Cernunnos, a novel nonhomologous end-joining factor, is mutated in human immunodeficiency with microcephaly
Dietke Buck1, Laurent Malivert, Régina de Chasseval
1INSERM, Hôpital Necker-Enfants Malades, U768 Unité Développement Normal et Pathologique du Système Immunitaire, Paris, France.
Abstract:
DNA double-strand breaks (DSBs) occur at random upon genotoxic stresses and represent obligatory intermediates during physiological DNA rearrangement events such as the V(D)J recombination in the immune system. DSBs, which are among the most toxic DNA lesions, are preferentially repaired by the nonhomologous end-joining (NHEJ) pathway in higher eukaryotes. Failure to properly repair DSBs results in genetic instability, developmental delay, and various forms of immunodeficiency. Here we describe five patients with growth retardation, microcephaly, and immunodeficiency characterized by a profound T+B lymphocytopenia. An increased cellular sensitivity to ionizing radiation, a defective V(D)J recombination, and an impaired DNA-end ligation process both in vivo and in vitro are indicative of a general DNA repair defect in these patients. All five patients carry mutations in the Cernunnos gene, which was identified through cDNA functional complementation cloning. Cernunnos/XLF represents a novel DNA repair factor essential for the NHEJ pathway.
Insights
DNA double-strand breaks (DSBs) are critical DNA lesions repaired by nonhomologous end-joining (NHEJ). Mutations in the Cernunnos gene cause immunodeficiency due to impaired DSB repair.
Area of Science:
- Genetics
- Molecular Biology
- Immunology
Background:
- DNA double-strand breaks (DSBs) are highly toxic DNA lesions.
- DSBs are essential intermediates in physiological DNA rearrangements like V(D)J recombination.
- The nonhomologous end-joining (NHEJ) pathway is crucial for repairing DSBs in higher eukaryotes.
Observation:
- Five patients presented with growth retardation, microcephaly, and severe T+B lymphocytopenia.
- These patients exhibited increased sensitivity to ionizing radiation.
- A defect in V(D)J recombination and DNA-end ligation was observed in the patients.
Findings:
- All five patients carried mutations in the Cernunnos gene.
- Cernunnos/XLF was identified as a novel DNA repair factor.
- The identified mutations impair the NHEJ pathway.
Implications:
- Defective DSB repair leads to genetic instability, developmental issues, and immunodeficiency.
- Cernunnos/XLF is essential for the NHEJ pathway's function.
- Understanding Cernunnos's role is vital for diagnosing and potentially treating related genetic disorders.
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