1. Inherited SLP76 deficiency in humans causes severe combined immunodeficiency, neutrophil and platelet defects.
- Author
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Lev A, Lee YN, Sun G, Hallumi E, Simon AJ, Zrihen KS, Levy S, Beit Halevi T, Papazian M, Shwartz N, Somekh I, Levy-Mendelovich S, Wolach B, Gavrieli R, Vernitsky H, Barel O, Javasky E, Stauber T, Ma CA, Zhang Y, Amariglio N, Rechavi G, Hendel A, Yablonski D, Milner JD, and Somech R
- Subjects
- Adaptor Proteins, Signal Transducing chemistry, Adaptor Proteins, Signal Transducing genetics, Adaptor Proteins, Signal Transducing metabolism, Amino Acid Sequence, Base Sequence, Blood Platelets metabolism, Fatal Outcome, Humans, Infant, Infant, Newborn, Jurkat Cells, Mutation genetics, Neutrophils metabolism, Phenotype, Phosphoproteins chemistry, Phosphoproteins genetics, Phosphoproteins metabolism, Receptors, Antigen, B-Cell metabolism, Receptors, Antigen, T-Cell metabolism, Severe Combined Immunodeficiency immunology, Signal Transduction, Adaptor Proteins, Signal Transducing deficiency, Blood Platelets pathology, Neutrophils pathology, Phosphoproteins deficiency, Severe Combined Immunodeficiency metabolism, Severe Combined Immunodeficiency pathology
- Abstract
The T cell receptor (TCR) signaling pathway is an ensemble of numerous proteins that are crucial for an adequate immune response. Disruption of any protein involved in this pathway leads to severe immunodeficiency and unfavorable clinical outcomes. Here, we describe an infant with severe immunodeficiency who was found to have novel biallelic mutations in SLP76. SLP76 is a key protein involved in TCR signaling and in other hematopoietic pathways. Previous studies of this protein were performed using Jurkat-derived human leukemic T cell lines and SLP76-deficient mice. Our current study links this gene, for the first time, to a human immunodeficiency characterized by early-onset life-threatening infections, combined T and B cell immunodeficiency, severe neutrophil defects, and impaired platelet aggregation. Hereby, we characterized aspects of the patient's immune phenotype, modeled them with an SLP76-deficient Jurkat-derived T cell line, and rescued some consequences using ectopic expression of wild-type SLP76. Understanding human diseases due to SLP76 deficiency is helpful in explaining the mixed T cell and neutrophil defects, providing a guide for exploring human SLP76 biology., Competing Interests: Disclosures: The authors declare no competing interests exist., (© 2020 Lev et al.)
- Published
- 2021
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