2020
DOI: 10.1016/j.celrep.2020.108485
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Heterogeneous Escape from X Chromosome Inactivation Results in Sex Differences in Type I IFN Responses at the Single Human pDC Level

Abstract: Highlights d TLR7, CYBB, RPS6KA3, BTK, and IL13RA1 can escape XCI in human pDCs d Female pDCs with escape from XCI have higher mRNA levels of the respective genes d pDCs with escape from XCI of TLR7 have higher IFNa/b mRNA levels

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Cited by 90 publications
(93 citation statements)
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“…This molecular mechanism might also provide a plausible explanation for the higher COVID-19 mortality rates among males compared to females [287,288]. The above data suggest that female pDCs with biallelic TLR7 expression respond more rapidly to SARS-CoV-2 infection by producing large amounts of type IFNs that might account for the better control of SARS-CoV-2 infection in women compared to men [286]. This idea is also supported by a recent report showing that loss-of-function mutation of X-chromosomal TLR7 is associated with impaired type I IFN responses of young male patients with severe COVID-19 that further emphasizes the importance of intact TLR7-mediated type I IFN responses in the pathogenesis of the disease [289].…”
Section: Discussionmentioning
confidence: 84%
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“…This molecular mechanism might also provide a plausible explanation for the higher COVID-19 mortality rates among males compared to females [287,288]. The above data suggest that female pDCs with biallelic TLR7 expression respond more rapidly to SARS-CoV-2 infection by producing large amounts of type IFNs that might account for the better control of SARS-CoV-2 infection in women compared to men [286]. This idea is also supported by a recent report showing that loss-of-function mutation of X-chromosomal TLR7 is associated with impaired type I IFN responses of young male patients with severe COVID-19 that further emphasizes the importance of intact TLR7-mediated type I IFN responses in the pathogenesis of the disease [289].…”
Section: Discussionmentioning
confidence: 84%
“…Indeed, single cell analyses of TLR7 allelic expression in pDCs, B cells and monocytes from females and Klinefelter (XXY) individuals revealed that TLR7 escapes from X chromosome silencing. A recent study further demonstrated that female pDCs with biallelic TLR7 expression have higher type I IFN production than monoallelic TLR7 expressing pDCs, presumably due to the IFNAR mediated type I IFN positive feedback loop [286]. This molecular mechanism might also provide a plausible explanation for the higher COVID-19 mortality rates among males compared to females [287,288].…”
Section: Discussionmentioning
confidence: 96%
“…Single-cell RNA-sequencing (RNA-seq) has also been used to avoid the need for clonal cell populations when using Xi/Xa expression to make XCI status calls [ 19 ]. Single-cell RNA-seq can additionally see variation in XCI status between different Xi alleles within the same sample and heterogeneity has even been observed in XCI status of a gene in cells with the same Xi [ 6 , 20 ].…”
Section: Introductionmentioning
confidence: 99%
“…The four core genotype mouse model enables the study of differences in gene expression solely due to sex chromosome complement without involvement of sex hormones (86). Such an approach is useful to assess the role of IL-1 receptor-associated kinase-1 (IRAK1), CD40 ligand (CD40LG), C-X-C motif chemokine receptor 3, and IL13RA1 or TLR7 genes known to escape the X-related inactivation process in infectious diseases (6,(87)(88)(89). These findings highlight enhanced female immune response to infectious agents through the involvement of X-chromosome-linked genes.…”
Section: Genetic Factors and Sexual Dimorphismmentioning
confidence: 99%