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Morgan NV, Goddard S, Cardno TS, McDonald D, Rahman F, Barge D, Ciupek A, Straatman-Iwanowska A, Pasha S, Guckian M, Anderson G, Huissoon A, Cant A, Tate WP, Hambleton S, Maher ER. Mutation in the TCRα subunit constant gene (TRAC) leads to a human immunodeficiency disorder characterized by a lack of TCRαβ+ T cells. J Clin Invest 2011; 121:695-702. [PMID: 21206088 PMCID: PMC3026716 DOI: 10.1172/jci41931] [Citation(s) in RCA: 61] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2009] [Accepted: 11/03/2010] [Indexed: 11/17/2022] Open
Abstract
Inherited immunodeficiency disorders can be caused by mutations in any one of a large number of genes involved in the function of immune cells. Here, we describe two families with an autosomal recessive inherited immunodeficiency disorder characterized by increased susceptibility to infection and autoimmunity. Genetic linkage studies mapped the disorder to chromosomal region 14q11.2, and a homozygous guanine-to-adenine substitution was identified at the last base of exon 3 immediately following the translational termination codon in the TCRα subunit constant gene (TRAC). RT-PCR analysis in the two affected individuals revealed impaired splicing of the mRNA, as exon 3 was lost from the TRAC transcript. The mutant TCRα chain protein was predicted to lack part of the connecting peptide domain and all of the transmembrane and cytoplasmic domains, which have a critical role in the regulation of the assembly and/or intracellular transport of TCR complexes. We found that T cells from affected individuals were profoundly impaired for surface expression of the TCRαβ complex. We believe this to be the first report of a disease-causing human TRAC mutation. Although the absence of TCRαβ+ T cells in the affected individuals was associated with immune dysregulation and autoimmunity, they had a surprising level of protection against infection.
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Affiliation(s)
- Neil V. Morgan
- Wellchild Paediatric Research Centre, Department of Medical and Molecular Genetics and Centre for Rare Diseases and Personalised Medicine, University of Birmingham School of Medicine, Birmingham, United Kingdom.
Regional Department of Immunology, Heartlands Hospital, Birmingham, United Kingdom.
Department of Biochemistry, University of Otago, Dunedin, New Zealand.
Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
Regional Immunology Laboratory, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom.
MRC Centre for Immune Regulation, The Medical School, University of Birmingham, Birmingham, United Kingdom.
Paediatric Immunology and Infectious Diseases Service, Great North Children’s Hospital, Newcastle upon Tyne, United Kingdom.
West Midlands Regional Genetics Service, Birmingham Women’s Hospital, Birmingham, United Kingdom
| | - Sarah Goddard
- Wellchild Paediatric Research Centre, Department of Medical and Molecular Genetics and Centre for Rare Diseases and Personalised Medicine, University of Birmingham School of Medicine, Birmingham, United Kingdom.
Regional Department of Immunology, Heartlands Hospital, Birmingham, United Kingdom.
Department of Biochemistry, University of Otago, Dunedin, New Zealand.
Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
Regional Immunology Laboratory, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom.
MRC Centre for Immune Regulation, The Medical School, University of Birmingham, Birmingham, United Kingdom.
Paediatric Immunology and Infectious Diseases Service, Great North Children’s Hospital, Newcastle upon Tyne, United Kingdom.
West Midlands Regional Genetics Service, Birmingham Women’s Hospital, Birmingham, United Kingdom
| | - Tony S. Cardno
- Wellchild Paediatric Research Centre, Department of Medical and Molecular Genetics and Centre for Rare Diseases and Personalised Medicine, University of Birmingham School of Medicine, Birmingham, United Kingdom.
Regional Department of Immunology, Heartlands Hospital, Birmingham, United Kingdom.
Department of Biochemistry, University of Otago, Dunedin, New Zealand.
Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
Regional Immunology Laboratory, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom.
MRC Centre for Immune Regulation, The Medical School, University of Birmingham, Birmingham, United Kingdom.
Paediatric Immunology and Infectious Diseases Service, Great North Children’s Hospital, Newcastle upon Tyne, United Kingdom.
West Midlands Regional Genetics Service, Birmingham Women’s Hospital, Birmingham, United Kingdom
| | - David McDonald
- Wellchild Paediatric Research Centre, Department of Medical and Molecular Genetics and Centre for Rare Diseases and Personalised Medicine, University of Birmingham School of Medicine, Birmingham, United Kingdom.
Regional Department of Immunology, Heartlands Hospital, Birmingham, United Kingdom.
Department of Biochemistry, University of Otago, Dunedin, New Zealand.
Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
Regional Immunology Laboratory, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom.
MRC Centre for Immune Regulation, The Medical School, University of Birmingham, Birmingham, United Kingdom.
Paediatric Immunology and Infectious Diseases Service, Great North Children’s Hospital, Newcastle upon Tyne, United Kingdom.
