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Zhang SY, Clark NE, Freije CA, Pauwels E, Taggart A, Okada S, Mandel H, Garcia P, Ciancanelli MJ, Biran A, Lafaille FG, Tsumura M, Cobat A, Luo J, Volpi S, Zimmer B, Sakata S, Dinis A, Ohara O, Garcia Reino EJ, Dobbs K, Hasek M, Holloway SP, McCammon K, Hussong SA, DeRosa N, Van Skike CE, Katolik A, Lorenzo L, Hyodo M, Faria E, Halwani R, Fukuhara R, Smith GA, Galvan V, Damha MJ, Al-Muhsen S, Itan Y, Boeke JD, Notarangelo LD, Studer L, Kobayashi M, Diogo L, Fairbrother W, Abel L, Rosenberg B, Hart J, Etzioni A, Casanova JL. Inborn Errors of RNA Lariat Metabolism in Humans with Brainstem Viral Infection. Cell 2018; 172:952-965.e18. [PMID: 29474921 PMCID: PMC5886375 DOI: 10.1016/j.cell.2018.02.019] [Citation(s) in RCA: 86] [Impact Index Per Article: 14.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2017] [Revised: 12/03/2017] [Accepted: 02/07/2018] [Indexed: 01/05/2023]
Abstract
Viruses that are typically benign sometimes invade the brainstem in otherwise healthy children. We report bi-allelic DBR1 mutations in unrelated patients from different ethnicities, each of whom had brainstem infection due to herpes simplex virus 1 (HSV1), influenza virus, or norovirus. DBR1 encodes the only known RNA lariat debranching enzyme. We show that DBR1 expression is ubiquitous, but strongest in the spinal cord and brainstem. We also show that all DBR1 mutant alleles are severely hypomorphic, in terms of expression and function. The fibroblasts of DBR1-mutated patients contain higher RNA lariat levels than control cells, this difference becoming even more marked during HSV1 infection. Finally, we show that the patients' fibroblasts are highly susceptible to HSV1. RNA lariat accumulation and viral susceptibility are rescued by wild-type DBR1. Autosomal recessive, partial DBR1 deficiency underlies viral infection of the brainstem in humans through the disruption of tissue-specific and cell-intrinsic immunity to viruses.
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Affiliation(s)
- Shen-Ying Zhang
- St. Giles Laboratory of Human Genetics of Infectious Diseases,
Rockefeller Branch, The Rockefeller University, New York, NY 10065, USA,Laboratory of Human Genetics of Infectious Diseases, Necker Branch,
INSERM U1163, Paris 75015, France,Paris Descartes University, Imagine Institute, Paris 75015,
France
| | - Nathaniel E. Clark
- Department of Biochemistry and Structural Biology, University of
Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA
| | - Catherine A. Freije
- Program in Immunogenomics, The Rockefeller University, New York, NY
10065, USA
| | - Elodie Pauwels
- St. Giles Laboratory of Human Genetics of Infectious Diseases,
Rockefeller Branch, The Rockefeller University, New York, NY 10065, USA
| | - Allison Taggart
- Center for Computational Molecular Biology, Brown University,
Providence, RI 02912, USA
| | - Satoshi Okada
- Department of Pediatrics, Hiroshima University Graduate School of
Biomedical & Health Sciences, Hiroshima 734-8553, Japan
| | - Hanna Mandel
- Metabolic Unit, Ruth Children’s Hospital, Haifa 31096,
Israel,Rappaport Faculty of Medicine, Haifa 31096, Israel
| | - Paula Garcia
- Pediatric Hospital of Coimbra, Coimbra 3000-075, Portugal
| | - Michael J. Ciancanelli
- St. Giles Laboratory of Human Genetics of Infectious Diseases,
Rockefeller Branch, The Rockefeller University, New York, NY 10065, USA
| | - Anat Biran
- St. Giles Laboratory of Human Genetics of Infectious Diseases,
