Patients with autoimmune polyendocrine syndrome type 1 have an increased susceptibility to severe herpesvirus infections

Copyright © 2021 The Author(s). Published by Elsevier Inc. All rights reserved.

Détails bibliographiques
Publié dans:Clinical immunology (Orlando, Fla.). - 1999. - 231(2021) vom: 01. Okt., Seite 108851
Auteur principal: Hetemäki, Iivo (Auteur)
Autres auteurs: Laakso, Saila, Välimaa, Hannamari, Kleino, Iivari, Kekäläinen, Eliisa, Mäkitie, Outi, Arstila, T Petteri
Format: Article en ligne
Langue:English
Publié: 2021
Accès à la collection:Clinical immunology (Orlando, Fla.)
Sujets:Journal Article Research Support, Non-U.S. Gov't AIRE Autoantibody Herpes simplex Herpes zoster Immunodeficiency Type I interferon Varicella zoster Interferon-alpha
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520 |a Almost all patients with autoimmune polyendocrine syndrome type 1 (APS-1) have neutralizing antibodies against type 1 interferons (IFN), important mediators of antiviral defense. Recently, neutralizing anti-IFN antibodies were shown to be a risk factor of severe COVID-19. Here we show in a cohort of 44 patients with APS-1 that higher titers of neutralizing anti-IFNα4 antibodies are associated with a higher and earlier incidence of VZV reactivation (herpes zoster). The patients also present with uncommonly severe clinical sequelae of herpetic infections. APS-1 patients had decreased humoral immune responses to varicella zoster virus, but cellular responses were comparable to healthy controls. These results suggest that blocking the type I interferon pathway in patients with APS-1 patients leads to a clinically significant immune deficiency, and susceptibility to herpesviruses should be taken into account when treating patients with APS-1 
650 4 |a Journal Article 
650 4 |a Research Support, Non-U.S. Gov't 
650 4 |a AIRE 
650 4 |a Autoantibody 
650 4 |a Herpes simplex 
650 4 |a Herpes zoster 
650 4 |a Immunodeficiency 
650 4 |a Type I interferon 
650 4 |a Varicella zoster 
650 7 |a Interferon-alpha  |2 NLM 
700 1 |a Laakso, Saila  |e verfasserin  |4 aut 
700 1 |a Välimaa, Hannamari  |e verfasserin  |4 aut 
700 1 |a Kleino, Iivari  |e verfasserin  |4 aut 
700 1 |a Kekäläinen, Eliisa  |e verfasserin  |4 aut 
700 1 |a Mäkitie, Outi  |e verfasserin  |4 aut 
700 1 |a Arstila, T Petteri  |e verfasserin  |4 aut 
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