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  • Impaired intrinsic immunity...
    LAFAILLE, Fabien G; PESSACH, Itai M; ORDOVAS-MONTANES, Jose; JOUANGUY, Emmanuelle; PLANCOULAINE, Sabine; TU, Edmund; ELKABETZ, Yechiel; AL-MUHSEN, Saleh; TARDIEU, Marc; SCHLAEGER, Thorsten M; DALEY, George Q; ABEL, Laurent; ZHANG, Shen-Ying; CASANOVA, Jean-Laurent; STUDER, Lorenz; NOTARANGELO, Luigi D; CIANCANELLI, Michael J; MERMAN, Melina; ABHYANKAR, Avinash; YING, Shui-Wang; KEROS, Sotirios; GOLDSTEIN, Peter A; MOSTOSLAVSKY, Gustavo

    Nature (London), 11/2012, Letnik: 491, Številka: 7426
    Journal Article

    In the course of primary infection with herpes simplex virus 1 (HSV-1), children with inborn errors of toll-like receptor 3 (TLR3) immunity are prone to HSV-1 encephalitis (HSE). We tested the hypothesis that the pathogenesis of HSE involves non-haematopoietic CNS-resident cells. We derived induced pluripotent stem cells (iPSCs) from the dermal fibroblasts of TLR3- and UNC-93B-deficient patients and from controls. These iPSCs were differentiated into highly purified populations of neural stem cells (NSCs), neurons, astrocytes and oligodendrocytes. The induction of interferon-β (IFN-β) and/or IFN-λ1 in response to stimulation by the dsRNA analogue polyinosinic:polycytidylic acid (poly(I:C)) was dependent on TLR3 and UNC-93B in all cells tested. However, the induction of IFN-β and IFN-λ1 in response to HSV-1 infection was impaired selectively in UNC-93B-deficient neurons and oligodendrocytes. These cells were also much more susceptible to HSV-1 infection than control cells, whereas UNC-93B-deficient NSCs and astrocytes were not. TLR3-deficient neurons were also found to be susceptible to HSV-1 infection. The rescue of UNC-93B- and TLR3-deficient cells with the corresponding wild-type allele showed that the genetic defect was the cause of the poly(I:C) and HSV-1 phenotypes. The viral infection phenotype was rescued further by treatment with exogenous IFN-α or IFN-β ( IFN-α/β) but not IFN-λ1. Thus, impaired TLR3- and UNC-93B-dependent IFN-α/β intrinsic immunity to HSV-1 in the CNS, in neurons and oligodendrocytes in particular, may underlie the pathogenesis of HSE in children with TLR3-pathway deficiencies.