Novel IL-12Rβ1 deficiency-mediates recurrent cutaneous leishmaniasis

Background: The IL-12/IFN-γ axis plays a vital role in the control of intramacrophagic pathogens including Leishmania infections.Objective: The aim of this study was to investigate genetic defects in the IL-12/IFN-γ axis in cutaneous leishmaniasis patients, using immunological and genetic evaluation...

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Autores principales: Farhad Ali Khattak, Noor ul Akbar, Maira Riaz, Mubashir Hussain, Khalid Rehman, Shahid Niaz Khan, Taj Ali Khan
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Publicado: Elsevier 2021
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spelling oai:doaj.org-article:a3e0a25a0a6c4067913ffb154265f8712021-11-30T04:14:00ZNovel IL-12Rβ1 deficiency-mediates recurrent cutaneous leishmaniasis1201-971210.1016/j.ijid.2021.08.049https://doaj.org/article/a3e0a25a0a6c4067913ffb154265f8712021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1201971221006822https://doaj.org/toc/1201-9712Background: The IL-12/IFN-γ axis plays a vital role in the control of intramacrophagic pathogens including Leishmania infections.Objective: The aim of this study was to investigate genetic defects in the IL-12/IFN-γ axis in cutaneous leishmaniasis patients, using immunological and genetic evaluation.Methods: Enzyme-linked immunosorbent assay was used to quantify IFN-γ , while flow cytometry was performed to analyze surface IL-12Rβ1/IL-12Rβ2 expression and phosphorylation of signal transducers as well as the activator of transcription 4 (pSTAT4). Sequencing was carried out for genetic analysis.Results: The peripheral blood mononuclear cells from the two patients (P1 and P2) demonstrated impaired production of IFN-γ. Furthermore, abolishment of the surface expression of Il-12Rβ1 was observed in lymphocytes, with consequent impairment of STAT4 phosphorylation in the lymphocytes of P1 and P2. IL-12Rβ1 deficiency was identified, which was caused by a novel homozygous missense mutation (c.485>T/p.P162L) and a novel homozygous nonsense mutation (c.805G>T/P.E269*) in the IL-12Rβ2 gene of P1 and P2, respectively. In silico analyses predicted these novel mutations as being pathogenic, causing truncated proteins, with consequent inactivation.Conclusion: Our data have expanded the phenotype and mutation spectra associated with IL-12Rβ1 deficiency, and suggest that patients with CL should be screened for mutations in genes of the IL-12/IFN-γ axis.Farhad Ali KhattakNoor ul AkbarMaira RiazMubashir HussainKhalid RehmanShahid Niaz KhanTaj Ali KhanElsevierarticleIL-12Rβ1IL-12/IFN-γ axiscutaneous leishmaniasisdeficiencyrecurrent infectionInfectious and parasitic diseasesRC109-216ENInternational Journal of Infectious Diseases, Vol 112, Iss , Pp 338-345 (2021)
institution DOAJ
collection DOAJ
language EN
topic IL-12Rβ1
IL-12/IFN-γ axis
cutaneous leishmaniasis
deficiency
recurrent infection
Infectious and parasitic diseases
RC109-216
spellingShingle IL-12Rβ1
IL-12/IFN-γ axis
cutaneous leishmaniasis
deficiency
recurrent infection
Infectious and parasitic diseases
RC109-216
Farhad Ali Khattak
Noor ul Akbar
Maira Riaz
Mubashir Hussain
Khalid Rehman
Shahid Niaz Khan
Taj Ali Khan
Novel IL-12Rβ1 deficiency-mediates recurrent cutaneous leishmaniasis
description Background: The IL-12/IFN-γ axis plays a vital role in the control of intramacrophagic pathogens including Leishmania infections.Objective: The aim of this study was to investigate genetic defects in the IL-12/IFN-γ axis in cutaneous leishmaniasis patients, using immunological and genetic evaluation.Methods: Enzyme-linked immunosorbent assay was used to quantify IFN-γ , while flow cytometry was performed to analyze surface IL-12Rβ1/IL-12Rβ2 expression and phosphorylation of signal transducers as well as the activator of transcription 4 (pSTAT4). Sequencing was carried out for genetic analysis.Results: The peripheral blood mononuclear cells from the two patients (P1 and P2) demonstrated impaired production of IFN-γ. Furthermore, abolishment of the surface expression of Il-12Rβ1 was observed in lymphocytes, with consequent impairment of STAT4 phosphorylation in the lymphocytes of P1 and P2. IL-12Rβ1 deficiency was identified, which was caused by a novel homozygous missense mutation (c.485>T/p.P162L) and a novel homozygous nonsense mutation (c.805G>T/P.E269*) in the IL-12Rβ2 gene of P1 and P2, respectively. In silico analyses predicted these novel mutations as being pathogenic, causing truncated proteins, with consequent inactivation.Conclusion: Our data have expanded the phenotype and mutation spectra associated with IL-12Rβ1 deficiency, and suggest that patients with CL should be screened for mutations in genes of the IL-12/IFN-γ axis.
format article
author Farhad Ali Khattak
Noor ul Akbar
Maira Riaz
Mubashir Hussain
Khalid Rehman
Shahid Niaz Khan
Taj Ali Khan
author_facet Farhad Ali Khattak
Noor ul Akbar
Maira Riaz
Mubashir Hussain
Khalid Rehman
Shahid Niaz Khan
Taj Ali Khan
author_sort Farhad Ali Khattak
title Novel IL-12Rβ1 deficiency-mediates recurrent cutaneous leishmaniasis
title_short Novel IL-12Rβ1 deficiency-mediates recurrent cutaneous leishmaniasis
title_full Novel IL-12Rβ1 deficiency-mediates recurrent cutaneous leishmaniasis
title_fullStr Novel IL-12Rβ1 deficiency-mediates recurrent cutaneous leishmaniasis
title_full_unstemmed Novel IL-12Rβ1 deficiency-mediates recurrent cutaneous leishmaniasis
title_sort novel il-12rβ1 deficiency-mediates recurrent cutaneous leishmaniasis
publisher Elsevier
publishDate 2021
url https://doaj.org/article/a3e0a25a0a6c4067913ffb154265f871
work_keys_str_mv AT farhadalikhattak novelil12rb1deficiencymediatesrecurrentcutaneousleishmaniasis
AT noorulakbar novelil12rb1deficiencymediatesrecurrentcutaneousleishmaniasis
AT mairariaz novelil12rb1deficiencymediatesrecurrentcutaneousleishmaniasis
AT mubashirhussain novelil12rb1deficiencymediatesrecurrentcutaneousleishmaniasis
AT khalidrehman novelil12rb1deficiencymediatesrecurrentcutaneousleishmaniasis
AT shahidniazkhan novelil12rb1deficiencymediatesrecurrentcutaneousleishmaniasis
AT tajalikhan novelil12rb1deficiencymediatesrecurrentcutaneousleishmaniasis
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