Article ; Online: Systemic Inflammation and Normocytic Anemia in DOCK11 Deficiency.
The New England journal of medicine
2023 Volume 389, Issue 6, Page(s) 527–539
Abstract: Background: Increasing evidence links genetic defects affecting actin-regulatory proteins to diseases with severe autoimmunity and autoinflammation, yet the underlying molecular mechanisms are poorly understood. Dedicator of cytokinesis 11 (DOCK11) ... ...
Abstract | Background: Increasing evidence links genetic defects affecting actin-regulatory proteins to diseases with severe autoimmunity and autoinflammation, yet the underlying molecular mechanisms are poorly understood. Dedicator of cytokinesis 11 (DOCK11) activates the small Rho guanosine triphosphatase (GTPase) cell division cycle 42 (CDC42), a central regulator of actin cytoskeleton dynamics. The role of DOCK11 in human immune-cell function and disease remains unknown. Methods: We conducted genetic, immunologic, and molecular assays in four patients from four unrelated families who presented with infections, early-onset severe immune dysregulation, normocytic anemia of variable severity associated with anisopoikilocytosis, and developmental delay. Functional assays were performed in patient-derived cells, as well as in mouse and zebrafish models. Results: We identified rare, X-linked germline mutations in Conclusions: Germline hemizygous loss-of-function mutations affecting the actin regulator DOCK11 were shown to cause a previously unknown inborn error of hematopoiesis and immunity characterized by severe immune dysregulation and systemic inflammation, recurrent infections, and anemia. (Funded by the European Research Council and others.). |
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MeSH term(s) | Animals ; Humans ; Mice ; Actins/genetics ; Actins/metabolism ; Anemia/etiology ; Anemia/genetics ; Disease Models, Animal ; Guanine Nucleotide Exchange Factors/deficiency ; Guanine Nucleotide Exchange Factors/genetics ; Hematopoiesis ; Inflammation/etiology ; Inflammation/genetics ; Zebrafish/genetics ; Zebrafish/metabolism |
Chemical Substances | Actins ; CDC42 protein, human (EC 3.6.5.2) ; Cdc42 protein, mouse ; Guanine Nucleotide Exchange Factors |
Language | English |
Publishing date | 2023-06-21 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 207154-x |
ISSN | 1533-4406 ; 0028-4793 |
ISSN (online) | 1533-4406 |
ISSN | 0028-4793 |
DOI | 10.1056/NEJMoa2210054 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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