Rockefeller Branch, The Rockefeller University, New York, NY 10065, USA
| | - Fabien G. Lafaille
- St. Giles Laboratory of Human Genetics of Infectious Diseases,
Rockefeller Branch, The Rockefeller University, New York, NY 10065, USA
| | - Miyuki Tsumura
- Center for Computational Molecular Biology, Brown University,
Providence, RI 02912, USA
| | - Aurélie Cobat
- Laboratory of Human Genetics of Infectious Diseases, Necker Branch,
INSERM U1163, Paris 75015, France,Paris Descartes University, Imagine Institute, Paris 75015,
France
| | - Jingchuan Luo
- Department of Molecular Biology & Genetics, JHU School of
Medicine, Baltimore, MD 21205, USA,Institute for Systems Genetics, New York University Langone Medical
Center, New York 10016, NY, USA
| | - Stefano Volpi
- Department of Pediatrics, Giannina Gaslini Institute, Genoa 16100,
Italy
| | - Bastian Zimmer
- The Center for Stem Cell Biology, Sloan-Kettering Institute for
Cancer Research, New York, NY 10065, USA
| | - Sonoko Sakata
- Department of Pediatrics, Hiroshima University Graduate School of
Biomedical & Health Sciences, Hiroshima 734-8553, Japan
| | - Alexandra Dinis
- Pediatric Intensive Care Unit, Hospital Pediátrico, Centro
Hospitalar e Universitário de Coimbra 3000-075, Portugal
| | - Osamu Ohara
- Department of Technology Development, Kazusa DNA Research
Institute, Chiba 292-0818, Japan,Laboratory for Integrative Genomics, RIKEN Center for Integrative
Medical Sciences, Yokohama 230-0045, Japan
| | - Eduardo J. Garcia Reino
- St. Giles Laboratory of Human Genetics of Infectious Diseases,
Rockefeller Branch, The Rockefeller University, New York, NY 10065, USA
| | - Kerry Dobbs
- Laboratory of Clinical Immunology and Microbiology, National
Institute of Allergy and Infectious Diseases, NIH, Bethesda, MD 20892-1456,
USA
| | - Mary Hasek
- St. Giles Laboratory of Human Genetics of Infectious Diseases,
Rockefeller Branch, The Rockefeller University, New York, NY 10065, USA
| | - Stephen P. Holloway
- Department of Biochemistry and Structural Biology, University of
Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA
| | - Karen McCammon
- Department of Biochemistry and Structural Biology, University of
Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA
| | - Stacy A. Hussong
- Department of Cellular and Integrative Physiology and The Barshop
Institute for Longevity and Aging Studies, University of Texas Health Science Center
at San Antonio, TX 78229, USA
| | - Nicholas DeRosa
- Department of Cellular and Integrative Physiology and The Barshop
Institute for Longevity and Aging Studies, University of Texas Health Science Center
at San Antonio, TX 78229, USA
| | - Candice E. Van Skike
- Department of Cellular and Integrative Physiology and The Barshop
Institute for Longevity and Aging Studies, University of Texas Health Science Center
at San Antonio, TX 78229, USA
| | - Adam Katolik
- Department of Chemistry, McGill University, Montréal
H3A0G4, Canada
| | - Lazaro Lorenzo
- Laboratory of Human Genetics of Infectious Diseases, Necker Branch,
INSERM U1163, Paris 75015, France,Paris Descartes University, Imagine Institute, Paris 75015,
France
| | - Maki Hyodo
- Department of Obstetrics and Gynecology, Hiroshima University
Graduate School of Biomedical & Health Sciences, Hiroshima 734-8553, Japan
| | - Emilia Faria
- Immuno-Allergy Department, Hospital and University of Coimbra,
3000-075 Portugal
| | - Rabih Halwani
- Immunology Research Laboratory, Department of Pediatrics, College
