Allele-dependent interaction of LRRK2 and NOD2 in leprosy

Monica Dallmann-Sauer1,2,3,4, Yong Zhong Xu1,2, Ana Lúcia França da Costa5

  • 1Program in Infectious Diseases and Immunity in Global Health, The Research Institute of the McGill University Health Centre; Montreal, Canada.

Plos Pathogens
|March 27, 2023
PubMed

Insights

Genetic mutations in LRRK2 and NOD2 are linked to early-onset leprosy in young children. These variants affect immune cell function and protein interactions, offering insights into rare pediatric leprosy cases.

Area of Science:

  • Genetics
  • Immunology
  • Microbiology

Background:

  • Leprosy (Hansen's disease) is caused by Mycobacterium leprae and rarely affects children under five.
  • A multiplex family with monozygotic twins presenting with paucibacillary leprosy provided a unique study cohort.

Purpose of the Study:

  • To identify genetic variants associated with early-onset leprosy in a pediatric family.
  • To investigate the functional impact of identified mutations on immune cell responses to Mycobacterium leprae.

Main Methods:

  • Whole genome sequencing to identify candidate mutations.
  • Genome-edited macrophages to assess apoptosis and protein interactions (co-immunoprecipitation, confocal microscopy).
  • Analysis of immune responses including respiratory burst, NF-κB activation, and cytokine secretion following BCG challenge.

Main Results:

  • Three amino acid mutations (LRRK2 N551K, R1398H, and NOD2 R702W) were identified as candidate variants.
  • LRRK2 mutations reduced apoptosis in macrophages after mycobacterial challenge, independent of NOD2.
  • A significant interaction between LRRK2 and NOD2 proteins was observed, which was diminished by the NOD2 R702W mutation.
  • Combined LRRK2 and NOD2 variants showed a joint effect on BCG-induced immune responses, particularly in the twins' genotypes.

Conclusions:

  • The identified LRRK2 and NOD2 mutations are associated with early-onset leprosy.
  • These variants influence macrophage apoptosis and immune signaling pathways.
  • The findings suggest a significant role for these genetic factors in the pathogenesis of pediatric leprosy.