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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Arthritis+Rheum
2013 ; 65
(8
): 2161-71
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Protein kinase c? deficiency causes mendelian systemic lupus erythematosus with B
cell-defective apoptosis and hyperproliferation
#MMPMID23666743
Belot A
; Kasher PR
; Trotter EW
; Foray AP
; Debaud AL
; Rice GI
; Szynkiewicz M
; Zabot MT
; Rouvet I
; Bhaskar SS
; Daly SB
; Dickerson JE
; Mayer J
; O'Sullivan J
; Juillard L
; Urquhart JE
; Fawdar S
; Marusiak AA
; Stephenson N
; Waszkowycz B
; W Beresford M
; Biesecker LG
; C M Black G
; René C
; Eliaou JF
; Fabien N
; Ranchin B
; Cochat P
; Gaffney PM
; Rozenberg F
; Lebon P
; Malcus C
; Crow YJ
; Brognard J
; Bonnefoy N
Arthritis Rheum
2013[Aug]; 65
(8
): 2161-71
PMID23666743
show ga
OBJECTIVE: Systemic lupus erythematosus (SLE) is a prototype autoimmune disease
that is assumed to occur via a complex interplay of environmental and genetic
factors. Rare causes of monogenic SLE have been described, providing unique
insights into fundamental mechanisms of immune tolerance. The aim of this study
was to identify the cause of an autosomal-recessive form of SLE. METHODS: We
studied 3 siblings with juvenile-onset SLE from 1 consanguineous kindred and used
next-generation sequencing to identify mutations in the disease-associated gene.
We performed extensive biochemical, immunologic, and functional assays to assess
the impact of the identified mutations on B cell biology. RESULTS: We identified
a homozygous missense mutation in PRKCD, encoding protein kinase ? (PKC?), in all
3 affected siblings. Mutation of PRKCD resulted in reduced expression and
activity of the encoded protein PKC? (involved in the deletion of autoreactive B
cells), leading to resistance to B cell receptor- and calcium-dependent apoptosis
and increased B cell proliferation. Thus, as for mice deficient in PKC?, which
exhibit an SLE phenotype and B cell expansion, we observed an increased number of
immature B cells in the affected family members and a developmental shift toward
naive B cells with an immature phenotype. CONCLUSION: Our findings indicate that
PKC? is crucial in regulating B cell tolerance and preventing self-reactivity in
humans, and that PKC? deficiency represents a novel genetic defect of apoptosis
leading to SLE.