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IRAK-4 mutation (Q293X): rapid detection and characterization of defective post-transcriptional TLR/IL-1R responses in human myeloid and non-myeloid cells.

Abstract
Innate immunodeficiency has recently been reported as resulting from the Q293X IRAK-4 mutation with consequent defective TLR/IL-1R signaling. In this study we report a method for the rapid allele-specific detection of this mutation and demonstrate both cell type specificity and ligand specificity in defective IL-1R-associated kinase (IRAK)-4-deficient cellular responses, indicating differential roles for this protein in human PBMCs and primary dermal fibroblasts and in LPS, IL-1beta, and TNF-alpha signaling. We demonstrate transcriptional and post-transcriptional defects despite NF-kappaB signaling and intact MyD88-independent signaling and propose that dysfunctional complex 1 (IRAK1/TRAF6/TAK1) signaling, as a consequence of IRAK-4 deficiency, generates specific defects in MAPK activation that could underpin this patient's innate immunodeficiency. These studies demonstrate the importance of studying primary human cells bearing a clinically relevant mutation; they underscore the complexity of innate immune signaling and illuminate novel roles for IRAK-4 and the fundamental importance of accessory proinflammatory signaling to normal human innate immune responses and immunodeficiencies.
AuthorsDonald J Davidson, Andrew J Currie, Dawn M E Bowdish, Kelly L Brown, Carrie M Rosenberger, Rebecca C Ma, Johan Bylund, Paul A Campsall, Anne Puel, Capucine Picard, Jean-Laurent Casanova, Stuart E Turvey, Robert E W Hancock, Rebecca S Devon, David P Speert
JournalJournal of immunology (Baltimore, Md. : 1950) (J Immunol) Vol. 177 Issue 11 Pg. 8202-11 (Dec 01 2006) ISSN: 0022-1767 [Print] United States
PMID17114497 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Cytokines
  • MYD88 protein, human
  • Myeloid Differentiation Factor 88
  • NF-kappa B
  • RNA, Messenger
  • Receptors, Interleukin-1
  • Toll-Like Receptors
  • IRAK4 protein, human
  • Interleukin-1 Receptor-Associated Kinases
  • Extracellular Signal-Regulated MAP Kinases
Topics
  • Amino Acid Sequence
  • Blotting, Western
  • Cytokines (biosynthesis)
  • Extracellular Signal-Regulated MAP Kinases (immunology)
  • Fibroblasts (immunology)
  • Gene Expression
  • Humans
  • Immune System Diseases (genetics)
  • Interleukin-1 Receptor-Associated Kinases (genetics)
  • Male
  • Molecular Sequence Data
  • Mutation
  • Myeloid Cells (immunology)
  • Myeloid Differentiation Factor 88 (immunology)
  • NF-kappa B (immunology)
  • Pedigree
  • RNA, Messenger (analysis)
  • Receptors, Interleukin-1 (immunology)
  • Reverse Transcriptase Polymerase Chain Reaction
  • Toll-Like Receptors (immunology)
  • Transcription, Genetic

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