HEM1 deficiency disrupts mTORC2 and F-actin control in inherited immunodysregulatory disease

The WAVE regulatory complex (WRC) is a multiunit complex that regulates actin cytoskeleton formation. Although other actin-regulatory proteins modulate human immune responses, the precise role for the WRC has not yet been established. Cook et al. studied five patients from four unrelated families wh...

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Published inScience (American Association for the Advancement of Science) Vol. 369; no. 6500; pp. 202 - 207
Main Authors Cook, Sarah A., Comrie, William A., Poli, M. Cecilia, Similuk, Morgan, Oler, Andrew J., Faruqi, Aiman J., Kuhns, Douglas B., Yang, Sheng, Vargas-Hernández, Alexander, Carisey, Alexandre F., Fournier, Benjamin, Anderson, D. Eric, Price, Susan, Smelkinson, Margery, Abou Chahla, Wadih, Forbes, Lisa R., Mace, Emily M., Cao, Tram N., Coban-Akdemir, Zeynep H., Jhangiani, Shalini N., Muzny, Donna M., Gibbs, Richard A., Lupski, James R., Orange, Jordan S., Cuvelier, Geoffrey D. E., Al Hassani, Moza, Al Kaabi, Nawal, Al Yafei, Zain, Jyonouchi, Soma, Raje, Nikita, Caldwell, Jason W., Huang, Yanping, Burkhardt, Janis K., Latour, Sylvain, Chen, Baoyu, ElGhazali, Gehad, Rao, V. Koneti, Chinn, Ivan K., Lenardo, Michael J.
Format Journal Article
LanguageEnglish
Published United States The American Association for the Advancement of Science 10.07.2020
American Association for the Advancement of Science (AAAS)
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Abstract The WAVE regulatory complex (WRC) is a multiunit complex that regulates actin cytoskeleton formation. Although other actin-regulatory proteins modulate human immune responses, the precise role for the WRC has not yet been established. Cook et al. studied five patients from four unrelated families who harbor missense variants of the gene encoding the WRC component HEM1. These patients presented with recurrent infections and poor antibody responses, along with enhanced allergic and autoimmune disorders. HEM1 was found to be required for the regulation of cortical actin and granule release in T cells and also interacted with a key metabolic signaling complex contributing to the disease phenotype. By linking these interactions to immune function, this work suggests potential targets for future immunotherapies. Science , this issue p. 202 A study of a hereditary disease uncovers a role for HEM1 in the simultaneous regulation of F-actin and mTORC2 signaling to balance immune responses. Immunodeficiency often coincides with hyperactive immune disorders such as autoimmunity, lymphoproliferation, or atopy, but this coincidence is rarely understood on a molecular level. We describe five patients from four families with immunodeficiency coupled with atopy, lymphoproliferation, and cytokine overproduction harboring mutations in NCKAP1L , which encodes the hematopoietic-specific HEM1 protein. These mutations cause the loss of the HEM1 protein and the WAVE regulatory complex (WRC) or disrupt binding to the WRC regulator, Arf1, thereby impairing actin polymerization, synapse formation, and immune cell migration. Diminished cortical actin networks caused by WRC loss led to uncontrolled cytokine release and immune hyperresponsiveness. HEM1 loss also blocked mechanistic target of rapamycin complex 2 (mTORC2)–dependent AKT phosphorylation, T cell proliferation, and selected effector functions, leading to immunodeficiency. Thus, the evolutionarily conserved HEM1 protein simultaneously regulates filamentous actin (F-actin) and mTORC2 signaling to achieve equipoise in immune responses.
AbstractList An inherited disorder makes WAVEsThe WAVE regulatory complex (WRC) is a multiunit complex that regulates actin cytoskeleton formation. Although other actin-regulatory proteins modulate human immune responses, the precise role for the WRC has not yet been established. Cook et al. studied five patients from four unrelated families who harbor missense variants of the gene encoding the WRC component HEM1. These patients presented with recurrent infections and poor antibody responses, along with enhanced allergic and autoimmune disorders. HEM1 was found to be required for the regulation of cortical actin and granule release in T cells and also interacted with a key metabolic signaling complex contributing to the disease phenotype. By linking these interactions to immune function, this work suggests potential targets for future immunotherapies.Science, this issue p. 202Immunodeficiency often coincides with hyperactive immune disorders such as autoimmunity, lymphoproliferation, or atopy, but this coincidence is rarely understood on a molecular level. We describe five patients from four families with immunodeficiency coupled with atopy, lymphoproliferation, and cytokine overproduction harboring mutations in NCKAP1L, which encodes the hematopoietic-specific HEM1 protein. These mutations cause the loss of the HEM1 protein and the WAVE regulatory complex (WRC) or disrupt binding to the WRC regulator, Arf1, thereby impairing actin polymerization, synapse formation, and immune cell migration. Diminished cortical actin networks caused by WRC loss led to uncontrolled cytokine release and immune hyperresponsiveness. HEM1 loss also blocked mechanistic target of rapamycin complex 2 (mTORC2)–dependent AKT phosphorylation, T cell proliferation, and selected effector functions, leading to immunodeficiency. Thus, the evolutionarily conserved HEM1 protein simultaneously regulates filamentous actin (F-actin) and mTORC2 signaling to achieve equipoise in immune responses.
