학술논문

Early-onset autoimmunity associated with SOCS1 haploinsufficiency.
Document Type
article
Source
Nature communications. 11(1)
Subject
T-Lymphocytes
Humans
Autoimmune Diseases
Cytokines
Pedigree
Age of Onset
Signal Transduction
Autoimmunity
Mutation
Models
Molecular
Adolescent
Adult
Child
Child
Preschool
Female
Male
STAT Transcription Factors
Haploinsufficiency
Suppressor of Cytokine Signaling 1 Protein
Human Genome
Rare Diseases
Clinical Research
Genetics
Autoimmune Disease
Aetiology
2.1 Biological and endogenous factors
Inflammatory and immune system
Language
Abstract
Autoimmunity can occur when a checkpoint of self-tolerance fails. The study of familial autoimmune diseases can reveal pathophysiological mechanisms involved in more common autoimmune diseases. Here, by whole-exome/genome sequencing we identify heterozygous, autosomal-dominant, germline loss-of-function mutations in the SOCS1 gene in ten patients from five unrelated families with early onset autoimmune manifestations. The intracellular protein SOCS1 is known to downregulate cytokine signaling by inhibiting the JAK-STAT pathway. Accordingly, patient-derived lymphocytes exhibit increased STAT activation in vitro in response to interferon-γ, IL-2 and IL-4 that is reverted by the JAK1/JAK2 inhibitor ruxolitinib. This effect is associated with a series of in vitro and in vivo immune abnormalities consistent with lymphocyte hyperactivity. Hence, SOCS1 haploinsufficiency causes a dominantly inherited predisposition to early onset autoimmune diseases related to cytokine hypersensitivity of immune cells.