ASXL1 deficiency causes epigenetic dysfunction, combined immunodeficiency, and EBV-associated lymphomaFu, Maggie P.;Sharma, Mehul;Yousefi, Pariya;Merrill, Sarah M.;Tan, Ryan;Samra, Simran;Setiadi, Audi;Golding, Liam;Modi, Bhavi P.; Del Bel, Kate L.;Deyell, Rebecca J.;Rozmus, Jacob;Rehmus, Wingfield;Hildebrand, Kyla J.;James, Elliot;Blanchard-Rohner, Géraldine;Lin, Susan;Shopsowitz, Kevin E.;Terry, Jefferson;Lee, Anna F.;Drögemöller, Britt I.;Matthews, Allison;Tarailo-Graovac, Maja;Sauvé, Laura;Mitchell, Hana;Prendiville, Julie S.;MacIsaac, Julia L.;Dever, Kristy;Lin, David T.S.;
doi: 10.1084/jem.20240945pmid: 40742536
Inborn errors of immunity (IEIs) are caused by deleterious variants in immune-related genes. ASXL1 is an epigenetic modifier not previously linked to an IEI. Clonal hematopoiesis and hematologic neoplasms often feature somatic ASXL1 variants, and Bohring–Opitz syndrome, a neurodevelopmental disorder, is caused by heterozygous truncating ASXL1 variants. We present an IEI caused by biallelic germline missense variants in ASXL1. The patient had a history of hematologic abnormalities and viral-associated complications, including chronic macrocytosis, persistent vaccine-strain rubella granulomas, and EBV-associated Hodgkin lymphoma. Immunophenotyping revealed loss of B cells, hypogammaglobulinemia, and impairments in cytotoxic T and NK cell populations. T cells exhibited skewing toward an exhausted memory phenotype, global DNA methylation loss, and increased epigenetic aging. These aberrations were ameliorated by wild-type ASXL1 transduction, confirming the patient variants’ pathogenicity. This study defines a novel human IEI caused by ASXL1 deficiency, a diagnosis that should be considered in individuals with chronic viral infections, viral-associated malignancies, and combined immune deficiency.
Targeting infection-specific peptides in immunopeptidomics studies for vaccine target discoveryLeddy, Owen;Yuki, Yuko;Carrington, Mary;Bryson, Bryan D.;White, Forest M.
doi: 10.1084/jem.20250444pmid: 40689854
Vaccine-elicited T cell responses can contribute to immune protection against emerging infectious disease risks such as antimicrobial-resistant (AMR) microbial pathogens and viruses with pandemic potential, but rapidly identifying appropriate targets for T cell priming vaccines remains challenging. Mass spectrometry (MS) analysis of peptides presented on MHCs can identify potential targets for protective T cell responses in a proteome-wide manner. However, pathogen-derived peptides are outnumbered by self-peptides in the MHC repertoire and may be missed in untargeted MS analyses. Here, we present a novel approach, termed PathMHC, that uses computational analysis of untargeted MS data followed by targeted MS to discover novel pathogen-derived MHC peptides more efficiently than untargeted methods alone. We applied this workflow to identify MHC peptides derived from multiple microbes, including potential vaccine targets presented on MHC-I by human dendritic cells infected with Mycobacterium tuberculosis (Mtb), finding that all Mtb peptides detected in the MHC-I repertoire derived from proteins exported by type VII secretion systems. PathMHC will facilitate antigen discovery campaigns for vaccine development.
ALK2/3 recruitment to the immunological synapse is required for T cell activation and deathShi, Jun-Ge;Ma, Zhen-Wu;Ruan, Zi-Lun;Xu, Ye;Hang, Wen-Hao;Liu, Rui;Xiong, Yong;Shu, Hong-Bing;Li, Shu
doi: 10.1084/jem.20250121pmid: 40736455
Antigen recognition by TCR triggers T cell activation and activation-induced cell death (AICD). We identified that the BMP receptors ALK2 and ALK3 were interdependently required for induction of a subset of effector genes and AICD in activated T cells, independent of their BMP ligands. Upon T cell activation, ALK2/3 were recruited to the immunological synapse and phosphorylated by PKC-θ at the conserved T203, resulting in their enhanced kinase activities. The activated ALK2/3, in the absence of BMP, phosphorylated SMAD1/5 at S57, which is reciprocally antagonistic to BMP-induced phosphorylation of SMAD1/5 at S463/465. The S57-phosphorylated SMAD1/5 associated with c-Fos to induce effector genes upon T cell activation. Disruption of Alk2 in T cells attenuated T cell–mediated immunity to Listeria, whereas blocking BMPs enhanced host defense to Listeria in WT but not Alk2-deficient mice. Our findings suggest that the BMP-independent ALK2/3–SMAD1/5 axis plays essential roles in T cell activation and AICD, which is reciprocally antagonistic with BMP-triggered inhibition of T cell–mediated immunity.