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Loss of the interleukin-6 receptor causes immunodeficiency, atopy, and abnormal inflammatory responses

IL-6 excess is central to the pathogenesis of multiple inflammatory conditions and is targeted in clinical practice by immunotherapy that blocks the IL-6 receptor encoded by IL6R. We describe two patients with homozygous mutations in IL6R who presented with recurrent infections, abnormal acute-phase...

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Autores principales: Spencer, Sarah, Köstel Bal, Sevgi, Egner, William, Lango Allen, Hana, Raza, Syed I., Ma, Chi A., Gürel, Meltem, Zhang, Yuan, Sun, Guangping, Sabroe, Ruth A., Greene, Daniel, Rae, William, Shahin, Tala, Kania, Katarzyna, Ardy, Rico Chandra, Thian, Marini, Staples, Emily, Pecchia-Bekkum, Annika, Worrall, William P.M., Stephens, Jonathan, Brown, Matthew, Tuna, Salih, York, Melanie, Shackley, Fiona, Kerrin, Diarmuid, Sargur, Ravishankar, Condliffe, Alison, Tipu, Hamid Nawaz, Kuehn, Hye Sun, Rosenzweig, Sergio D., Turro, Ernest, Tavaré, Simon, Thrasher, Adrian J., Jodrell, Duncan Ian, Smith, Kenneth G.C., Boztug, Kaan, Milner, Joshua D., Thaventhiran, James E.D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Rockefeller University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6719421/
https://www.ncbi.nlm.nih.gov/pubmed/31235509
http://dx.doi.org/10.1084/jem.20190344
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author Spencer, Sarah
Köstel Bal, Sevgi
Egner, William
Lango Allen, Hana
Raza, Syed I.
Ma, Chi A.
Gürel, Meltem
Zhang, Yuan
Sun, Guangping
Sabroe, Ruth A.
Greene, Daniel
Rae, William
Shahin, Tala
Kania, Katarzyna
Ardy, Rico Chandra
Thian, Marini
Staples, Emily
Pecchia-Bekkum, Annika
Worrall, William P.M.
Stephens, Jonathan
Brown, Matthew
Tuna, Salih
York, Melanie
Shackley, Fiona
Kerrin, Diarmuid
Sargur, Ravishankar
Condliffe, Alison
Tipu, Hamid Nawaz
Kuehn, Hye Sun
Rosenzweig, Sergio D.
Turro, Ernest
Tavaré, Simon
Thrasher, Adrian J.
Jodrell, Duncan Ian
Smith, Kenneth G.C.
Boztug, Kaan
Milner, Joshua D.
Thaventhiran, James E.D.
author_facet Spencer, Sarah
Köstel Bal, Sevgi
Egner, William
Lango Allen, Hana
Raza, Syed I.
Ma, Chi A.
Gürel, Meltem
Zhang, Yuan
Sun, Guangping
Sabroe, Ruth A.
Greene, Daniel
Rae, William
Shahin, Tala
Kania, Katarzyna
Ardy, Rico Chandra
Thian, Marini
Staples, Emily
Pecchia-Bekkum, Annika
Worrall, William P.M.
Stephens, Jonathan
Brown, Matthew
Tuna, Salih
York, Melanie
Shackley, Fiona
Kerrin, Diarmuid
Sargur, Ravishankar
Condliffe, Alison
Tipu, Hamid Nawaz
Kuehn, Hye Sun
Rosenzweig, Sergio D.
Turro, Ernest
Tavaré, Simon
Thrasher, Adrian J.
Jodrell, Duncan Ian
Smith, Kenneth G.C.
Boztug, Kaan
Milner, Joshua D.
Thaventhiran, James E.D.
author_sort Spencer, Sarah
collection PubMed
description IL-6 excess is central to the pathogenesis of multiple inflammatory conditions and is targeted in clinical practice by immunotherapy that blocks the IL-6 receptor encoded by IL6R. We describe two patients with homozygous mutations in IL6R who presented with recurrent infections, abnormal acute-phase responses, elevated IgE, eczema, and eosinophilia. This study identifies a novel primary immunodeficiency, clarifying the contribution of IL-6 to the phenotype of patients with mutations in IL6ST, STAT3, and ZNF341, genes encoding different components of the IL-6 signaling pathway, and alerts us to the potential toxicity of drugs targeting the IL-6R.