Immunodeficiency often coincides with hyperactive immune disorders such as autoimmunity, lymphoproliferation, or atopy, but this is rarely understood molecularly. We describe four families with immunodeficiency coupled with atopy, lymphoproliferation, and cytokine overproduction with mutations in NCKAP1L , encoding the hematopoietic-specific HEM1 protein. These mutations cause loss of the HEM1 protein and the WAVE regulatory complex (WRC) or disrupt binding to the WRC regulator, Arf1, thereby impairing actin polymerization, synapse formation, and immune cell migration. Diminished cortical actin networks caused by WRC loss led to uncontrolled cytokine release and immune hyperresponsiveness. HEM1 loss also blocked mTORC2-dependent AKT phosphorylation, T cell proliferation, and selected effector functions causing immunodeficiency. Thus, the evolutionarily conserved HEM1 protein simultaneously regulates F-actin and mTORC2 signaling to achieve equipoise in immune responses. A novel inborn immunodysregulatory disease reveals a role for HEM1 in independent regulation of F-actin and mTORC2 signaling.
Immunodeficiency often coincides with hyperactive immune disorders such as autoimmunity, lymphoproliferation, or atopy, but this coincidence is rarely understood on a molecular level. We describe five patients from four families with immunodeficiency coupled with atopy, lymphoproliferation, and cytokine overproduction harboring mutations in NCKAP1L, which encodes the hematopoietic-specific HEM1 protein. These mutations cause the loss of the HEM1 protein and the WAVE regulatory complex (WRC) or disrupt binding to the WRC regulator, Arf1, thereby impairing actin polymerization, synapse formation, and immune cell migration. Diminished cortical actin networks caused by WRC loss led to uncontrolled cytokine release and immune hyperresponsiveness. HEM1 loss also blocked mechanistic target of rapamycin complex 2 (mTORC2)-dependent AKT phosphorylation, T cell proliferation, and selected effector functions, leading to immunodeficiency. Thus, the evolutionarily conserved HEM1 protein simultaneously regulates filamentous actin (F-actin) and mTORC2 signaling to achieve equipoise in immune responses.Immunodeficiency often coincides with hyperactive immune disorders such as autoimmunity, lymphoproliferation, or atopy, but this coincidence is rarely understood on a molecular level. We describe five patients from four families with immunodeficiency coupled with atopy, lymphoproliferation, and cytokine overproduction harboring mutations in NCKAP1L, which encodes the hematopoietic-specific HEM1 protein. These mutations cause the loss of the HEM1 protein and the WAVE regulatory complex (WRC) or disrupt binding to the WRC regulator, Arf1, thereby impairing actin polymerization, synapse formation, and immune cell migration. Diminished cortical actin networks caused by WRC loss led to uncontrolled cytokine release and immune hyperresponsiveness. HEM1 loss also blocked mechanistic target of rapamycin complex 2 (mTORC2)-dependent AKT phosphorylation, T cell proliferation, and selected effector functions, leading to immunodeficiency. Thus, the evolutionarily conserved HEM1 protein simultaneously regulates filamentous actin (F-actin) and mTORC2 signaling to achieve equipoise in immune responses.
The WAVE regulatory complex (WRC) is a multiunit complex that regulates actin cytoskeleton formation. Although other actin-regulatory proteins modulate human immune responses, the precise role for the WRC has not yet been established. Cook et al. studied five patients from four unrelated families who harbor missense variants of the gene encoding the WRC component HEM1. These patients presented with recurrent infections and poor antibody responses, along with enhanced allergic and autoimmune disorders. HEM1 was found to be required for the regulation of cortical actin and granule release in T cells and also interacted with a key metabolic signaling complex contributing to the disease phenotype. By linking these interactions to immune function, this work suggests potential targets for future immunotherapies. Science , this issue p. 202 A study of a hereditary disease uncovers a role for HEM1 in the simultaneous regulation of F-actin and mTORC2 signaling to balance immune responses. Immunodeficiency often coincides with hyperactive immune disorders such as autoimmunity, lymphoproliferation, or atopy, but this coincidence is rarely understood on a molecular level. We describe five patients from four families with immunodeficiency coupled with atopy, lymphoproliferation, and cytokine overproduction harboring mutations in NCKAP1L , which encodes the hematopoietic-specific HEM1 protein. These mutations cause the loss of the HEM1 protein and the WAVE regulatory complex (WRC) or disrupt binding to the WRC regulator, Arf1, thereby impairing actin polymerization, synapse formation, and immune cell migration. Diminished cortical actin networks caused by WRC loss led to uncontrolled cytokine release and immune hyperresponsiveness. HEM1 loss also blocked mechanistic target of rapamycin complex 2 (mTORC2)–dependent AKT phosphorylation, T cell proliferation, and selected effector functions, leading to immunodeficiency. Thus, the evolutionarily conserved HEM1 protein simultaneously regulates filamentous actin (F-actin) and mTORC2 signaling to achieve equipoise in immune responses.
