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Inherited deficiency of stress granule ZNFX1 in patients with monocytosis and mycobacterial disease

  • Tom le Voyer
  • , Anna-Lena Neehus
  • , Rui Yang
  • , Masato Ogishi
  • , J. rémie Rosain
  • , Fayhan Alroqi
  • , Maha Alshalan
  • , Sophie Blumental
  • , Fatima Al Ali
  • , Taushif Khan
  • , Manar Ata
  • , Laurence Rozen
  • , Anne Demulder
  • , Paul Bastard
  • , Conor Gruber
  • , Manon Roynard
  • , Yoann Seeleuthener
  • , Franck Rapaport
  • , Benedetta Bigio
  • , Maya Chrabieh
  • Danielle Sng, Laureline Berteloot, Nathalie Boddaert, Flore Rozenberg, Saleh Al-Muhsen, Aida Bertoli-Avella, Laurent Abel, Dusan Bogunovic, Nico Marr, Davood Mansouri, Fuad Al Mutairi, Vivien Béziat, Dominique Weil, Seyed Alireza Mahdaviani, Alina Ferster, Shen-Ying Zhang, Stéphanie Boisson-Dupuis, Bruno Reversade, Jean-Laurent Casanova*, Jacinta Bustamante*
*Corresponding author for this work
  • Pediatric Neurology, Necker Enfants Malades, University Hospital Imagine Institute, Paris, France
  • Rockefeller University
  • Ministry of National Guard – Health Affairs
  • King Saud bin Abdulaziz University for Health Sciences
  • Queen Fabiola Children's University Hospital
  • Sidra Medical and Research Center
  • Université libre de Bruxelles
  • Icahn School of Medicine at Mount Sinai
  • Agency for Science, Technology and Research, Singapore
  • Université Paris 5
  • Université Paris Cité
  • King Saud University
  • Centogene, Am Strande 7, 18055, Rostock, Germany
  • Hamad bin Khalifa University
  • National Research Institute of Tuberculosis and Lung Disease Tehran
  • Sorbonne Université
  • HHMI, New York, NY 10065;

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Human inborn errors of IFN-γ underlie mycobacterial disease, due to insufficient IFN-γ production by lymphoid cells, impaired myeloid cell responses to this cytokine, or both. We report four patients from two unrelated kindreds with intermittent monocytosis and mycobacterial disease, including bacillus Calmette-Guérin-osis and disseminated tuberculosis, and without any known inborn error of IFN-γ. The patients are homozygous for ZNFX1 variants (p.S959* and p.E1606Rfs*10) predicted to be loss of function (pLOF). There are no subjects homozygous for pLOF variants in public databases. ZNFX1 is a conserved and broadly expressed helicase, but its biology remains largely unknown. It is thought to act as a viral double-stranded RNA sensor in mice, but these patients do not suffer from severe viral illnesses. We analyze its subcellular localization upon overexpression in A549 and HeLa cell lines and upon stimulation of THP1 and fibroblastic cell lines. We find that this cytoplasmic protein can be recruited to or even induce stress granules. The endogenous ZNFX1 protein in cell lines of the patient homozygous for the p.E1606Rfs*10 variant is truncated, whereas ZNFX1 expression is abolished in cell lines from the patients with the p.S959* variant. Lymphocyte subsets are present at normal frequencies in these patients and produce IFN-γ normally. The hematopoietic and nonhematopoietic cells of the patients tested respond normally to IFN-γ. Our results indicate that human ZNFX1 is associated with stress granules and essential for both monocyte homeostasis and protective immunity to mycobacteria.
Original languageEnglish
Article numbere2102804118
JournalProceedings of the National Academy of Sciences of the United States of America
Volume118
Issue number15
DOIs
Publication statusPublished - 13 Apr 2021

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Inborn error of immunity
  • Inflammation
  • Monocytosis
  • Mycobacteria
  • ZNFX1

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