Patients with autoimmune polyendocrine syndrome type 1 have an increased susceptibility to severe herpesvirus infections

被引:33
作者
Hetemaki, Iivo [1 ,2 ,3 ]
Laakso, Saila [3 ,4 ,5 ]
Valimaa, Hannamari [3 ,6 ,7 ]
Kleino, Iivari [2 ,3 ]
Kekalainen, Eliisa [1 ,2 ,3 ]
Makitie, Outi [3 ,4 ,5 ,8 ]
Arstila, T. Petteri [1 ,2 ,3 ]
机构
[1] Univ Helsinki, Dept Bacteriol & Immunol, Helsinki, Finland
[2] Univ Helsinki, Translat Immunol Res Program, Helsinki, Finland
[3] Helsinki Univ Hosp, Helsinki, Finland
[4] Folkhalsan Inst Genet, Helsinki, Finland
[5] Univ Helsinki, Childrens Hosp, Helsinki, Finland
[6] Univ Helsinki, Dept Virol, Helsinki, Finland
[7] Univ Helsinki, Dept Oral & Maxillofacial Surg, Helsinki, Finland
[8] Karolinska Inst, Karolinska Univ Hosp, Dept Mol Med, Clin Genet, Stockholm, Sweden
基金
芬兰科学院;
关键词
AIRE; Herpes simplex; Varicella zoster; Herpes zoster; Autoantibody; Immunodeficiency; Type I interferon; CHRONIC MUCOCUTANEOUS CANDIDIASIS; AUTOANTIBODIES; VARICELLA; PREVENTION;
D O I
10.1016/j.clim.2021.108851
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Almost all patients with autoimmune polyendocrine syndrome type 1 (APS-1) have neutralizing antibodies against type 1 interferons (IFN), important mediators of antiviral defense. Recently, neutralizing anti-IFN antibodies were shown to be a risk factor of severe COVID-19. Here we show in a cohort of 44 patients with APS-1 that higher titers of neutralizing anti-IFN alpha 4 antibodies are associated with a higher and earlier incidence of VZV reactivation (herpes zoster). The patients also present with uncommonly severe clinical sequelae of herpetic infections. APS-1 patients had decreased humoral immune responses to varicella zoster virus, but cellular responses were comparable to healthy controls. These results suggest that blocking the type I interferon pathway in patients with APS-1 patients leads to a clinically significant immune deficiency, and susceptibility to herpesviruses should be taken into account when treating patients with APS-1.
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页数:6
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