Pyogenic bacterial infections in humans with MyD88 deficiency

被引:593
作者
von Bernuth, Horst [1 ,2 ]
Picard, Capucine [1 ,2 ,3 ]
Jin, Zhongbo [4 ,5 ]
Pankla, Rungnapa [4 ,6 ]
Xiao, Hui [7 ]
Ku, Cheng-Lung [1 ,2 ]
Chrabieh, Maya [1 ,2 ]
Ben Mustapha, Imen [1 ,2 ,8 ]
Ghandil, Pegah [1 ,2 ]
Camcioglu, Yildiz [9 ]
Vasconcelos, Julia [10 ]
Sirvent, Nicolas [11 ]
Guedes, Margarida [10 ]
Vitor, Artur Bonito [12 ]
Herrero-Mata, Maria Jose [13 ]
Arostegui, Juan Ignacio [14 ]
Rodrigo, Carlos [15 ]
Alsina, Laia [16 ]
Ruiz-Ortiz, Estibaliz [13 ]
Juan, Manel [14 ]
Fortuny, Claudia [16 ]
Yague, Jordi [14 ]
Anton, Jordi [16 ]
Pascal, Mariona [14 ]
Chang, Huey-Hsuan [17 ,18 ]
Janniere, Lucile [1 ,2 ]
Rose, Yoann [1 ,2 ]
Garty, Ben-Zion [19 ]
Chapel, Helen [20 ,21 ]
Issekutz, Andrew [22 ]
Marodi, Laszlo [23 ]
Rodriguez-Gallego, Carlos [24 ]
Banchereau, Jacques [4 ]
Abel, Laurent [1 ,2 ]
Li, Xiaoxia [7 ]
Chaussabel, Damien [4 ]
Puel, Anne [1 ,2 ]
Casanova, Jean-Laurent [1 ,2 ,25 ]
机构
[1] INSERM, U550, Paris, France
[2] Univ Paris 05, F-75270 Paris 06, France
[3] Hop Necker Enfants Malad, Study Ctr Primary Immunodeficiencies, Assistance Publ Hop Paris, Paris, France
[4] Baylor Inst Immunol Res, Dallas, TX 75204 USA
[5] Baylor Univ, Waco, TX 76798 USA
[6] Khon Kaen Univ, Khon Kaen, Thailand
[7] Cleveland Clin Fdn, Cleveland, OH 44195 USA
[8] Pasteur Inst Tunis, Tunis, Tunisia
[9] Istanbul Univ, Cerrahpasa Med Sch, Istanbul, Turkey
[10] Gen Hosp Santo Antonio, Oporto, Portugal
[11] Univ Hosp Archet 2, Nice, France
[12] Hosp Sao Joao, Oporto, Portugal
[13] Inst Invest Germans Trias & Pujol, LIRAD Banco Sangre & Tejidos, Barcelona, Spain
[14] IDIBAPS, Dept Immunol, Hosp Clin, Barcelona, Spain
[15] Autonomous Univ Barcelona, Hosp Germans Trias & Pujol, Barcelona, Spain
[16] Univ Barcelona, Sant Joan Deu Hosp, Barcelona, Spain
[17] Inst Pasteur, Paris, France
[18] INSERM, U818, Paris, France
[19] Schneider Childrens Med Ctr, Petah Tiqwa, Israel
[20] Univ Oxford, Oxford, England
[21] Oxford Radcliffe Hosp, Oxford, England
[22] Dalhousie Univ, Halifax, NS, Canada
[23] Univ Debrecen, H-4012 Debrecen, Hungary
[24] Gran Canaria Dr Negrin Hosp, Las Palmas Gran Canaria, Spain
[25] Hop Necker Enfants Malad, Pediat Hematol Immunol Unit, Paris, France
关键词
D O I
10.1126/science.1158298
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
MyD88 is a key downstream adapter for most Toll- like receptors ( TLRs) and interleukin- 1 receptors ( IL- 1Rs). MyD88 deficiency in mice leads to susceptibility to a broad range of pathogens in experimental settings of infection. We describe a distinct situation in a natural setting of human infection. Nine children with autosomal recessive MyD88 deficiency suffered from life- threatening, often recurrent pyogenic bacterial infections, including invasive pneumococcal disease. However, these patients were otherwise healthy, with normal resistance to other microbes. Their clinical status improved with age, but not due to any cellular leakiness in MyD88 deficiency. The MyD88- dependent TLRs and IL- 1Rs are therefore essential for protective immunity to a small number of pyogenic bacteria, but redundant for host defense to most natural infections.
引用
收藏
页码:691 / 696
页数:6
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