Human IFN-γ immunity to mycobacteria is governed by both IL-12 and IL-23

dc.contributor.authorDogu, Figen
dc.contributor.departmentTıp Fakültesitr_TR
dc.date.accessioned2020-11-20T08:05:56Z
dc.date.available2020-11-20T08:05:56Z
dc.date.issued2018
dc.description.abstractHundreds of patients with autosomal recessive, complete IL-12p40 or IL-12Rβ1 deficiency have been diagnosed over the last 20 years. They typically suffer from invasive mycobacteriosis and, occasionally, from mucocutaneous candidiasis. Susceptibility to these infections is thought to be due to impairments of IL-12-dependent IFN-γ immunity and IL-23-dependent IL-17A/IL-17F immunity, respectively. We report here patients with autosomal recessive, complete IL-12Rβ2 or IL-23R deficiency, lacking responses to IL-12 or IL-23 only, all of whom, unexpectedly, display mycobacteriosis without candidiasis. We show that αβ T, γδ T, B, NK, ILC1, and ILC2 cells from healthy donors preferentially produce IFN-γ in response to IL-12, whereas NKT cells and MAIT cells preferentially produce IFN-γ in response to IL-23. We also show that the development of IFN-γ-producing CD4+ T cells, including, in particular, mycobacterium-specific TH1* cells (CD45RA-CCR6+), is dependent on both IL-12 and IL-23. Last, we show that IL12RB1, IL12RB2, and IL23R have similar frequencies of deleterious variants in the general population. The comparative rarity of symptomatic patients with IL-12Rβ2 or IL-23R deficiency, relative to IL-12Rβ1 deficiency, is, therefore, due to lower clinical penetrance. There are fewer symptomatic IL-23R- and IL-12Rβ2-deficient than IL-12Rβ1-deficient patients, not because these genetic disorders are rarer, but because the isolated absence of IL-12 or IL-23 is, in part, compensated by the other cytokine for the production of IFN-γ, thereby providing some protection against mycobacteria. These experiments of nature show that human IL-12 and IL-23 are both required for optimal IFN-γ-dependent immunity to mycobacteria, both individually and much more so cooperatively.tr_TR
dc.description.indexPubmed
dc.identifier.endpage22tr_TR
dc.identifier.issue30tr_TR
dc.identifier.startpage1tr_TR
dc.identifier.urihttps://doi.org/10.1126/sciimmunol.aau6759tr_TR
dc.identifier.urihttp://hdl.handle.net/20.500.12575/72460
dc.identifier.volume3tr_TR
dc.language.isoentr_TR
dc.relation.isversionof10.1126/sciimmunol.aau6759tr_TR
dc.relation.journalSci Immunol .tr_TR
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıtr_TR
dc.subjectmycobacteriatr_TR
dc.titleHuman IFN-γ immunity to mycobacteria is governed by both IL-12 and IL-23tr_TR
dc.typeArticletr_TR

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