kingdom 
g Children’s Immunology Service, Great North Children’s Hospital, The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, United Kingdom 

Corresponding author: Sophie Hambleton, DPhil, or Christopher J. A. Duncan, DPhil, Translational and Clinical Research Institute, Immunity & Inflammation Theme, Faculty of Medical Sciences, 3rd Floor, Leech Building, Newcastle University Medical School, NE2 4HH, Newcastle upon Tyne, UK.Translational and Clinical Research InstituteImmunity & Inflammation ThemeFaculty of Medical Sciences3rd FloorLeech BuildingNewcastle University Medical SchoolNewcastle upon TyneNE2 4HHUK

Abstract

Background

Inflammatory phenomena such as hyperinflammation or hemophagocytic lymphohistiocytosis are a frequent yet paradoxical accompaniment to virus susceptibility in patients with impairment of type I interferon (IFN-I) signaling caused by deficiency of signal transducer and activator of transcription 2 (STAT2) or IFN regulatory factor 9 (IRF9).

Objective

We hypothesized that altered and/or prolonged IFN-I signaling contributes to inflammatory complications in these patients.

Methods

We explored the signaling kinetics and residual transcriptional responses of IFN-stimulated primary cells from individuals with complete loss of one of STAT1, STAT2, or IRF9 as well as gene-edited induced pluripotent stem cell–derived macrophages.

Results

Deficiency of any IFN-stimulated gene factor 3 component suppressed but did not abrogate IFN-I receptor signaling, which was abnormally prolonged, in keeping with insufficient induction of negative regulators such as ubiquitin-specific peptidase 18 (USP18). In cells lacking either STAT2 or IRF9, this late transcriptional response to IFN-α2b mimicked the effect of IFN-γ.

Conclusion

Our data suggest a model wherein the failure of negative feedback of IFN-I signaling in STAT2 and IRF9 deficiency leads to immune dysregulation. Aberrant IFN-α receptor signaling in STAT2- and IRF9-deficient cells switches the transcriptional output to a prolonged, IFN-γ–like response and likely contributes to clinically overt inflammation in these individuals.

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Key words : Type I interferon, antiviral immunity, ISGF3, HLH, type II interferon, GAF, STAT2, IRF9

Abbreviations used : CRISPR, EBV, GAF, GAS, HLH, ICAM1, IFNAR, IFN-I, iPS, IRF9, ISG, ISGF3, JAK, KO, LCL, mRNA, p, PBS, SOCS, USP18, WT


Mappa


 The last 2 authors contributed equally to this article, and both should be considered senior author.
 The Nanostring data set generated and analyzed during the current study is available from the corresponding author on request.
 F. Gothe is supported by the Munich Clinician Scientist Program at LMU (FoeFoLeplus) and has received fellowships from the Bubble Foundation and the Care-for-Rare Foundation. C. F. Hatton is funded by an MRC studentship (MR/N013840/1). F. Hauck is funded by the Else Kröner-Fresenius Stiftung (EKFS, 2017_A110) and the German Federal Ministry of Education and Research (BMBF, 01GM1910C). S. Hambleton and C. J. A. Duncan are funded by the Wellcome Trust (207556/Z/17/Z and 211153/Z/18/Z respectively).
 Disclosure of potential conflict of interest: S. Hambleton declares honoraria from CSL Behring and Takeda for teaching and consultancy. The rest of the authors declare that they have no relevant conflicts of interest.


© 2022  The Authors. Pubblicato da Elsevier Masson SAS. Tutti i diritti riservati.
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