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Inherited human IRAK-4 deficiency: an update

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Abstract

Interleukin-1 receptor-associated kinase-4 (IRAK-4), a member of the IRAK family, plays an essential role in Toll-like receptor- and IL-1 receptor-mediated signaling. We briefly review inherited human IRAK-4 deficiency, a recently described primary immunodeficiency leading to recurrent, invasive, pyogenic bacteria infection, and invasive pneumococcal disease in particular.

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References

  1. Puel A, Picard C, Ku CL, Smahi A, Casanova JL. Inherited disorders of NF-kappaB-mediated immunity in man. Curr Opin Immunol 2004;34–41

  2. Ku CL, Yang K, Bustamante J, et al. Inherited disorders of human Toll-like receptor signalling: immunological implications. Immunol Rev 2005;10–20

  3. Doffinger R, Smahi A, Bessia C, et al., X-linked anhidrotic ectodermal dysplasia with immunodeficiency is caused by impaired NF-kappaB signaling. Nat Genet 2001;277–85

  4. Jain A, Ma CA, Liu S, et al. Specific missense mutations in NEMO result in hyper-IgM syndrome with hypohydrotic ectodermal dysplasia. Nat Immunol 2001;223–8

  5. Courtois G, Smahi A, Reichenbach J, et al. A hypermorphic IkappaBalpha mutation is associated with autosomal dominant anhidrotic ectodermal dysplasia and T cell immunodeficiency. J Clin Invest 2003;1108–15

  6. Picard C, Puel A, Bonnet M, et al. Pyogenic bacterial infections in humans with IRAK-4 deficiency. Science 2003;2076–9

  7. Li S, Strelow A, Fontana EJ, Wesche H. IRAK-4: a novel member of the IRAK family with the properties of an IRAK-kinase. Proc Natl Acad Sci USA 2002;5567–72

  8. Janssens S, Beyaert R. Functional diversity and regulation of different interleukin-1 receptor-associated kinase (IRAK) family members. Mol Cell 2003;293–302

  9. Lye E, Mirtsos C, Suzuki N, Suzuki S, Yeh WC. The role of interleukin 1 receptor-associated kinase-4 (IRAK-4) kinase activity in IRAK-4-mediated signaling. J Biol Chem 2004;40653–8

  10. Suzuki N, Suzuki S, Duncan GS, et al. Severe impairment of interleukin-1 and Toll-like receptor signalling in mice lacking IRAK-4. Nature 2002;750–6

  11. Qin J, Jiang Z, Qian Y, Casanova JL, Li X. IRAK4 kinase activity is redundant for interleukin-1 (IL-1) receptor-associated kinase phosphorylation and IL-1 responsiveness. J Biol Chem 2004;26748–53

  12. Medvedev AE, Thomas K, Awomoyi A, et al. Cutting Edge: expression of IL-1 receptor-associated kinase-4 (IRAK-4) proteins with mutations identified in a patient with recurrent bacterial infections alters normal IRAK-4 interaction with components of the IL-1 receptor complex. J Immunol 2005;6587–91

  13. Medvedev AE, Lentschat A, Kuhns DB, et al. Distinct mutations in IRAK-4 confer hyporesponsiveness to lipopolysaccharide and interleukin-1 in a patient with recurrent bacterial infections. J Exp Med 2003;521–31

  14. Enders A, Pannicke U, Berner R, et al. Two siblings with lethal pneumococcal meningitis in a family with a mutation in Interleukin-1 receptor-associated kinase 4. J Pediatr 2004;698–700

  15. Day N, Tangsinmankong N, Ochs H, et al. Interleukin receptor-associated kinase (IRAK-4) deficiency associated with bacterial infections and failure to sustain antibody responses. J Pediatr 2004;524–6

  16. Currie AJ, Davidson DJ, Reid GS, et al. Primary immunodeficiency to pneumococcal infection due to a defect in Toll-like receptor signaling. J Pediatr 2004;512–8

  17. Chapel H, Puel A, von Bernuth H, Picard C, Casanova JL. Shigella sonnei meningitis due to interleukin-1 receptor-associated kinase-4 deficiency: first association with a primary immune deficiency. Clin Infect Dis 2005;1227–31

