[HTML][HTML] A DNA-PKcs mutation in a radiosensitive TB SCID patient inhibits Artemis activation and nonhomologous end-joining

M Van Der Burg, H IJspeert, NS Verkaik… - The Journal of …, 2009 - Am Soc Clin Investig
M Van Der Burg, H IJspeert, NS Verkaik, T Turul, WW Wiegant, K Morotomi-Yano, PO Mari…
The Journal of clinical investigation, 2009Am Soc Clin Investig
Radiosensitive T–B–severe combined immunodeficiency (RS-SCID) is caused by defects in
the nonhomologous end-joining (NHEJ) DNA repair pathway, which results in failure of
functional V (D) J recombination. Here we have identified the first human RS-SCID patient to
our knowledge with a DNA-PKcs missense mutation (L3062R). The causative mutation did
not affect the kinase activity or DNA end-binding capacity of DNA-PKcs itself; rather, the
presence of long P-nucleotide stretches in the immunoglobulin coding joints indicated that it …
Radiosensitive TB severe combined immunodeficiency (RS-SCID) is caused by defects in the nonhomologous end-joining (NHEJ) DNA repair pathway, which results in failure of functional V(D)J recombination. Here we have identified the first human RS-SCID patient to our knowledge with a DNA-PKcs missense mutation (L3062R). The causative mutation did not affect the kinase activity or DNA end-binding capacity of DNA-PKcs itself; rather, the presence of long P-nucleotide stretches in the immunoglobulin coding joints indicated that it caused insufficient Artemis activation, something that is dependent on Artemis interaction with autophosphorylated DNA-PKcs. Moreover, overall end-joining activity was hampered, suggesting that Artemis-independent DNA-PKcs functions were also inhibited. This study demonstrates that the presence of DNA-PKcs kinase activity is not sufficient to rule out a defect in this gene during diagnosis and treatment of RS-SCID patients. Further, the data suggest that residual DNA-PKcs activity is indispensable in humans.
The Journal of Clinical Investigation