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A loss-of-function IFNAR1 allele in Polynesia underlies severe viral diseases in homozygotes.

Paul Bastard | Kuang-Chih Hsiao | Qian Zhang | Jeremy Choin | Emma Best | Jie Chen | Adrian Gervais | Lucy Bizien | Marie Materna | Christine Harmant | Maguelonne Roux | Nicola L Hawley | Daniel E Weeks | Stephen T McGarvey | Karla Sandoval | Carmina Barberena-Jonas | Consuelo D Quinto-Cortés | Erika Hagelberg | Alexander J Mentzer | Kathryn Robson | Boubacar Coulibaly | Yoann Seeleuthner | Benedetta Bigio | Zhi Li | Gilles Uzé | Sandra Pellegrini | Lazaro Lorenzo | Zineb Sbihi | Sylvain Latour | Marianne Besnard | Tiphaine Adam de Beaumais | Evelyne Jacqz Aigrain | Vivien Béziat | Ranjan Deka | Litara Esera Tulifau | Satupa'itea Viali | Muagututi'a Sefuiva Reupena | Take Naseri | Peter McNaughton | Vanessa Sarkozy | Jane Peake | Annaliesse Blincoe | Sarah Primhak | Simon Stables | Kate Gibson | See-Tarn Woon | Kylie Marie Drake | Adrian V S Hill | Cheng-Yee Chan | Richard King | Rohan Ameratunga | Iotefa Teiti | Maite Aubry | Van-Mai Cao-Lormeau | Stuart G Tangye | Shen-Ying Zhang | Emmanuelle Jouanguy | Paul Gray | Laurent Abel | Andrés Moreno-Estrada | Ryan L Minster | Lluis Quintana-Murci | Andrew C Wood | Jean-Laurent Casanova
The Journal of experimental medicine | 2022

Globally, autosomal recessive IFNAR1 deficiency is a rare inborn error of immunity underlying susceptibility to live attenuated vaccine and wild-type viruses. We report seven children from five unrelated kindreds of western Polynesian ancestry who suffered from severe viral diseases. All the patients are homozygous for the same nonsense IFNAR1 variant (p.Glu386*). This allele encodes a truncated protein that is absent from the cell surface and is loss-of-function. The fibroblasts of the patients do not respond to type I IFNs (IFN-α2, IFN-ω, or IFN-β). Remarkably, this IFNAR1 variant has a minor allele frequency >1% in Samoa and is also observed in the Cook, Society, Marquesas, and Austral islands, as well as Fiji, whereas it is extremely rare or absent in the other populations tested, including those of the Pacific region. Inherited IFNAR1 deficiency should be considered in individuals of Polynesian ancestry with severe viral illnesses.

Pubmed ID: 35442418 RIS Download

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Associated grants

  • Agency: NIH HHS, United States
    Id: R01AI088364
  • Agency: NHLBI NIH HHS, United States
    Id: U01 HL120393
  • Agency: NCATS NIH HHS, United States
    Id: UL1 TR001866
  • Agency: NHLBI NIH HHS, United States
    Id: HHSN268201100037C
  • Agency: NHGRI NIH HHS, United States
    Id: UM1 HG006504
  • Agency: NHLBI NIH HHS, United States
    Id: R01 HL133040
  • Agency: NHLBI NIH HHS, United States
    Id: R01 HL120393
  • Agency: NHGRI NIH HHS, United States
    Id: UM1HG006504
  • Agency: NCATS NIH HHS, United States
    Id: UL1 TR001863
  • Agency: NIH HHS, United States
    Id: S10 OD018521
  • Agency: Howard Hughes Medical Institute, United States
  • Agency: NCRR NIH HHS, United States
    Id: UL1 RR024143
  • Agency: NHLBI NIH HHS, United States
    Id: HHSN268201800001C
  • Agency: NHLBI NIH HHS, United States
    Id: HHSN268201500016C
  • Agency: NIAID NIH HHS, United States
    Id: R01 AI088364
  • Agency: NHLBI NIH HHS, United States
    Id: R01 HL093093
  • Agency: Medical Research Council, United Kingdom
    Id: MR/N028937/1
  • Agency: NHLBI NIH HHS, United States
    Id: R01 HL117626
  • Agency: NIAID NIH HHS, United States
    Id: R01 AI163029
  • Agency: NHGRI NIH HHS, United States
    Id: U24 HG008956

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