West Midlands Regional Genetics Service, Birmingham Women’s Hospital, Birmingham, United Kingdom
| | - Fatimah Rahman
- Wellchild Paediatric Research Centre, Department of Medical and Molecular Genetics and Centre for Rare Diseases and Personalised Medicine, University of Birmingham School of Medicine, Birmingham, United Kingdom.
Regional Department of Immunology, Heartlands Hospital, Birmingham, United Kingdom.
Department of Biochemistry, University of Otago, Dunedin, New Zealand.
Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
Regional Immunology Laboratory, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom.
MRC Centre for Immune Regulation, The Medical School, University of Birmingham, Birmingham, United Kingdom.
Paediatric Immunology and Infectious Diseases Service, Great North Children’s Hospital, Newcastle upon Tyne, United Kingdom.
West Midlands Regional Genetics Service, Birmingham Women’s Hospital, Birmingham, United Kingdom
| | - Dawn Barge
- Wellchild Paediatric Research Centre, Department of Medical and Molecular Genetics and Centre for Rare Diseases and Personalised Medicine, University of Birmingham School of Medicine, Birmingham, United Kingdom.
Regional Department of Immunology, Heartlands Hospital, Birmingham, United Kingdom.
Department of Biochemistry, University of Otago, Dunedin, New Zealand.
Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
Regional Immunology Laboratory, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom.
MRC Centre for Immune Regulation, The Medical School, University of Birmingham, Birmingham, United Kingdom.
Paediatric Immunology and Infectious Diseases Service, Great North Children’s Hospital, Newcastle upon Tyne, United Kingdom.
West Midlands Regional Genetics Service, Birmingham Women’s Hospital, Birmingham, United Kingdom
| | - Andrew Ciupek
- Wellchild Paediatric Research Centre, Department of Medical and Molecular Genetics and Centre for Rare Diseases and Personalised Medicine, University of Birmingham School of Medicine, Birmingham, United Kingdom.
Regional Department of Immunology, Heartlands Hospital, Birmingham, United Kingdom.
Department of Biochemistry, University of Otago, Dunedin, New Zealand.
Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
Regional Immunology Laboratory, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom.
MRC Centre for Immune Regulation, The Medical School, University of Birmingham, Birmingham, United Kingdom.
Paediatric Immunology and Infectious Diseases Service, Great North Children’s Hospital, Newcastle upon Tyne, United Kingdom.
West Midlands Regional Genetics Service, Birmingham Women’s Hospital, Birmingham, United Kingdom
| | - Anna Straatman-Iwanowska
- Wellchild Paediatric Research Centre, Department of Medical and Molecular Genetics and Centre for Rare Diseases and Personalised Medicine, University of Birmingham School of Medicine, Birmingham, United Kingdom.
Regional Department of Immunology, Heartlands Hospital, Birmingham, United Kingdom.
Department of Biochemistry, University of Otago, Dunedin, New Zealand.
Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
Regional Immunology Laboratory, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom.
MRC Centre for Immune Regulation, The Medical School, University of Birmingham, Birmingham, United Kingdom.
Paediatric Immunology and Infectious Diseases Service, Great North Children’s Hospital, Newcastle upon Tyne, United Kingdom.
West Midlands Regional Genetics Service, Birmingham Women’s Hospital, Birmingham, United Kingdom
| | - Shanaz Pasha
- Wellchild Paediatric Research Centre, Department of Medical and Molecular Genetics and Centre for Rare Diseases and Personalised Medicine, University of Birmingham School of Medicine, Birmingham, United Kingdom.
Regional Department of Immunology, Heartlands Hospital, Birmingham, United Kingdom.
Department of Biochemistry, University of Otago, Dunedin, New Zealand.
Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
Regional Immunology Laboratory, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom.
MRC Centre for Immune Regulation, The Medical School, University of Birmingham, Birmingham, United Kingdom.
Paediatric Immunology and Infectious Diseases Service, Great North Children’s Hospital, Newcastle upon Tyne, United Kingdom.
West Midlands Regional Genetics Service, Birmingham Women’s Hospital, Birmingham, United Kingdom
| | - Mary Guckian
- Wellchild Paediatric Research Centre, Department of Medical and Molecular Genetics and Centre for Rare Diseases and Personalised Medicine, University of Birmingham School of Medicine, Birmingham, United Kingdom.
Regional Department of Immunology, Heartlands Hospital, Birmingham, United Kingdom.
Department of Biochemistry, University of Otago, Dunedin, New Zealand.
Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
Regional Immunology Laboratory, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom.
MRC Centre for Immune Regulation, The Medical School, University of Birmingham, Birmingham, United Kingdom.
Paediatric Immunology and Infectious Diseases Service, Great North Children’s Hospital, Newcastle upon Tyne, United Kingdom.
