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  4. Biallelic mutations in calcium release activated channel regulator 2A (CRACR2A) cause a primary immunodeficiency disorder
 
research article

Biallelic mutations in calcium release activated channel regulator 2A (CRACR2A) cause a primary immunodeficiency disorder

Wu, Beibei
•
Rice, Laura
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Shrimpton, Jennifer
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December 15, 2021
Elife

CRAC channel regulator 2 A (CRACR2A) is a large Rab GTPase that is expressed abundantly in T cells and acts as a signal transmitter between T cell receptor stimulation and activation of the Ca2+-NFAT and JNK-AP1 pathways. CRACR2A has been linked to human diseases in numerous genome-wide association studies, however, to date no patient with damaging variants in CRACR2A has been identified. In this study, we describe a patient harboring biallelic variants in CRACR2A [paternal allele c.834 gaG> gaT (p.E278D) and maternal alelle c.430 Aga > Gga (p.R144G) c.898 Gag> Tag (p.E300*)], the gene encoding CRACR2A. The 33-year-old patient of East-Asian origin exhibited late onset combined immunodeficiency characterised by recurrent chest infections, panhypogammaglobulinemia and CD4+ T cell lymphopenia. In vitro exposure of patient B cells to a T-dependent stimulus resulted in normal generation of antibody-secreting cells, however the patient's T cells showed pronounced reduction in CRACR2A protein levels and reduced proximal TCR signaling, including dampened SOCE and reduced JNK phosphorylation, that contributed to a defect in proliferation and cytokine production. Expression of individual allelic mutants in CRACR2A-deleted T cells showed that the CRACR2A(E278D) mutant did not affect JNK phosphorylation, but impaired SOCE which resulted in reduced cytokine production. The truncated double mutant CRACR2A(R144G/E300*) showed a pronounced defect in JNK phosphorylation as well as SOCE and strong impairment in cytokine production. Thus, we have identified variants in CRACR2A that led to late-stage combined immunodeficiency characterized by loss of function in T cells.

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Type
research article
DOI
10.7554/eLife.72559
10.7554/eLife.72559.sa0
10.7554/eLife.72559.sa1
10.7554/eLife.72559.sa2
Web of Science ID

WOS:000730939000001

Author(s)
Wu, Beibei
Rice, Laura
Shrimpton, Jennifer
Lawless, Dylan  
Walker, Kieran
Carter, Clive
McKeown, Lynn
Anwar, Rashida
Doody, Gina M.
Srikanth, Sonal
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Date Issued

2021-12-15

Publisher

eLIFE SCIENCES PUBL LTD

Published in
Elife
Volume

10

Article Number

e72559

Subjects

Biology

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Life Sciences & Biomedicine - Other Topics

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immunodeficiency

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cracr2a

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t cells

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human

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ca2+ sensor

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stim1

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deficiency

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protein

•

entry

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
UPFELLAY  
Available on Infoscience
January 1, 2022
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/184226
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