[PDF][PDF] Human IRF1 governs macrophagic IFN-γ immunity to mycobacteria

J Rosain, AL Neehus, J Manry, R Yang, J Le Pen… - Cell, 2023 - cell.com
J Rosain, AL Neehus, J Manry, R Yang, J Le Pen, W Daher, Z Liu, YH Chan, N Tahuil…
Cell, 2023cell.com
Inborn errors of human IFN-γ-dependent macrophagic immunity underlie mycobacterial
diseases, whereas inborn errors of IFN-α/β-dependent intrinsic immunity underlie viral
diseases. Both types of IFNs induce the transcription factor IRF1. We describe unrelated
children with inherited complete IRF1 deficiency and early-onset, multiple, life-threatening
diseases caused by weakly virulent mycobacteria and related intramacrophagic pathogens.
These children have no history of severe viral disease, despite exposure to many viruses …
Summary
Inborn errors of human IFN-γ-dependent macrophagic immunity underlie mycobacterial diseases, whereas inborn errors of IFN-α/β-dependent intrinsic immunity underlie viral diseases. Both types of IFNs induce the transcription factor IRF1. We describe unrelated children with inherited complete IRF1 deficiency and early-onset, multiple, life-threatening diseases caused by weakly virulent mycobacteria and related intramacrophagic pathogens. These children have no history of severe viral disease, despite exposure to many viruses, including SARS-CoV-2, which is life-threatening in individuals with impaired IFN-α/β immunity. In leukocytes or fibroblasts stimulated in vitro, IRF1-dependent responses to IFN-γ are, both quantitatively and qualitatively, much stronger than those to IFN-α/β. Moreover, IRF1-deficient mononuclear phagocytes do not control mycobacteria and related pathogens normally when stimulated with IFN-γ. By contrast, IFN-α/β-dependent intrinsic immunity to nine viruses, including SARS-CoV-2, is almost normal in IRF1-deficient fibroblasts. Human IRF1 is essential for IFN-γ-dependent macrophagic immunity to mycobacteria, but largely redundant for IFN-α/β-dependent antiviral immunity.
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