  18. Yang K, Puel A, Zhang S, et al. Human TLR-7-, -8-, and -9-mediated induction of IFN-alpha/beta and -lambda Is IRAK-4 dependent and redundant for protective immunity to viruses. Immunity 2005; 465–78

  19. Cardenes M, von Bernuth H, Garcia-Saavedra A, et al. Autosomal recessive interleukin-1 receptor-associated kinase 4 deficiency in fourth-degree relatives. J Pediatr 2006;549–51

  20. Takada H, Yoshikawa H, Imaizumi M, et al. Delayed separation of the umbilical cord in two siblings with Interleukin-1 receptor-associated kinase 4 deficiency: rapid screening by flow cytometer. J Pediatr 2006;546–8

  21. von Bernuth H, Ku CL, Rodriguez-Gallego C, et al. A fast procedure for the detection of defects in early Toll-like-receptor signaling. Pediatrics 2006;2498–503

  22. Ku CL, Picard C, Erdos M, et al. IRAK4 and NEMO mutations in otherwise healthy children with recurrent invasive pneumococcal disease. J Med Genet 2007;16–23

  23. Haraguchi S, Day NK, Nelson RP, et al. Interleukin 12 deficiency associated with recurrent infections. Proc Natl Acad Sci USA 1998;13125–9

  24. Suzuki N, Suzuki S, Eriksson U, et al. IL-1R-associated kinase 4 is required for lipopolysaccharide-induced activation of APC. J Immunol 2003;6065–71

  25. Suzuki N, Chen NJ, Millar DG, et al. IL-1 receptor-associated kinase 4 is essential for IL-18-mediated NK and Th1 cell responses. J Immunol 2003;4031–5

  26. Suzuki N, Suzuki S, Millar DG, et al. A critical role for the innate immune signaling molecule IRAK-4 in T cell activation. Science 2006;1927–32

  27. Albiger B, Sandgren A, Katsuragi H, et al. Myeloid differentiation factor 88-dependent signalling controls bacterial growth during colonization and systemic pneumococcal disease in mice. Cell Microbiol 2005;1603–15

  28. Casanova JL, Abel L. Genetic dissection of immunity to mycobacteria: the human model. Annu Rev Immunol 2002;581–620

  29. Abel L, Casanova JL. Human genetics of infectious diseases: fundamental insights from clinical studies. Semin Immunol 2006;327–9

  30. Casrouge A, Zhang SY, Eidenschenk C, et al. Herpes simplex virus encephalitis in human UNC-93B deficiency. Science 2006;308–12

  31. Casanova JL, Abel L. The human model: a genetic dissection of immunity to infection in natural conditions. Nat Rev Immunol 2004;55–66

  32. Casanova JL, Abel L. Inborn errors of immunity to infection: the rule rather than the exception. J Exp Med 2005;197–201

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Acknowledgments

We would like to thank Laurent Abel and all the members of our laboratory for helpful discussions and for critical reading of this text, and our collaborators at Necker and worldwide for their trust and patience over the years, in particular RA. Good, NK. Day, A. Ozinsky, X. Li, SN. Vogel, JI. Gallin, SM Holland, D. Lammas, G. Davies, H. Chapel, S. Al Hajjar, I. Zaid Al Moshen, D. Davidson, D. Speert, C. Roifman, A. Issekutz, C. Rodriguez-Gallego, L. Marodi, B. Zion Garty, K. Schwarz, S. Ehl, H. Takada, T. Hara, J. Smart, M. Tang, O. Levy, R. Geha, CK. Cunningham, X. Bossyut, F. Barrat and RL. Coffman. Needless to say, we are much indebted to the patients and their families. HvB was supported by grants from the Deutsche Forschungsgemeinschaft, Bonn, Germany (DFG n°-995/1 and -995/2). This work was supported by the Fondation BNP-Paribas, the Fondation Schlumberger, and EU grant number QLK2-CT-2002–00846. JLC is an International Scholar of the Howard Hughes Medical Institute.

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Correspondence to Capucine Picard.

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Presented at the First Robert A Good Society Symposium, St. Petersburg, FL 2006.

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Picard, C., von Bernuth, H., Ku, CL. et al. Inherited human IRAK-4 deficiency: an update. Immunol Res 38, 347–352 (2007). https://doi.org/10.1007/s12026-007-0006-2

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