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spelling pubmed-67194212019-09-17 Loss of the interleukin-6 receptor causes immunodeficiency, atopy, and abnormal inflammatory responses Spencer, Sarah Köstel Bal, Sevgi Egner, William Lango Allen, Hana Raza, Syed I. Ma, Chi A. Gürel, Meltem Zhang, Yuan Sun, Guangping Sabroe, Ruth A. Greene, Daniel Rae, William Shahin, Tala Kania, Katarzyna Ardy, Rico Chandra Thian, Marini Staples, Emily Pecchia-Bekkum, Annika Worrall, William P.M. Stephens, Jonathan Brown, Matthew Tuna, Salih York, Melanie Shackley, Fiona Kerrin, Diarmuid Sargur, Ravishankar Condliffe, Alison Tipu, Hamid Nawaz Kuehn, Hye Sun Rosenzweig, Sergio D. Turro, Ernest Tavaré, Simon Thrasher, Adrian J. Jodrell, Duncan Ian Smith, Kenneth G.C. Boztug, Kaan Milner, Joshua D. Thaventhiran, James E.D. J Exp Med Research Articles IL-6 excess is central to the pathogenesis of multiple inflammatory conditions and is targeted in clinical practice by immunotherapy that blocks the IL-6 receptor encoded by IL6R. We describe two patients with homozygous mutations in IL6R who presented with recurrent infections, abnormal acute-phase responses, elevated IgE, eczema, and eosinophilia. This study identifies a novel primary immunodeficiency, clarifying the contribution of IL-6 to the phenotype of patients with mutations in IL6ST, STAT3, and ZNF341, genes encoding different components of the IL-6 signaling pathway, and alerts us to the potential toxicity of drugs targeting the IL-6R. Rockefeller University Press 2019-09-02 2019-06-24 /pmc/articles/PMC6719421/ /pubmed/31235509 http://dx.doi.org/10.1084/jem.20190344 Text en © 2019 Crown copyright. The government of Australia, Canada, or the UK ("the Crown") owns the copyright interests of authors who are government employees. The Crown Copyright is not transferable. https://creativecommons.org/licenses/by/4.0/This article is available under a Creative Commons License (Attribution 4.0 International, as described at https://creativecommons.org/licenses/by/4.0/).
spellingShingle Research Articles
Spencer, Sarah
Köstel Bal, Sevgi
Egner, William
Lango Allen, Hana
Raza, Syed I.
Ma, Chi A.
Gürel, Meltem
Zhang, Yuan
Sun, Guangping
Sabroe, Ruth A.
Greene, Daniel
Rae, William
Shahin, Tala
Kania, Katarzyna
Ardy, Rico Chandra
Thian, Marini
Staples, Emily
Pecchia-Bekkum, Annika
Worrall, William P.M.
Stephens, Jonathan
Brown, Matthew
Tuna, Salih
York, Melanie
Shackley, Fiona
Kerrin, Diarmuid
Sargur, Ravishankar
Condliffe, Alison
Tipu, Hamid Nawaz
Kuehn, Hye Sun
Rosenzweig, Sergio D.
Turro, Ernest
Tavaré, Simon
Thrasher, Adrian J.
Jodrell, Duncan Ian
Smith, Kenneth G.C.
Boztug, Kaan
Milner, Joshua D.
Thaventhiran, James E.D.
Loss of the interleukin-6 receptor causes immunodeficiency, atopy, and abnormal inflammatory responses
title Loss of the interleukin-6 receptor causes immunodeficiency, atopy, and abnormal inflammatory responses
title_full Loss of the interleukin-6 receptor causes immunodeficiency, atopy, and abnormal inflammatory responses
title_fullStr Loss of the interleukin-6 receptor causes immunodeficiency, atopy, and abnormal inflammatory responses
title_full_unstemmed Loss of the interleukin-6 receptor causes immunodeficiency, atopy, and abnormal inflammatory responses
title_short Loss of the interleukin-6 receptor causes immunodeficiency, atopy, and abnormal inflammatory responses
title_sort loss of the interleukin-6 receptor causes immunodeficiency, atopy, and abnormal inflammatory responses
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6719421/
https://www.ncbi.nlm.nih.gov/pubmed/31235509
http://dx.doi.org/10.1084/jem.20190344
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