[HTML][HTML] Mutation in the TCRα subunit constant gene (TRAC) leads to a human immunodeficiency disorder characterized by a lack of TCRαβ+ T cells

NV Morgan, S Goddard, TS Cardno… - The Journal of …, 2011 - Am Soc Clin Investig
NV Morgan, S Goddard, TS Cardno, D McDonald, F Rahman, D Barge, A Ciupek…
The Journal of clinical investigation, 2011Am Soc Clin Investig
Inherited immunodeficiency disorders can be caused by mutations in any one of a large
number of genes involved in the function of immune cells. Here, we describe two families
with an autosomal recessive inherited immunodeficiency disorder characterized by
increased susceptibility to infection and autoimmunity. Genetic linkage studies mapped the
disorder to chromosomal region 14q11. 2, and a homozygous guanine-to-adenine
substitution was identified at the last base of exon 3 immediately following the translational …
Inherited immunodeficiency disorders can be caused by mutations in any one of a large number of genes involved in the function of immune cells. Here, we describe two families with an autosomal recessive inherited immunodeficiency disorder characterized by increased susceptibility to infection and autoimmunity. Genetic linkage studies mapped the disorder to chromosomal region 14q11.2, and a homozygous guanine-to-adenine substitution was identified at the last base of exon 3 immediately following the translational termination codon in the TCRα subunit constant gene (TRAC). RT-PCR analysis in the two affected individuals revealed impaired splicing of the mRNA, as exon 3 was lost from the TRAC transcript. The mutant TCRα chain protein was predicted to lack part of the connecting peptide domain and all of the transmembrane and cytoplasmic domains, which have a critical role in the regulation of the assembly and/or intracellular transport of TCR complexes. We found that T cells from affected individuals were profoundly impaired for surface expression of the TCRαβ complex. We believe this to be the first report of a disease-causing human TRAC mutation. Although the absence of TCRαβ+ T cells in the affected individuals was associated with immune dysregulation and autoimmunity, they had a surprising level of protection against infection.
The Journal of Clinical Investigation