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新型 STAT1 剪接突变患者细胞中 IFN-γ 和 IFN-α 反应严重受损。

Severe impairment of IFN-γ and IFN-α responses in cells of a patient with a novel STAT1 splicing mutation.

机构信息

Pediatric Clinic and A. Nocivelli Institute of Molecular Medicine, Brescia, Italy.

出版信息

Blood. 2011 Aug 18;118(7):1806-17. doi: 10.1182/blood-2011-01-330571. Epub 2011 Jul 19.

Abstract

Subjects affected by Signal Transducer and Activator of Transcription 1 (STAT1) deficiency have lethal bacterial and viral infections. Complete STAT1 deficiency is inherited as an autosomal recessive disease; partial STAT1 deficiency is inherited as an autosomal recessive or autosomal dominant trait. Here, we report a patient who developed disseminated mycobacteriosis early in life and had several viral infections, including herpetic skin infection and interstitial pneumonia by cytomegalovirus with severe respiratory distress. Molecular analysis of STAT1 showed a novel homozygous mutation affecting a splice site, leading to exon 3 skipping and to synthesis of a lower molecular weight STAT1 protein. This mutation leads to marked reduction of STAT1 phosphorylation; the electromobility shift assay showed a complete defect of DNA-binding activity, which accounts for the complete impairment of peripheral blood mononuclear cell functional response to both IFN-γ and IFN-α. Moreover, analysis of natural killer cells showed a defective STAT1 phosphorylation in response to IFN-α and impaired basal cytolytic activity, suggesting that the STAT1-dependent pathway might be important for natural killer cell function. These results suggested that exon 3 skipping of STAT1 leads to abnormal signaling in response to IFN-γ and IFN-α, which is associated with susceptibility to intracellular pathogens and viruses.

摘要

受信号转导和转录激活因子 1(STAT1)缺陷影响的受试者易发生致命的细菌和病毒感染。完全的 STAT1 缺陷作为常染色体隐性疾病遗传;部分 STAT1 缺陷作为常染色体隐性或显性遗传。在此,我们报告了一位患者,其在生命早期即发生播散性分枝杆菌病,并发生了多种病毒感染,包括疱疹性皮肤感染和巨细胞病毒引起的间质性肺炎,伴有严重的呼吸窘迫。STAT1 的分子分析显示存在影响剪接位点的新型纯合突变,导致外显子 3 跳跃和合成分子量较低的 STAT1 蛋白。该突变导致 STAT1 磷酸化明显减少;电泳迁移率变动分析显示 DNA 结合活性完全缺陷,这解释了外周血单核细胞对 IFN-γ 和 IFN-α 的功能反应完全受损。此外,对自然杀伤细胞的分析显示 IFN-α 反应时 STAT1 磷酸化缺陷和基础细胞溶解活性受损,表明 STAT1 依赖性途径可能对自然杀伤细胞功能很重要。这些结果表明 STAT1 的外显子 3 跳跃导致对 IFN-γ 和 IFN-α 的异常信号转导,这与易感性相关病原体和病毒。

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