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Blood, 1 May 2001, Vol. 97, No. 9, pp. 2688-2694
IMMUNOBIOLOGY
Missense mutation of the interleukin-12 receptor 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- ) 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- 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 1
(IL-12R 1) chain. The IL-12R 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-12R 1wt gene led to cell surface IL-12R 1
expression; however, no expression was seen in HEKC293 transfected with
the mutated IL-12R 1R213W gene. The
IL-12R 1 gene transcript, but no IL-12R 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-12R 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-12R 1 deficiency but that
the R213W substitution is responsible for IL-12R 1 deficiency.

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