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A Novel Homozygous Germline Mutation in Transferrin Receptor 1 (TfR1) Leads to Combined Immunodeficiency and Provides New Insights into Iron-Immunity Axis

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dc.creator ERMAN, BARAN
dc.creator MASLAK, İbrahim Cemal
dc.creator Aba, Ümran
dc.creator İpşir, Canberk
dc.creator Pehlivan, Damla
dc.creator Warnock, Nicholas I.
dc.creator Tumes, Damon J.
dc.creator Cildir, Gökhan
dc.date 2024-02-01T00:00:00Z
dc.date.accessioned 2025-02-25T10:41:21Z
dc.date.available 2025-02-25T10:41:21Z
dc.identifier f134af35-88c3-474d-bc46-dae92dbc27d2
dc.identifier 10.1007/s10875-024-01658-0
dc.identifier https://avesis.sdu.edu.tr/publication/details/f134af35-88c3-474d-bc46-dae92dbc27d2/oai
dc.identifier.uri http://acikerisim.sdu.edu.tr/xmlui/handle/123456789/101888
dc.description A homozygous missense mutation in the transferrin receptor 1 (TfR1), also known as CD71, leads to a rare inborn error of immunity (IEI) characterized by the impaired lymphocyte activation and proliferation due to defective iron uptake of cells. However, only one causative mutation (c.58T > C, p.Y20H) in the TFRC gene coding for TfR1 has been reported so far. We herein identified a new disease-causing homozygous germline mutation in the TFRC gene (c.64C > T, p.R22W) (referred to as TfR1R22W from now on) in a Turkish patient with combined immunodeficiency (CID). TfR1R22W results in impaired TfR1 internalization similar to previously defined TfR1Y20H mutation. We found that TfR1R22W is associated with severely restricted B and T lymphocyte clonal diversity and impaired T cell activation and cytokine production as well as defective mitochondrial oxidative phosphorylation in helper T cells. In addition, circulating NK, Treg, and MAIT cell populations were significantly decreased in the patient. Using whole transcriptome analysis, we found dysregulated immune homeostasis and novel biological processes associated with TfR1R22W. We also identified a considerable expansion of circulating low-density neutrophils (LDNs) in patient’s PBMCs. Overall, TfR1R22W mutation expands the current understanding of the IEI associated with TfR1 dysfunction and provides new insights underlying impaired immune function, lymphocyte diversity, and granulocyte homeostasis.
dc.language eng
dc.rights info:eu-repo/semantics/openAccess
dc.title A Novel Homozygous Germline Mutation in Transferrin Receptor 1 (TfR1) Leads to Combined Immunodeficiency and Provides New Insights into Iron-Immunity Axis
dc.type info:eu-repo/semantics/article


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