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Blood, 1 May 2001, Vol. 97, No. 9, pp. 2688-2694

IMMUNOBIOLOGY

Missense mutation of the interleukin-12 receptor beta 1 chain-encoding gene is associated with impaired immunity against Mycobacterium avium complex infection

Tatsunori Sakai, Masao Matsuoka, Manabu Aoki, Kisato Nosaka, and Hiroaki Mitsuya

From the Department of Immunopathophysiology and Internal Medicine II, Kumamoto University School of Medicine; the Laboratory of Virus Immunology, Research Center for AIDS, Institute for Virus Research, Kyoto University, Japan; and the Experimental Retrovirology Section, Medicine Branch, Division of Clinical Sciences, National Cancer Institute, Bethesda, MD.

Interleukin-12 (IL-12) plays an important role in the production of interferon gamma (IFN-gamma ) and is essential for protection against intracellular pathogens such as Mycobacterium and Salmonella. A 31-year-old man had disseminated Mycobacterium avium complex (MAC) infection. The production of IFN-gamma by peripheral blood mononuclear cells stimulated with phytohemagglutinin (PHA-PBMCs) was found severely impaired (40.7 pg/mL compared with 833  ± 289 pg/mL for the patient's and healthy subjects' (n = 3) PHA- PBMCs, respectively), and the patient's PHA-PBMCs completely lacked surface IL-12 receptor beta 1 (IL-12Rbeta 1) chain. The IL-12Rbeta 1 gene transcript in his PHA-PBMCs had an R213W substitution in each allele. Family history showed that both parents were heterozygotes in the R213W substitution. Transfection of a human embryonal kidney cell line 293 (HEKC293) with wild-type IL-12Rbeta 1wt gene led to cell surface IL-12Rbeta 1 expression; however, no expression was seen in HEKC293 transfected with the mutated IL-12Rbeta 1R213W gene. The IL-12Rbeta 1 gene transcript, but no IL-12Rbeta 1 protein, was detected in PHA-PBMCs and T cells, suggesting a post-translational event(s), most likely a shortened turnover of the protein. The R213W substitution was not detected in the cells of 32 healthy persons or of 25 patients with tuberculosis or MAC infection. Six amino acid substitutions (Q214R, M365T, G378R, H438Y, A525T, and G594E) were identified, but the incidences of such substitutions were not significantly different between the groups. The Q214R substitution is reportedly linked to IL-12Rbeta 1 deficiency; however, the study showed that 19 and 10 of 57 Japanese and 6 and 4 of 33 healthy white persons were heterozygous and homozygous for Arg-214, respectively, suggesting that the Q214R substitution represents a polymorphism and is not related to IL-12Rbeta 1 deficiency but that the R213W substitution is responsible for IL-12Rbeta 1 deficiency.

© 2001 by The American Society of Hematology.
 

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