Immunodeficiency often coincides with hyperactive immune disorders such as autoimmunity, lymphoproliferation, or atopy, but this coincidence is rarely understood on a molecular level. We describe five patients from four families with immunodeficiency coupled with atopy, lymphoproliferation, and cytokine overproduction harboring mutations in , which encodes the hematopoietic-specific HEM1 protein. These mutations cause the loss of the HEM1 protein and the WAVE regulatory complex (WRC) or disrupt binding to the WRC regulator, Arf1, thereby impairing actin polymerization, synapse formation, and immune cell migration. Diminished cortical actin networks caused by WRC loss led to uncontrolled cytokine release and immune hyperresponsiveness. HEM1 loss also blocked mechanistic target of rapamycin complex 2 (mTORC2)-dependent AKT phosphorylation, T cell proliferation, and selected effector functions, leading to immunodeficiency. Thus, the evolutionarily conserved HEM1 protein simultaneously regulates filamentous actin (F-actin) and mTORC2 signaling to achieve equipoise in immune responses.
Author Al Yafei, Zain
ElGhazali, Gehad
Chen, Baoyu
Muzny, Donna M.
Huang, Yanping
Latour, Sylvain
Cuvelier, Geoffrey D. E.
Jyonouchi, Soma
Cook, Sarah A.
Similuk, Morgan
Yang, Sheng
Oler, Andrew J.
Jhangiani, Shalini N.
Lupski, James R.
Al Hassani, Moza
Caldwell, Jason W.
Chinn, Ivan K.
Al Kaabi, Nawal
Carisey, Alexandre F.
Price, Susan
Poli, M. Cecilia
Burkhardt, Janis K.
Comrie, William A.
Smelkinson, Margery
Raje, Nikita
Gibbs, Richard A.
Faruqi, Aiman J.
Kuhns, Douglas B.
Orange, Jordan S.
Anderson, D. Eric
Abou Chahla, Wadih
Coban-Akdemir, Zeynep H.
Cao, Tram N.
Vargas-Hernández, Alexander
Fournier, Benjamin
Mace, Emily M.
Forbes, Lisa R.
Lenardo, Michael J.
Rao, V. Koneti
AuthorAffiliation 1) Molecular Development of the Immune System Section, Laboratory of Immune System Biology, and Clinical Genomics Program, NIAID, National Institutes of Health, Bethesda, MD, USA
4) Program of Immunogenetics and Translational Immunology. Instituto de Ciencias e Innovación en Medicina. Facultad de Medicina Clínica Alemana-Universidad del Desarrollo, Santiago, Chile
14) Department of Pediatrics, Columbia University Irving Medical Center, New York NY
19) Sheikh Khalifa Medical City, SEHA, Abu Dhabi, United Arab Emirates
17) Human Genome Sequencing Center, Baylor College of Medicine, Houston, Texas, USA
24) Biological Imaging Section, Research Technologies Branch, NIAID, NIH, USA
3) Section of Pediatric Immunology, Allergy, and Retrovirology, Texas Children’s Hospital, Houston, TX, USA
2) Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA
18) Pediatric Hematology-Oncology-BMT, CancerCare Manitoba, University of Manitoba, Winnipeg, Canada
5) Division of Intramural Research, Natio
AuthorAffiliation_xml – name: 15) Baylor-Hopkins Center for Mendelian Genomics, Houston, TX, USA
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– name: 5) Division of Intramural Research, National Institute of Allergy and Infectious Disease, National Institutes of Health, Bethesda, MD, 20892, USA
– name: 13) Department of Pediatric Hematology, Jeanne de Flandre Hospital, CHU Lille, F-59000, France
– name: 4) Program of Immunogenetics and Translational Immunology. Instituto de Ciencias e Innovación en Medicina. Facultad de Medicina Clínica Alemana-Universidad del Desarrollo, Santiago, Chile
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– name: 21) Section of Allergy/ Asthma/ Immunology, Children’s Mercy, Kansas City, Missouri, USA; University of Missouri Kansas City, Kansas City, Missouri
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– name: 8) Roy J. Carver Department of Biochemistry, Biophysics and Molecular Biology, Iowa State University, Ames, IA, USA
– name: 10) University Paris Descartes Sorbonne Paris Cité, Institut des Maladies Génétiques-IMAGINE, Paris, France
– name: 23) Department of Pathology and Laboratory Medicine, Children’s Hospital of Philadelphia Research Institute and Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
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  surname: Lenardo
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  organization: Molecular Development of the Immune System Section, Laboratory of Immune System Biology, and Clinical Genomics Program, National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH), Bethesda, MD, USA
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PMCID: PMC8383235
These authors contributed equally.
