Enhanced cGAS-STING-dependent interferon signaling associated with mutations in ATAD3A.

Abstract:

:Mitochondrial DNA (mtDNA) has been suggested to drive immune system activation, but the induction of interferon signaling by mtDNA has not been demonstrated in a Mendelian mitochondrial disease. We initially ascertained two patients, one with a purely neurological phenotype and one with features suggestive of systemic sclerosis in a syndromic context, and found them both to demonstrate enhanced interferon-stimulated gene (ISG) expression in blood. We determined each to harbor a previously described de novo dominant-negative heterozygous mutation in ATAD3A, encoding ATPase family AAA domain-containing protein 3A (ATAD3A). We identified five further patients with mutations in ATAD3A and recorded up-regulated ISG expression and interferon α protein in four of them. Knockdown of ATAD3A in THP-1 cells resulted in increased interferon signaling, mediated by cyclic GMP-AMP synthase (cGAS) and stimulator of interferon genes (STING). Enhanced interferon signaling was abrogated in THP-1 cells and patient fibroblasts depleted of mtDNA. Thus, mutations in the mitochondrial membrane protein ATAD3A define a novel type I interferonopathy.

journal_name

J Exp Med

authors

Lepelley A,Della Mina E,Van Nieuwenhove E,Waumans L,Fraitag S,Rice GI,Dhir A,Frémond ML,Rodero MP,Seabra L,Carter E,Bodemer C,Buhas D,Callewaert B,de Lonlay P,De Somer L,Dyment DA,Faes F,Grove L,Holden S,Hully M,

doi

10.1084/jem.20201560

subject

Has Abstract

pub_date

2021-10-04 00:00:00

issue

10

eissn

0022-1007

issn

1540-9538

pii

212553

journal_volume

218

pub_type

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