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Parajuli P, Craig DB, Gadgeel M, Bagla S, Wright RE, Chu R, Shanti CM, Thirunagari R, Grover SK, Ravindranath Y. Defective monocyte plasticity and altered cAMP pathway characterize USB1-mutated poikiloderma with neutropenia Clericuzio type. Br J Haematol 2024; 204:683-693. [PMID: 37779259 DOI: 10.1111/bjh.19128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Revised: 08/22/2023] [Accepted: 09/15/2023] [Indexed: 10/03/2023]
Abstract
Poikiloderma with neutropenia (PN) Clericuzio type (OMIM #604173) is a rare disease with areas of skin hyper- and hypopigmentation caused by biallelic USB1 variants. The current study was spurred by poor healing of a perianal tear wound in one affected child homozygous for c.266-1G>A (p.E90Sfster8) mutation, from a family reported previously. Treatment with G-CSF/CSF3 or GM-CSF/CSF2 transiently increased neutrophil/monocytes count with no effect on wound healing. Analysis of peripheral blood revealed a lack of non-classical (CD14+/- CD16+ ) monocytes, associated with a systemic inflammatory cytokine profile, in the two affected brothers. Importantly, despite normal expression of cognate receptors, monocytes from PN patients did not respond to M-CSF or IL-34 in vitro, as determined by cytokine secretion or CD16 expression. RNAseq of monocytes showed 293 differentially expressed genes, including significant downregulation of GATA2, AKAP6 and PDE4DIP that are associated with leucocyte differentiation and cyclic adenosine monophosphate (cAMP) signalling. Notably, the plasma cAMP was significantly low in the PN patients. Our study revealed a novel association of PN with a lack of non-classical monocyte population. The defects in monocyte plasticity may contribute to disease manifestations in PN and a defective cAMP signalling may be the primary effect of the splicing errors caused by USB1 mutation.
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Affiliation(s)
- Prahlad Parajuli
- Department of Pharmaceutical and Health Sciences, Eugene Applebaum College of Pharmacy, Wayne State University, Detroit, Michigan, USA
- Barbara Ann Karmanos Cancer Institute, Michigan, Detroit, USA
| | - Douglas B Craig
- Barbara Ann Karmanos Cancer Institute, Michigan, Detroit, USA
- Department of Pediatrics, Wayne State University School of Medicine, Detroit, Michigan, USA
| | - Manisha Gadgeel
- Children's Hospital of Michigan, Detroit Medical Center, Detroit, Michigan, USA
- Central Michigan University, Mt. Pleasant, Michigan, USA
| | - Shruti Bagla
- Department of Pediatrics, Wayne State University School of Medicine, Detroit, Michigan, USA
| | - Robert E Wright
- Department of Pharmaceutical and Health Sciences, Eugene Applebaum College of Pharmacy, Wayne State University, Detroit, Michigan, USA
| | - Roland Chu
- Children's Hospital of Michigan, Detroit Medical Center, Detroit, Michigan, USA
- Central Michigan University, Mt. Pleasant, Michigan, USA
| | - Christina M Shanti
- Children's Hospital of Michigan, Detroit Medical Center, Detroit, Michigan, USA
| | - Rajeev Thirunagari
- Children's Hospital of Michigan, Detroit Medical Center, Detroit, Michigan, USA
| | - Sudershan K Grover
- Children's Hospital of Michigan, Detroit Medical Center, Detroit, Michigan, USA
| | - Yaddanapudi Ravindranath
- Barbara Ann Karmanos Cancer Institute, Michigan, Detroit, USA
- Department of Pediatrics, Wayne State University School of Medicine, Detroit, Michigan, USA
- Children's Hospital of Michigan, Detroit Medical Center, Detroit, Michigan, USA
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Akdogan N, Kindis E, Bostan E, Utine E, Alikasifoglu M, Ersoy-Evans S. Poikiloderma with Neutropenia, Clericuzio-Type Accompanied by Loss of Digits Due to Severe Osteomyelitis. J Clin Immunol 2020; 40:934-939. [PMID: 32620997 DOI: 10.1007/s10875-020-00815-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2020] [Accepted: 06/25/2020] [Indexed: 10/23/2022]
Abstract
Poikiloderma with neutropenia (PN), Clericuzio-type is a rare autosomal recessively transmitted genodermatosis caused by biallelic mutations in the USB1 gene and is characterized by early-onset poikiloderma and chronic neutropenia. Nail dystrophy, palmoplantar hyperkeratosis, hypogonadotropic hypogonadism, and recurrent infections can be associated with the disease. Herein, we present a 27-year-old Turkish male patient newly diagnosed as PN, Clericuzio-type after confirmation of a c.531delA (p.His179MetfsX86) homozygous deleterious mutation in exon 5 of the USB1 gene. The presented case highlights the importance of genetic testing for avoiding misdiagnosis based solely on clinical findings, as well as the benefit of a multi-disciplinary diagnostic approach, as he was initially misdiagnosed as Rothmund-Thompson syndrome and subsequently diagnosed as PN, Clericuzio-type at age 27 years.
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Affiliation(s)
- Neslihan Akdogan
- School of Medicine, Department of Dermatology and Venereology, Hacettepe University, Ankara, Turkey
| | - Erdem Kindis
- School of Medicine, Department of Pediatric Genetics, Hacettepe University, Ankara, Turkey
| | - Ecem Bostan
- School of Medicine, Department of Dermatology and Venereology, Hacettepe University, Ankara, Turkey
| | - Eda Utine
- School of Medicine, Department of Pediatric Genetics, Hacettepe University, Ankara, Turkey
| | - Mehmet Alikasifoglu
- School of Medicine, Department of Medical Genetics, Hacettepe University, Ankara, Turkey
| | - Sibel Ersoy-Evans
- School of Medicine, Department of Dermatology and Venereology, Hacettepe University, Ankara, Turkey.
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