1. NUDCD3 deficiency disrupts V(D)J recombination to cause SCID and Omenn syndrome.
- Author
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Chen R, Lukianova E, van der Loeff IS, Spegarova JS, Willet JDP, James KD, Ryder EJ, Griffin H, IJspeert H, Gajbhiye A, Lamoliatte F, Marin-Rubio JL, Woodbine L, Lemos H, Swan DJ, Pintar V, Sayes K, Ruiz-Morales ER, Eastham S, Dixon D, Prete M, Prigmore E, Jeggo P, Boyes J, Mellor A, Huang L, van der Burg M, Engelhardt KR, Stray-Pedersen A, Erichsen HC, Gennery AR, Trost M, Adams DJ, Anderson G, Lorenc A, Trynka G, and Hambleton S
- Subjects
- Consanguinity, Homozygote, Mutation, Missense, T-Lymphocytes immunology, B-Lymphocytes immunology, Homeodomain Proteins metabolism, Cell Nucleolus metabolism, Disease Models, Animal, Pedigree, Cell Line, Mice, Inbred C57BL, Mice, Transgenic, Humans, Male, Female, Infant, Newborn, Infant, Animals, Mice, V(D)J Recombination immunology, Phosphoproteins deficiency, Phosphoproteins genetics, Severe Combined Immunodeficiency blood, Severe Combined Immunodeficiency genetics, Severe Combined Immunodeficiency immunology
- Abstract
Inborn errors of T cell development present a pediatric emergency in which timely curative therapy is informed by molecular diagnosis. In 11 affected patients across four consanguineous kindreds, we detected homozygosity for a single deleterious missense variant in the gene NudC domain-containing 3 ( NUDCD3 ) . Two infants had severe combined immunodeficiency with the complete absence of T and B cells (T
- B- SCID), whereas nine showed classical features of Omenn syndrome (OS). Restricted antigen receptor gene usage by residual T lymphocytes suggested impaired V(D)J recombination. Patient cells showed reduced expression of NUDCD3 protein and diminished ability to support RAG-mediated recombination in vitro, which was associated with pathologic sequestration of RAG1 in the nucleoli. Although impaired V(D)J recombination in a mouse model bearing the homologous variant led to milder immunologic abnormalities, NUDCD3 is absolutely required for healthy T and B cell development in humans.- Published
- 2024
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