Author contributions: W.A.C., S.A.C., and A.J.F. performed experiments related to WRC expression/function, T cell activation/function, NKL cell analysis, analyzed data, and interpreted results. S.A.C. performed experiments related to the functional validation of P359L, M371V, and V519L, patient cell microscopy, and RICTOR interaction studies. M.C.P., A.V.H., A.F.C., E.M.M., and J.S.O. directed or performed NK cell experiments, biochemical analysis of the mTORC2 complex, analyzed data, and interpreted results. D.B.K. performed neutrophil experiments and analyzed data. W.A.C. prepared immunoprecipitation-mass spectrometry (MS) samples and D.E.A. performed MS analysis and generated the list of interacting proteins. S.Y. performed in-vitro WRC reconstitution, pull-down and actin polymerization assays. M.S. acquired images and analyzed granule localization in patient cells. S.P., G.C., and V.K.R. oversaw care of Pt 1.1 and V.K.R., M.S., and A.O. performed and interpreted WES for Kindred 1. J.W.C., and N.R. oversaw care of Pts 2.1 and 2.2 and T.N.C., Z.H.C-A., S.N.J., D.M.M., R.A.G., and J.R.L. performed and interpreted WES to identify causal variants for kindred 2. M.A.H., N.A.K., Z.A.Y., S.J., and G.E. oversaw care of Pt 3.1, G.E. performed and G.E. and A.O. interpreted WES for kindred 3 to identify causal mutations. W.A.C. (2), B.F., and S.L. oversaw care of Pt 4.1 and performed and interpreted WES to identify causal mutations. Patient clinical histories were prepared by W.A.C., M.C.P., and attending physicians. J.S.O., L.R.F., J.K.B., S.L., B.C., G.E., V.K.R., I.K.C., and M.J.L. supervised various aspects of the project and project personnel. W.A.C., S.A.C., M.C.P., I.K.C., and M.J.L. interpreted results and wrote the manuscript. W.A.C. and S.A.C. took day-to-day responsibility for the study. M.J.L. coordinated the overall direction of the study. All authors read and provided appropriate feedback on the submitted manuscript.
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Snippet The WAVE regulatory complex (WRC) is a multiunit complex that regulates actin cytoskeleton formation. Although other actin-regulatory proteins modulate human...
Immunodeficiency often coincides with hyperactive immune disorders such as autoimmunity, lymphoproliferation, or atopy, but this coincidence is rarely...
An inherited disorder makes WAVEsThe WAVE regulatory complex (WRC) is a multiunit complex that regulates actin cytoskeleton formation. Although other...
Immunodeficiency often coincides with hyperactive immune disorders such as autoimmunity, lymphoproliferation, or atopy, but this is rarely understood...
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StartPage 202
SubjectTerms Actin
Actins - metabolism
ADP-Ribosylation Factor 1 - metabolism
AKT protein
Antibodies
Atopy
Autoimmune diseases
Autoimmunity
CD4-Positive T-Lymphocytes - immunology
Cell adhesion & migration
Cell migration
Cell Proliferation
Cytokines
Cytokines - biosynthesis
Cytoskeleton
Disease control
Humans
Immune response
Immune system
Immunodeficiency
Immunologic Deficiency Syndromes - genetics
Immunologic Deficiency Syndromes - immunology
Immunotherapy
Life Sciences
Lymphocytes
Lymphocytes T
Lymphoproliferative Disorders - genetics
Lymphoproliferative Disorders - immunology
Mechanistic Target of Rapamycin Complex 2 - metabolism
Membrane Proteins - genetics
Membrane Proteins - physiology
Mutation
Patients
Pedigree
Phenotypes
Phosphorylation
Proteins
Rapamycin
Regulatory proteins
Signaling
Synapses
TOR protein
Wiskott-Aldrich Syndrome Protein Family - chemistry
Wiskott-Aldrich Syndrome Protein Family - metabolism
Title HEM1 deficiency disrupts mTORC2 and F-actin control in inherited immunodysregulatory disease
URI https://www.ncbi.nlm.nih.gov/pubmed/32647003
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https://pubmed.ncbi.nlm.nih.gov/PMC8383235
Volume 369
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