患者对分枝杆菌易感性降低,存在新型 STAT1 等位基因。

Novel STAT1 alleles in a patient with impaired resistance to mycobacteria.

机构信息

Department of Pediatrics, Copenhagen University Hospital, Rigshospitalet, Denmark.

出版信息

J Clin Immunol. 2011 Apr;31(2):265-71. doi: 10.1007/s10875-010-9480-8. Epub 2010 Nov 6.

Abstract

Partial defects in interferon (IFN)-γ signaling lead to susceptibility to infections with nontuberculous mycobacteria. The receptors for IFN-α and IFN-γ activate components of the Janus kinase-signal transducer and activator of transcription (STAT) signaling pathway. Some defects in STAT1 mainly affect IFN-γ signaling, thus resulting in mendelian susceptibility to mycobacterial disease (MSMD). MSMD is a severe disease but patients show a favorable response to anti-mycobacterial chemotherapy. Other defects in STAT1 affect both IFN-α and IFN-γ signaling resulting in mycobacterial and lethal viral disease. We report here a patient with two novel STAT1 alleles, which in combination results in a recessive trait with partial STAT1 deficiency and mycobacterial disease. Cells from the patient did respond to mycobacterial antigen, but both the expression of STAT1 and phosphorylation of STAT1 in response to IFN-γ treatment were reduced. This is the first report of a mutation in the N-terminal part of STAT1 involved in causing mycobacterial disease.

摘要

部分干扰素 (IFN)-γ信号通路缺陷可导致对非结核分枝杆菌感染的易感性。IFN-α 和 IFN-γ 的受体激活了 Janus 激酶信号转导和转录激活因子 (STAT)信号通路的组成部分。STAT1 的一些缺陷主要影响 IFN-γ信号通路,从而导致孟德尔易感性分枝杆菌病 (MSMD)。MSMD 是一种严重的疾病,但患者对抗分枝杆菌化疗有良好的反应。STAT1 的其他缺陷同时影响 IFN-α 和 IFN-γ 信号通路,导致分枝杆菌和致命病毒疾病。我们在此报告了一名患者携带两种新的 STAT1 等位基因,这两种等位基因共同导致 STAT1 部分缺陷的隐性特征和分枝杆菌病。患者的细胞确实对分枝杆菌抗原有反应,但 IFN-γ 治疗后 STAT1 的表达和 STAT1 的磷酸化都减少了。这是第一个报道参与引起分枝杆菌病的 STAT1 N 端部分突变的报告。

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