1. Academic Validation
  2. Chronic mucocutaneous candidiasis in humans with inborn errors of interleukin-17 immunity

Chronic mucocutaneous candidiasis in humans with inborn errors of interleukin-17 immunity

  • Science. 2011 Apr 1;332(6025):65-8. doi: 10.1126/science.1200439.
Anne Puel 1 Sophie Cypowyj Jacinta Bustamante Jill F Wright Luyan Liu Hye Kyung Lim Mélanie Migaud Laura Israel Maya Chrabieh Magali Audry Matthew Gumbleton Antoine Toulon Christine Bodemer Jamila El-Baghdadi Matthew Whitters Theresa Paradis Jonathan Brooks Mary Collins Neil M Wolfman Saleh Al-Muhsen Miguel Galicchio Laurent Abel Capucine Picard Jean-Laurent Casanova
Affiliations

Affiliation

  • 1 Laboratory of Human Genetics of Infectious Diseases, Necker Branch, Institut National de la Santé et de la Recherche Médicale, U980, and University Paris Descartes, Necker Medical School, 75015 Paris, France. [email protected]
Abstract

Chronic mucocutaneous candidiasis disease (CMCD) is characterized by recurrent or persistent infections of the skin, nails, and oral and genital mucosae caused by Candida albicans and, to a lesser extent, Staphylococcus aureus, in patients with no other infectious or autoimmune manifestations. We report two genetic etiologies of CMCD: autosomal recessive deficiency in the cytokine receptor, interleukin-17 receptor A (IL-17RA), and autosomal dominant deficiency of the cytokine interleukin-17F (IL-17F). IL-17RA deficiency is complete, abolishing cellular responses to IL-17A and IL-17F homo- and heterodimers. By contrast, IL-17F deficiency is partial, with mutant IL-17F-containing homo- and heterodimers displaying impaired, but not abolished, activity. These experiments of nature indicate that human IL-17A and IL-17F are essential for mucocutaneous immunity against C. albicans, but otherwise largely redundant.

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