of Medicine, King Saud University, Riyadh 11461, Saudi Arabia
| | - Rie Fukuhara
- Department of Neonatology, Hiroshima Prefectural Hospital,
Hiroshima 734-8551, Japan
| | - Gregory A. Smith
- Department of Microbiology-Immunology, Northwestern University
Feinberg School of Medicine, Chicago, IL 60611, USA
| | - Veronica Galvan
- Department of Cellular and Integrative Physiology and The Barshop
Institute for Longevity and Aging Studies, University of Texas Health Science Center
at San Antonio, TX 78229, USA
| | - Masad J. Damha
- Department of Chemistry, McGill University, Montréal
H3A0G4, Canada
| | - Saleh Al-Muhsen
- Immunology Research Laboratory, Department of Pediatrics, College
of Medicine, King Saud University, Riyadh 11461, Saudi Arabia
| | - Yuval Itan
- St. Giles Laboratory of Human Genetics of Infectious Diseases,
Rockefeller Branch, The Rockefeller University, New York, NY 10065, USA,The Charles Bronfman Institute for Personalized Medicine, Icahn
School of Medicine at Mount Sinai, New York, NY 10029, USA,Department of Genetics and Genomics, Icahn School of Medicine at
Mount Sinai, New York, NY 10029, USA
| | - Jef D. Boeke
- Department of Molecular Biology & Genetics, JHU School of
Medicine, Baltimore, MD 21205, USA
| | - Luigi D. Notarangelo
- Laboratory of Clinical Immunology and Microbiology, National
Institute of Allergy and Infectious Diseases, NIH, Bethesda, MD 20892-1456,
USA
| | - Lorenz Studer
- The Center for Stem Cell Biology, Sloan-Kettering Institute for
Cancer Research, New York, NY 10065, USA
| | - Masao Kobayashi
- Department of Pediatrics, Hiroshima University Graduate School of
Biomedical & Health Sciences, Hiroshima 734-8553, Japan
| | - Luisa Diogo
- Pediatric Hospital of Coimbra, Coimbra 3000-075, Portugal
| | - William Fairbrother
- Center for Computational Molecular Biology, Brown University,
Providence, RI 02912, USA,Hassenfeld Child Health Innovation Institute, Brown University,
Providence, RI 02912, USA
| | - Laurent Abel
- St. Giles Laboratory of Human Genetics of Infectious Diseases,
Rockefeller Branch, The Rockefeller University, New York, NY 10065, USA,Laboratory of Human Genetics of Infectious Diseases, Necker Branch,
INSERM U1163, Paris 75015, France,Paris Descartes University, Imagine Institute, Paris 75015,
France
| | - Brad Rosenberg
- Program in Immunogenomics, The Rockefeller University, New York, NY
10065, USA,Department of Microbiology, Icahn School of Medicine at Mount
Sinai, New York, NY 10029, USA
| | - John Hart
- Department of Biochemistry and Structural Biology, University of
Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA,X-ray Crystallography Core Laboratory, University of Texas Health
Science Center at San Antonio, San Antonio, TX 78229, USA,Department of Veterans Affairs, South Texas Veterans Health Care
System, San Antonio, TX 78229, USA
| | - Amos Etzioni
- Metabolic Unit, Ruth Children’s Hospital, Haifa 31096,
Israel,Rappaport Faculty of Medicine, Haifa 31096, Israel
| | - Jean-Laurent Casanova
- St. Giles Laboratory of Human Genetics of Infectious Diseases,
Rockefeller Branch, The Rockefeller University, New York, NY 10065, USA,Laboratory of Human Genetics of Infectious Diseases, Necker Branch,
INSERM U1163, Paris 75015, France,Paris Descartes University, Imagine Institute, Paris 75015,
France,Howard Hughes Medical Institute, New York, NY 10065, USA,Pediatric Immunology-Hematology Unit, Necker Hospital for Sick
Children, Paris 75015, France
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