J 2022

Do common infections trigger disease-onset or -severity in CTLA-4 insufficiency?

KRAUSZ, Máté, Noriko MITSUIKI, Valeria FALCONE, Johanna KOMP, Sara POSADAS-CANTERA et. al.

Základní údaje

Originální název

Do common infections trigger disease-onset or -severity in CTLA-4 insufficiency?

Autoři

KRAUSZ, Máté, Noriko MITSUIKI, Valeria FALCONE, Johanna KOMP, Sara POSADAS-CANTERA, Lorenz HANNS-MARTIN, Jiří LITZMAN (203 Česká republika, domácí), Daniel WOLFF, Maria KANARIOU, Anita HEINKELE, Carsten SPECKMANN, Georg HÄCKER, Hartmut HENGEL, Laura GÁMEZ-DÍAZ a Bodo GRIMBACHER (garant)

Vydání

Frontiers in immunology, LAUSANNE, FRONTIERS MEDIA SA, 2022, 1664-3224

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30102 Immunology

Stát vydavatele

Švýcarsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 7.300

Kód RIV

RIV/00216224:14110/22:00127289

Organizační jednotka

Lékařská fakulta

UT WoS

000886594800001

Klíčová slova anglicky

cytotoxic T-lymphocyte antigen 4 (CTLA-4); immunodeficencies; immune dysregulation; inborn errors of immunity (IEI); disease modifiers

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 16. 1. 2023 11:57, Mgr. Tereza Miškechová

Anotace

V originále

Purpose: Heterozygous mutations in CTLA4 lead to an inborn error of immunity characterized by immune dysregulation and immunodeficiency, known as CTLA-4 insufficiency. Cohort studies on CTLA4 mutation carriers showed a reduced penetrance (around 70%) and variable disease expressivity, suggesting the presence of modifying factors. It is well studied that infections can trigger autoimmunity in humans, especially in combination with a genetic predisposition. Methods: To investigate whether specific infections or the presence of specific persisting pathogens are associated with disease onset or severity in CTLA-4 insufficiency, we have examined the humoral immune response in 13 CTLA4 mutation carriers, seven without clinical manifestation and six with autoimmune manifestations, but without immunoglobulin replacement therapy against cytomegalovirus (CMV), Epstein-Barr virus (EBV), herpes simplex virus 1/2 (HSV 1/2), parvovirus B19 and Toxoplasma gondii. Additionally, we have measured FcγRIII/CD16A activation by EBV-specific IgG antibodies to examine the functional capabilities of immunoglobulins produced by CTLA4 mutation carriers. Results: The seroprevalence between affected and unaffected CTLA4 mutation carriers did not differ significantly for the examined pathogens. Additionally, we show here that CTLA4 mutation carriers produce EBV-specific IgG, which are unimpaired in activating FcγRIII/CD16A. Conclusions: Our results show that the investigated pathogens are very unlikely to trigger the disease onset in CTLA-4-insufficient individuals, and their prevalence is not correlated with disease severity or expressivity.