1. A Novel Homozygous RHOH Variant Associated with T Cell Dysfunction and Recurrent Opportunistic Infections.
- Author
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Zhou, Jingyu, Qian, Mengqing, Jiang, Ning, Wu, Jing, Feng, Xiaoqian, Yu, Meiping, Min, Qing, Xu, Haoxin, Yang, Yixuan, Yang, Qingluan, Zhou, Feiran, Shao, Lingyun, Zhu, Haoxiang, Yang, Yun, Wang, Ji-Yang, Ruan, Qiaoling, and Zhang, Wenhong
- Abstract
RHOH, an atypical small GTPase predominantly expressed in hematopoietic cells, plays a vital role in immune function. A deficiency in RHOH has been linked to epidermodysplasia verruciformis, lung disease, Burkitt lymphoma and T cell defects. Here, we report a novel germline homozygous RHOH c.245G > A (p.Cys82Tyr) variant in a 21-year-old male suffering from recurrent, invasive, opportunistic infections affecting the lungs, eyes, and brain. His sister also succumbed to a lung infection during early adulthood. The patient exhibited a persistent decrease in CD4
+ T, B, and NK cell counts, and hypoimmunoglobulinemia. The patient’s T cell showed impaired activation upon in vitro TCR stimulation. In Jurkat T cells transduced with RHOHC82Y , a similar reduction in activation marker CD69 up-regulation was observed. Furthermore, the C82Y variant showed reduced RHOH protein expression and impaired interaction with the TCR signaling molecule ZAP70. Together, these data suggest that the newly identified autosomal-recessive RHOH variant is associated with T cell dysfunction and recurrent opportunistic infections, functioning as a hypomorph by disrupting ZAP70-mediated TCR signaling. [ABSTRACT FROM AUTHOR]- Published
- 2024
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