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2017 ; 214
(9
): 2547-2562
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A biallelic mutation in IL6ST encoding the GP130 co-receptor causes
immunodeficiency and craniosynostosis
#MMPMID28747427
Schwerd T
; Twigg SRF
; Aschenbrenner D
; Manrique S
; Miller KA
; Taylor IB
; Capitani M
; McGowan SJ
; Sweeney E
; Weber A
; Chen L
; Bowness P
; Riordan A
; Cant A
; Freeman AF
; Milner JD
; Holland SM
; Frede N
; Müller M
; Schmidt-Arras D
; Grimbacher B
; Wall SA
; Jones EY
; Wilkie AOM
; Uhlig HH
J Exp Med
2017[Sep]; 214
(9
): 2547-2562
PMID28747427
show ga
Multiple cytokines, including interleukin 6 (IL-6), IL-11, IL-27, oncostatin M
(OSM), and leukemia inhibitory factor (LIF), signal via the common GP130 cytokine
receptor subunit. In this study, we describe a patient with a homozygous mutation
of IL6ST (encoding GP130 p.N404Y) who presented with recurrent infections,
eczema, bronchiectasis, high IgE, eosinophilia, defective B cell memory, and an
impaired acute-phase response, as well as skeletal abnormalities including
craniosynostosis. The p.N404Y missense substitution is associated with loss of
IL-6, IL-11, IL-27, and OSM signaling but a largely intact LIF response. This
study identifies a novel immunodeficiency with phenotypic similarities to STAT3
hyper-IgE syndrome caused by loss of function of GP130.