1. Academic Validation
  2. Development and validation of a flow cytometry-based ISG15 induction assay to monitor the type I interferon response

Development and validation of a flow cytometry-based ISG15 induction assay to monitor the type I interferon response

  • Clin Immunol. 2025 Dec 2:283:110654. doi: 10.1016/j.clim.2025.110654.
Birthe Michiels 1 Rudi Beyaert 2 Jens Staal 3 Doreen Dillaerts 4 Maaike Cockx 5 Glynis Frans 6 Birgit Timmermans 7 Natalie Lorent 8 Isabelle Meyts 9 Xavier Bossuyt 10
Affiliations

Affiliations

  • 1 Department of Laboratory Medicine, University Hospitals Leuven, Leuven, Belgium; Department of Microbiology, Immunology and Transplantation, Clinical and Diagnostic Immunology, KU Leuven, Leuven, Belgium. Electronic address: [email protected].
  • 2 Unit of Molecular Signal Transduction in Inflammation, VIB-UGent Center for Inflammation Research, Belgium; Department of Biomedical Molecular Biology, Ghent University, Belgium. Electronic address: [email protected].
  • 3 Unit of Molecular Signal Transduction in Inflammation, VIB-UGent Center for Inflammation Research, Belgium; Department of Biomedical Molecular Biology, Ghent University, Belgium; Department of Biochemistry and Microbiology, Ghent University, Belgium. Electronic address: [email protected].
  • 4 Department of Microbiology, Immunology and Transplantation, Clinical and Diagnostic Immunology, KU Leuven, Leuven, Belgium. Electronic address: [email protected].
  • 5 Department of Microbiology, Immunology and Transplantation, Clinical and Diagnostic Immunology, KU Leuven, Leuven, Belgium; PharmAbs, The KU Leuven Antibody Center, University of Leuven, Leuven, Belgium. Electronic address: [email protected].
  • 6 Department of Laboratory Medicine, University Hospitals Leuven, Leuven, Belgium; Department of Microbiology, Immunology and Transplantation, Clinical and Diagnostic Immunology, KU Leuven, Leuven, Belgium. Electronic address: [email protected].
  • 7 Department of Laboratory Medicine, University Hospitals Leuven, Leuven, Belgium. Electronic address: [email protected].
  • 8 Department of Respiratory Diseases, University Hospitals Leuven, Leuven, Belgium; Department of Chronic Diseases, Metabolism and Aging, BREATHE laboratory, KU Leuven, Leuven, Belgium. Electronic address: [email protected].
  • 9 Department of Pediatrics, University Hospitals Leuven, Leuven, Belgium; Department of Microbiology, Immunology and Transplantation, Laboratory for Inborn Errors of Immunity, KU Leuven, Leuven, Belgium. Electronic address: [email protected].
  • 10 Department of Laboratory Medicine, University Hospitals Leuven, Leuven, Belgium; Department of Microbiology, Immunology and Transplantation, Clinical and Diagnostic Immunology, KU Leuven, Leuven, Belgium. Electronic address: [email protected].
Abstract

The type I IFN response plays an important role in the immune defence against invading pathogens and in certain autoinflammatory diseases. In this study, a flow cytometry-based assay to measure ISG15 production in response to stimulation with various TLR ligands and IFNα was developed. PBMCs of healthy controls or patients were stimulated with TLR7/8, TLR3 and TLR9 ligands and IFNα2 whereafter ISG15 expression was measured. The ability of the assay to analyse TLR-dependent type I IFN induction and type I IFN-dependent JAK/STAT activation was verified by inhibition of ISG15 induction by a TBK1/IKKε Inhibitor and a JAK1 Inhibitor, respectively. TLR7/8 ligand- and TLR9 ligand-induced ISG15 production but not IFNα2-induced ISG15 production was abolished in a patient with AR IRF7 deficiency. IFNα2-induced ISG15 expression was abolished by serum containing neutralizing anti-IFNα2 autoantibodies. The flow cytometry-based ISG15 induction assay can be applied to screen for defects in the type I IFN response.

Keywords

Anti-IFNα2 autoantibodies; Flow cytometry; IRF7; ISG15; TLR; Type I IFN response.

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