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Biallelic NFATC1 mutations cause an inborn error of immunity with impaired CD8+ T-cell function and perturbed glycolysis.
Kostel Bal, Sevgi; Giuliani, Sarah; Block, Jana; Repiscak, Peter; Hafemeister, Christoph; Shahin, Tala; Kasap, Nurhan; Ransmayr, Bernhard; Miao, Yirun; van de Wetering, Cheryl; Frohne, Alexandra; Jimenez Heredia, Raul; Schuster, Michael; Zoghi, Samaneh; Hertlein, Vanessa; Thian, Marini; Bykov, Aleksandr; Babayeva, Royala; Bilgic Eltan, Sevgi; Karakoc-Aydiner, Elif; Shaw, Lisa E; Chowdhury, Iftekhar; Varjosalo, Markku; Argüello, Rafael J; Farlik, Matthias; Ozen, Ahmet; Serfling, Edgar; Dupré, Loïc; Bock, Christoph; Halbritter, Florian; Hannich, J Thomas; Castanon, Irinka; Kraakman, Michael J; Baris, Safa; Boztug, Kaan.
Afiliación
  • Kostel Bal S; St. Anna Children's Cancer Research Institute, Vienna, Austria.
  • Giuliani S; Ludwig Boltzmann Institute for Rare and Undiagnosed Diseases, Vienna, Austria.
  • Block J; St. Anna Children's Cancer Research Institute, Vienna, Austria.
  • Repiscak P; Ludwig Boltzmann Institute for Rare and Undiagnosed Diseases, Vienna, Austria.
  • Hafemeister C; St. Anna Children's Cancer Research Institute, Vienna, Austria.
  • Shahin T; Ludwig Boltzmann Institute for Rare and Undiagnosed Diseases, Vienna, Austria.
  • Kasap N; CeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria.
  • Ransmayr B; St. Anna Children's Cancer Research Institute, Vienna, Austria.
  • Miao Y; St. Anna Children's Cancer Research Institute, Vienna, Austria.
  • van de Wetering C; St. Anna Children's Cancer Research Institute, Vienna, Austria.
  • Frohne A; Ludwig Boltzmann Institute for Rare and Undiagnosed Diseases, Vienna, Austria.
  • Jimenez Heredia R; CeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria.
  • Schuster M; Department of Pediatrics, Division of Allergy and Immunology, Marmara University School of Medicine, Istanbul, Turkey.
  • Zoghi S; The Isil Berat Barlan Center for Translational Medicine, Marmara University, Istanbul, Turkey.
  • Hertlein V; St. Anna Children's Cancer Research Institute, Vienna, Austria.
  • Thian M; Ludwig Boltzmann Institute for Rare and Undiagnosed Diseases, Vienna, Austria.
  • Bykov A; CeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria.
  • Babayeva R; St. Anna Children's Cancer Research Institute, Vienna, Austria.
  • Bilgic Eltan S; Ludwig Boltzmann Institute for Rare and Undiagnosed Diseases, Vienna, Austria.
  • Karakoc-Aydiner E; CeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria.
  • Shaw LE; St. Anna Children's Cancer Research Institute, Vienna, Austria.
  • Chowdhury I; CeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria.
  • Varjosalo M; St. Anna Children's Cancer Research Institute, Vienna, Austria.
  • Argüello RJ; Ludwig Boltzmann Institute for Rare and Undiagnosed Diseases, Vienna, Austria.
  • Farlik M; St. Anna Children's Cancer Research Institute, Vienna, Austria.
  • Ozen A; Ludwig Boltzmann Institute for Rare and Undiagnosed Diseases, Vienna, Austria.
  • Serfling E; CeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria.
  • Dupré L; St. Anna Children's Cancer Research Institute, Vienna, Austria.
  • Bock C; Ludwig Boltzmann Institute for Rare and Undiagnosed Diseases, Vienna, Austria.
  • Halbritter F; St. Anna Children's Cancer Research Institute, Vienna, Austria.
  • Hannich JT; Ludwig Boltzmann Institute for Rare and Undiagnosed Diseases, Vienna, Austria.
  • Castanon I; CeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria.
  • Kraakman MJ; St. Anna Children's Cancer Research Institute, Vienna, Austria.
  • Baris S; Ludwig Boltzmann Institute for Rare and Undiagnosed Diseases, Vienna, Austria.
  • Boztug K; CeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria.
Blood ; 142(9): 827-845, 2023 08 31.
Article en En | MEDLINE | ID: mdl-37249233
The nuclear factor of activated T cells (NFAT) family of transcription factors plays central roles in adaptive immunity in murine models; however, their contribution to human immune homeostasis remains poorly defined. In a multigenerational pedigree, we identified 3 patients who carry germ line biallelic missense variants in NFATC1, presenting with recurrent infections, hypogammaglobulinemia, and decreased antibody responses. The compound heterozygous NFATC1 variants identified in these patients caused decreased stability and reduced the binding of DNA and interacting proteins. We observed defects in early activation and proliferation of T and B cells from these patients, amenable to rescue upon genetic reconstitution. Stimulation induced early T-cell activation and proliferation responses were delayed but not lost, reaching that of healthy controls at day 7, indicative of an adaptive capacity of the cells. Assessment of the metabolic capacity of patient T cells revealed that NFATc1 dysfunction rendered T cells unable to engage in glycolysis after stimulation, although oxidative metabolic processes were intact. We hypothesized that NFATc1-mutant T cells could compensate for the energy deficit due to defective glycolysis by using enhanced lipid metabolism as an adaptation, leading to a delayed, but not lost, activation responses. Indeed, we observed increased 13C-labeled palmitate incorporation into citrate, indicating higher fatty acid oxidation, and we demonstrated that metformin and rosiglitazone improved patient T-cell effector functions. Collectively, enabled by our molecular dissection of the consequences of loss-of-function NFATC1 mutations and extending the role of NFATc1 in human immunity beyond receptor signaling, we provide evidence of metabolic plasticity in the context of impaired glycolysis observed in patient T cells, alleviating delayed effector responses.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Linfocitos T / Factores de Transcripción NFATC Tipo de estudio: Prognostic_studies Límite: Animals / Humans Idioma: En Revista: Blood Año: 2023 Tipo del documento: Article País de afiliación: Austria Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Linfocitos T / Factores de Transcripción NFATC Tipo de estudio: Prognostic_studies Límite: Animals / Humans Idioma: En Revista: Blood Año: 2023 Tipo del documento: Article País de afiliación: Austria Pais de publicación: Estados Unidos