慢性黏膜皮肤念珠菌病患者中 STAT1 功能获得性突变的简易诊断

Simple diagnosis of STAT1 gain-of-function alleles in patients with chronic mucocutaneous candidiasis.

机构信息

2.Hiroshima University Graduate School of Biomedical & Health Sciences, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan.

出版信息

J Leukoc Biol. 2014 Apr;95(4):667-76. doi: 10.1189/jlb.0513250. Epub 2013 Dec 16.

Abstract

CMCD is a rare congenital disorder characterized by persistent or recurrent skin, nail, and mucosal membrane infections caused by Candida albicans. Heterozygous GOF STAT1 mutations have been shown to confer AD CMCD as a result of impaired dephosphorylation of STAT1. We aimed to identify and characterize STAT1 mutations in CMCD patients and to develop a simple diagnostic assay of CMCD. Genetic analysis of STAT1 was performed in patients and their relatives. The mutations identified were characterized by immunoblot and reporter assay using transient gene expression experiments. Patients' leukocytes are investigated by flow cytometry and immunoblot. Six GOF mutations were identified, three of which are reported for the first time, that affect the CCD and DBD of STAT1 in two sporadic and four multiplex cases in 10 CMCD patients from Japan. Two of the 10 patients presented with clinical symptoms atypical to CMCD, including other fungal and viral infections, and three patients developed bronchiectasis. Immunoblot analyses of patients' leukocytes showed abnormally high levels of pSTAT1 following IFN-γ stimulation. Based on this finding, we performed a flow cytometry-based functional analysis of STAT1 GOF alleles using IFN-γ stimulation and the tyrosine kinase inhibitor, staurosporine. The higher levels of pSTAT1 observed in primary CD14(+) cells from patients compared with control cells persisted and were amplified by the presence of staurosporine. We developed a flow cytometry-based STAT1 functional screening method that would greatly facilitate the diagnosis of CMCD patients with GOF STAT1 mutations.

摘要

CMCD 是一种罕见的先天性疾病,其特征为持续性或复发性的皮肤、指甲和黏膜感染,由白色念珠菌引起。杂合的 GOF STAT1 突变已被证明导致 AD CMCD,原因是 STAT1 的去磷酸化受损。我们旨在鉴定和描述 CMCD 患者中的 STAT1 突变,并开发一种简单的 CMCD 诊断检测方法。对患者及其亲属进行 STAT1 的基因分析。通过瞬时基因表达实验的免疫印迹和报告基因检测来对鉴定出的突变进行特征分析。通过流式细胞术和免疫印迹分析患者的白细胞。在来自日本的 10 名 CMCD 患者的 2 个散发性和 4 个多发性病例中发现了 6 个 GOF 突变,其中 3 个是首次报道的,这些突变影响 STAT1 的 CCD 和 DBD。10 名患者中的 2 名出现了非典型 CMCD 临床症状,包括其他真菌感染和病毒感染,3 名患者出现了支气管扩张。对患者白细胞的免疫印迹分析表明,在 IFN-γ 刺激后,pSTAT1 的水平异常升高。基于这一发现,我们使用 IFN-γ 刺激和蛋白激酶抑制剂 staurosporine 对 STAT1 GOF 等位基因进行了基于流式细胞术的功能分析。与对照细胞相比,患者的原代 CD14(+)细胞中观察到的 pSTAT1 水平持续升高,并被 staurosporine 放大。我们开发了一种基于流式细胞术的 STAT1 功能筛选方法,这将极大地促进具有 GOF STAT1 突变的 CMCD 患者的诊断。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索