Autoantibodies against IL-17A, IL-17F, and IL-22 in patients with chronic mucocutaneous candidiasis and autoimmune polyendocrine syndrome type I

被引:533
作者
Puel, Anne [1 ,2 ]
Doeffinger, Rainer [3 ]
Natividad, Angels [1 ,2 ]
Chrabieh, Maya [1 ,2 ]
Barcenas-Morales, Gabriela [4 ]
Picard, Capucine [1 ,2 ,5 ]
Cobat, Aurelie [1 ,2 ]
Ouachee-Chardin, Marie [8 ]
Toulon, Antoine [2 ,6 ]
Bustamante, Jacinta [1 ,2 ]
Al-Muhsen, Saleh [9 ]
Al-Owain, Mohammed [10 ]
Arkwright, Peter D. [11 ]
Costigan, Colm [12 ]
McConnell, Vivienne [13 ]
Cant, Andrew J. [14 ]
Abinun, Mario [14 ]
Polak, Michel [2 ,15 ]
Bougneres, Pierre-Francois [16 ]
Kumararatne, Dinakantha [3 ]
Marodi, Laszlo [17 ,18 ]
Nahum, Amit [19 ,20 ]
Roifman, Chaim [19 ,20 ]
Blanche, Stephane [2 ,7 ]
Fischer, Alain [2 ,7 ,21 ]
Bodemer, Christine [2 ,6 ]
Abel, Laurent [1 ,2 ,22 ]
Lilic, Desa [23 ]
Casanova, Jean-Laurent [1 ,2 ,7 ,22 ]
机构
[1] INSERM, U550, Lab Human Genet Infect Dis, Necker Branch, F-75015 Paris, France
[2] Univ Paris 05, Necker Med Sch, F-75015 Paris, France
[3] Addenbrookes Hosp, Dept Clin Biochem & Immunol, Cambridge CB2 0QQ, England
[4] Univ Nacl Autonoma Mexico, Immunol Lab, Fac Estudios Super Cuautitlan, Izcalli 54700, Edo De Mexico, Mexico
[5] Hop Necker Enfants Malad, AP HP, Study Ctr Primary Immunodeficiencies, F-75015 Paris, France
[6] Hop Necker Enfants Malad, AP HP, Dermatol Unit, F-75015 Paris, France
[7] Hop Necker Enfants Malad, AP HP, Pediat Hematol Immunol Unit, F-75015 Paris, France
[8] Hop Robert Debre, Pediat Hematol Unit, F-75019 Paris, France
[9] King Saud Univ, Coll Med, Dept Pediat, Novel Primary Immunodeficiency & Infect Dis Progr, Riyadh 11451, Saudi Arabia
[10] King Faisal Specialist Hosp & Res Ctr, Dept Med Genet, Riyadh 11211, Saudi Arabia
[11] Univ Manchester, Dept Paediat Allergy & Immunol, Royal Manchester Childrens Hosp, Manchester M13 9WP, Lancs, England
[12] Our Ladys Hosp Sick Children, Dublin 12, Ireland
[13] Belfast City Hosp, No Ireland Reg Genet Serv, Belfast BT9 7AB, Antrim, North Ireland
[14] Newcastle Upon Tyne Hosp, NHS Fdn Trust, Dept Paediat Immunol, Newcastle Upon Tyne NE4 6BE, Tyne & Wear, England
[15] Pediat Endocrinol Necker Hosp, INSERM, U845, Lab Normal & Pathol Dev Endocrine Organs, F-75015 Paris, France
[16] Hop St Vincent de Paul, F-75014 Paris, France
[17] Univ Debrecen, Dept Infect & Pediat Immunol, H-4032 Debrecen, Hungary
[18] Hlth Sci Ctr, H-4032 Debrecen, Hungary
[19] Hosp Sick Children, Dept Paediat, Div Immunol & Allergy, Toronto, ON M5G 1X8, Canada
[20] Univ Toronto, Toronto, ON M5G 1X8, Canada
[21] INSERM, U768, Lab Normal & Pathol Dev Immune Syst, F-75015 Paris, France
[22] Rockefeller Univ, Lab Human Genet Infect Dis, Rockefeller Branch, New York, NY 10065 USA
[23] Univ Newcastle, Inst Cellular Med, Newcastle Upon Tyne NE2 4HH, Tyne & Wear, England
基金
匈牙利科学研究基金会;
关键词
HYPER-IGE SYNDROME; PULMONARY ALVEOLAR PROTEINOSIS; TH17; CELLS; IFN-GAMMA; CLINICAL-MANIFESTATIONS; INBORN-ERRORS; HOST-DEFENSE; T-CELLS; IMMUNITY; MUTATIONS;
D O I
10.1084/jem.20091983
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Most patients with autoimmune polyendocrine syndrome type I (APS-I) display chronic mucocutaneous candidiasis (CMC). We hypothesized that this CMC might result from autoimmunity to interleukin (IL)-17 cytokines. We found high titers of autoantibodies (auto-Abs) against IL-17A, IL-17F, and/or IL-22 in the sera of all 33 patients tested, as detected by multiplex particle-based flow cytometry. The auto-Abs against IL-17A, IL-17F, and IL-22 were specific in the five patients tested, as shown by Western blotting. The auto-Abs against IL-17A were neutralizing in the only patient tested, as shown by bioassays of IL-17A activity. None of the 37 healthy controls and none of the 103 patients with other autoimmune disorders tested had such auto-Abs. None of the patients with APS-I had auto-Abs against cytokines previously shown to cause other well-defined clinical syndromes in other patients (IL-6, interferon [IFN]-gamma, or granulocyte/macrophage colony-stimulating factor) or against other cytokines (IL-1 beta, IL-10, IL-12, IL-18, IL-21, IL-23, IL-26, IFN-beta, tumor necrosis factor [alpha], or transforming growth factor beta). These findings suggest that auto-Abs against IL-17A, IL-17F, and IL-22 may cause CMC in patients with APS-I.
引用
收藏
页码:291 / 297
页数:7
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