2023
DOI: 10.1126/sciimmunol.abq5204
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Human IL-23 is essential for IFN-γ–dependent immunity to mycobacteria

Abstract: Patients with autosomal recessive (AR) IL-12p40 or IL-12Rβ1 deficiency display Mendelian susceptibility to mycobacterial disease (MSMD) due to impaired IFN-γ production and, less commonly, chronic mucocutaneous candidiasis (CMC) due to impaired IL-17A/F production. We report six patients from four kindreds with AR IL-23R deficiency. These patients are homozygous for one of four different loss-of-function IL23R variants. All six patients have a history of MSMD, but only two suffered from… Show more

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Cited by 31 publications
(24 citation statements)
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“…Memory B cells, polyclonal serum Ig levels, and/or Ag‐specific Abs induced following infection or routine vaccination are unaffected by IEI that disrupt signaling via IL‐12/IL‐12R ( IL12B , IL12RB1 , IL12RB2) , IL‐23/IL‐23R ( IL12B, IL12RB1 , IL23R ), IFNα/IFNαR ( IFNAR1 , IFNAR2 ), or IFNγ/IFNγR ( IFNG , IFNGR1 , IFNGR2 ) 168,169,177,178,181–184,194 . These observations were also made for individuals with pathogenic biallelic variants in TBX21 , encoding Tbet that is induced by IL‐12 and IFNγ signaling, or RORC encoding RORγt induced by IL‐23 195–197 .…”
Section: Mechanisms Underpinning Cellular Defects and Clinical Featur...mentioning
confidence: 89%
See 2 more Smart Citations
“…Memory B cells, polyclonal serum Ig levels, and/or Ag‐specific Abs induced following infection or routine vaccination are unaffected by IEI that disrupt signaling via IL‐12/IL‐12R ( IL12B , IL12RB1 , IL12RB2) , IL‐23/IL‐23R ( IL12B, IL12RB1 , IL23R ), IFNα/IFNαR ( IFNAR1 , IFNAR2 ), or IFNγ/IFNγR ( IFNG , IFNGR1 , IFNGR2 ) 168,169,177,178,181–184,194 . These observations were also made for individuals with pathogenic biallelic variants in TBX21 , encoding Tbet that is induced by IL‐12 and IFNγ signaling, or RORC encoding RORγt induced by IL‐23 195–197 .…”
Section: Mechanisms Underpinning Cellular Defects and Clinical Featur...mentioning
confidence: 89%
“…or IFNγ/IFNγR (IFNG, IFNGR1, IFNGR2). 168,169,177,178,[181][182][183][184]194 These observations were also made for individuals with pathogenic biallelic variants in TBX21, encoding Tbet that is induced by IL-12 and IFNγ signaling, or RORC encoding RORγt induced by IL-23. [195][196][197] Consistent with this, memory B-cell formation and serum Ig levels are within or exceed normal ranges in patients with LOF mutations in STAT1, which is also activated by several of these cytokines.…”
Section: Iei Identify Redundant and Non-redundant Roles For Cytokines...mentioning
confidence: 95%
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“…These results complement those of a recent study where the systemic effects of IL-23 inhibition were examined by phenotyping individuals with IL23R deficiency. Interestingly, the analysis of this rare condition uncovered prominent defects of IFN-γ responses and only a limited impairment of IL-17 activity ( 26 ). Thus, the consequences of IL-23 inhibition may be organ specific.…”
Section: Discussionmentioning
confidence: 99%
“…Very recent data have demon-strated the important role of IL-23 signaling in infectious conditions. Patients with autosomal recessive IL-23R deficiency display Mendelian susceptibility to mycobacterial disease due to impaired IFN-γ production and, less frequently, to chronic mucocutaneous candidiasis due to impaired IL-17A/F production [11]. Here, we focus on two questions: what are the immune cells that express the IL23R and how is IL23R expression acquired.…”
Section: Introductionmentioning
confidence: 99%