West Midlands Regional Genetics Service, Birmingham Women’s Hospital, Birmingham, United Kingdom
| | - Graham Anderson
- Wellchild Paediatric Research Centre, Department of Medical and Molecular Genetics and Centre for Rare Diseases and Personalised Medicine, University of Birmingham School of Medicine, Birmingham, United Kingdom.
Regional Department of Immunology, Heartlands Hospital, Birmingham, United Kingdom.
Department of Biochemistry, University of Otago, Dunedin, New Zealand.
Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
Regional Immunology Laboratory, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom.
MRC Centre for Immune Regulation, The Medical School, University of Birmingham, Birmingham, United Kingdom.
Paediatric Immunology and Infectious Diseases Service, Great North Children’s Hospital, Newcastle upon Tyne, United Kingdom.
West Midlands Regional Genetics Service, Birmingham Women’s Hospital, Birmingham, United Kingdom
| | - Aarnoud Huissoon
- Wellchild Paediatric Research Centre, Department of Medical and Molecular Genetics and Centre for Rare Diseases and Personalised Medicine, University of Birmingham School of Medicine, Birmingham, United Kingdom.
Regional Department of Immunology, Heartlands Hospital, Birmingham, United Kingdom.
Department of Biochemistry, University of Otago, Dunedin, New Zealand.
Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
Regional Immunology Laboratory, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom.
MRC Centre for Immune Regulation, The Medical School, University of Birmingham, Birmingham, United Kingdom.
Paediatric Immunology and Infectious Diseases Service, Great North Children’s Hospital, Newcastle upon Tyne, United Kingdom.
West Midlands Regional Genetics Service, Birmingham Women’s Hospital, Birmingham, United Kingdom
| | - Andrew Cant
- Wellchild Paediatric Research Centre, Department of Medical and Molecular Genetics and Centre for Rare Diseases and Personalised Medicine, University of Birmingham School of Medicine, Birmingham, United Kingdom.
Regional Department of Immunology, Heartlands Hospital, Birmingham, United Kingdom.
Department of Biochemistry, University of Otago, Dunedin, New Zealand.
Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
Regional Immunology Laboratory, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom.
MRC Centre for Immune Regulation, The Medical School, University of Birmingham, Birmingham, United Kingdom.
Paediatric Immunology and Infectious Diseases Service, Great North Children’s Hospital, Newcastle upon Tyne, United Kingdom.
West Midlands Regional Genetics Service, Birmingham Women’s Hospital, Birmingham, United Kingdom
| | - Warren P. Tate
- Wellchild Paediatric Research Centre, Department of Medical and Molecular Genetics and Centre for Rare Diseases and Personalised Medicine, University of Birmingham School of Medicine, Birmingham, United Kingdom.
Regional Department of Immunology, Heartlands Hospital, Birmingham, United Kingdom.
Department of Biochemistry, University of Otago, Dunedin, New Zealand.
Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
Regional Immunology Laboratory, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom.
MRC Centre for Immune Regulation, The Medical School, University of Birmingham, Birmingham, United Kingdom.
Paediatric Immunology and Infectious Diseases Service, Great North Children’s Hospital, Newcastle upon Tyne, United Kingdom.
West Midlands Regional Genetics Service, Birmingham Women’s Hospital, Birmingham, United Kingdom
| | - Sophie Hambleton
- Wellchild Paediatric Research Centre, Department of Medical and Molecular Genetics and Centre for Rare Diseases and Personalised Medicine, University of Birmingham School of Medicine, Birmingham, United Kingdom.
Regional Department of Immunology, Heartlands Hospital, Birmingham, United Kingdom.
Department of Biochemistry, University of Otago, Dunedin, New Zealand.
Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
Regional Immunology Laboratory, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom.
MRC Centre for Immune Regulation, The Medical School, University of Birmingham, Birmingham, United Kingdom.
Paediatric Immunology and Infectious Diseases Service, Great North Children’s Hospital, Newcastle upon Tyne, United Kingdom.
West Midlands Regional Genetics Service, Birmingham Women’s Hospital, Birmingham, United Kingdom
| | - Eamonn R. Maher
- Wellchild Paediatric Research Centre, Department of Medical and Molecular Genetics and Centre for Rare Diseases and Personalised Medicine, University of Birmingham School of Medicine, Birmingham, United Kingdom.
Regional Department of Immunology, Heartlands Hospital, Birmingham, United Kingdom.
Department of Biochemistry, University of Otago, Dunedin, New Zealand.
Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
Regional Immunology Laboratory, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom.
MRC Centre for Immune Regulation, The Medical School, University of Birmingham, Birmingham, United Kingdom.
Paediatric Immunology and Infectious Diseases Service, Great North Children’s Hospital, Newcastle upon Tyne, United Kingdom.
West Midlands Regional Genetics Service, Birmingham Women’s Hospital, Birmingham, United Kingdom
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