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DNA replication–associated inborn errors of immunity - 03/02/23

Doi : 10.1016/j.jaci.2022.11.003 
Mathijs Willemsen, MD a, b, , Frederik Staels, MD a, c, Margaux Gerbaux, MD a, d, Julika Neumann, MSc a, b, Rik Schrijvers, MD, PhD c, e, Isabelle Meyts, MD, PhD f, g, h, Stephanie Humblet-Baron, MD, PhD a, , , Adrian Liston, PhD a, b, i, ,
a Department of Microbiology, Immunology and Transplantation, Laboratory of Adaptive Immunity, KU Leuven, Leuven, Belgium 
b VIB-KU Leuven Center for Brain and Disease Research, Leuven, Belgium 
c Department of Microbiology, Immunology and Transplantation, Allergy and Clinical Immunology Research Group, KU Leuven, Leuven, Belgium 
d Pediatric Department, Academic Children Hospital Queen Fabiola, Université Libre de Bruxelles, Brussels, Belgium 
e Department of General Internal Medicine, University Hospitals Leuven, Leuven, Belgium 
f Department of Microbiology, Immunology and Transplantation, Laboratory for Inborn Errors of Immunity, KU Leuven, Leuven, Belgium 
g Department of Pediatrics, Division of Primary Immunodeficiencies, University Hospitals Leuven, Leuven, Belgium 
h ERN-RITA Core Center Member, Leuven, Belgium 
i Immunology Program, The Babraham Institute, Babraham Research Campus, Cambridge 

∗∗Corresponding author: Mathijs Willemsen, MD, and Stephanie Humblet-Baron, MD, PhD, Herestraat 49, Box 1026, 3000 Leuven, Belgium.Herestraat 49Box 1026Leuven3000Belgium∗∗∗Adrian Liston, PhD, Immunology Program, Babraham Research Campus, Cambridge CB22 3AT, UK.Immunology ProgramBabraham Research CampusCambridgeCB22 3ATUK

Abstract

Inborn errors of immunity are a heterogeneous group of monogenic immunologic disorders caused by mutations in genes with critical roles in the development, maintenance, or function of the immune system. The genetic basis is frequently a mutation in a gene with restricted expression and/or function in immune cells, leading to an immune disorder. Several classes of inborn errors of immunity, however, result from mutation in genes that are ubiquitously expressed. Despite the genes participating in cellular processes conserved between cell types, immune cells are disproportionally affected, leading to inborn errors of immunity. Mutations in DNA replication, DNA repair, or DNA damage response factors can result in monogenic human disease, some of which are classified as inborn errors of immunity. Genetic defects in the DNA repair machinery are a well-known cause of TBNK+ severe combined immunodeficiency. An emerging class of inborn errors of immunity is those caused by mutations in DNA replication factors. Considerable heterogeneity exists within the DNA replication–associated inborn errors of immunity, with diverse immunologic defects and clinical manifestations observed. These differences are suggestive for differential sensitivity of certain leukocyte subsets to deficiencies in specific DNA replication factors. Here, we provide an overview of DNA replication–associated inborn errors of immunity and discuss the emerging mechanistic insights that can explain the observed immunologic heterogeneity.

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Key words : DNA replication, inborn errors of immunity, primary immunodeficiency, perturbed growth, developmental delay, leukocytes, mutation

Abbreviations used : BILU, CDK, CMG, FILS, GINS, IEI, IMAGe-I, iPSC, IVIg, LCL, MCM2-7, NK, POLα, POLδ, POLε, RecQL4, RPA, TCR, TopBP1, VEODS, V(D)J, WT, XLPDR


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 No specific funding was used for this work.
 Disclosure of potential conflict of interest: I. Meyts is funded by the CSL Behring Chair in Primary Immune Deficiency in Children. 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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P. 345-360 - febbraio 2023 Ritorno al numero
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