Specific NEMO mutations impair CD40-mediated c-Rel activation and B cell terminal differentiation

J Clin Invest. 2004 Dec;114(11):1593-602. doi: 10.1172/JCI21345.

Abstract

Hypomorphic mutations in the zinc finger domain of NF-kappaB essential modulator (NEMO) cause X-linked hyper-IgM syndrome with ectodermal dysplasia (XHM-ED). Here we report that patient B cells are characterized by an absence of Ig somatic hypermutation (SHM) and defective class switch recombination (CSR) despite normal induction of activation-induced cytidine deaminase (AID) and Iepsilon-Cepsilon transcripts. This indicates that AID expression alone is insufficient to support neutralizing antibody responses. Furthermore, we show that patient B cells stimulated with CD40 ligand are impaired in both p65 and c-Rel activation, and whereas addition of IL-4 can enhance p65 activity, c-Rel activity remains deficient. This suggests that these NF-kappaB components have different activation requirements and that IL-4 can augment some but not all NEMO-dependent NF-kappaB signaling. Finally, using microarray analysis of patient B cells we identified downstream effects of impaired NF-kappaB activation and candidate factors that may be necessary for CSR and SHM in B cells.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • B-Lymphocytes / cytology
  • B-Lymphocytes / physiology*
  • CD40 Antigens / metabolism*
  • Carrier Proteins / genetics*
  • Carrier Proteins / immunology*
  • Cell Differentiation / physiology*
  • Child, Preschool
  • Cytidine Deaminase
  • Cytosine Deaminase / genetics
  • Cytosine Deaminase / metabolism
  • Ectodermal Dysplasia / genetics
  • Ectodermal Dysplasia / immunology
  • Gene Expression Regulation
  • Humans
  • Hypergammaglobulinemia / genetics
  • Hypergammaglobulinemia / immunology
  • I-kappa B Kinase
  • Immunoglobulin Class Switching / genetics
  • Immunoglobulins / blood
  • Interleukin-4 / metabolism
  • Molecular Sequence Data
  • Mutation*
  • NF-kappa B / immunology
  • Proto-Oncogene Proteins c-rel / genetics
  • Proto-Oncogene Proteins c-rel / immunology*
  • Somatic Hypermutation, Immunoglobulin / genetics
  • Syndrome

Substances

  • CD40 Antigens
  • Carrier Proteins
  • IKBKG protein, human
  • Immunoglobulins
  • NF-kappa B
  • Proto-Oncogene Proteins c-rel
  • Interleukin-4
  • I-kappa B Kinase
  • AICDA (activation-induced cytidine deaminase)
  • Cytosine Deaminase
  • Cytidine Deaminase