The TRIM37 variants in Mulibrey nanism patients paralyze follicular helper T cell differentiation

Wangpeng Gu1,2, Jia Zhang2, Qing Li2

  • 1Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, China.

Cell Discovery
|August 1, 2023
PubMed

Insights

Mulibrey nanism, caused by TRIM37 gene variants, leads to recurrent infections. The TRIM37 protein is crucial for follicular helper T (TFH) cell development and antibody production, explaining immune deficiencies in patients.

Area of Science:

  • Immunology
  • Genetics
  • Molecular Biology

Background:

  • Mulibrey (Muscle-liver-brain-eye) nanism is an autosomal recessive disorder linked to TRIM37 gene variants.
  • Patients exhibit severe growth failure, constrictive pericarditis, and a high incidence of severe respiratory infections.
  • Recurrent infections contribute to increased mortality rates in Mulibrey nanism patients.

Purpose of the Study:

  • To investigate the association between TRIM37 variants and recurrent infections.
  • To elucidate the immunological mechanisms underlying impaired T cell function and antibody production in Mulibrey nanism.
  • To understand the role of TRIM37 in follicular helper T (TFH) cell differentiation and function.

Main Methods:

  • Utilized Trim37 FINmajor variants and Trim37 knockout mouse models to study susceptibility to influenza virus infection.
  • Analyzed defects in follicular helper T (TFH) cell development and antibody production in affected models.
  • Investigated the molecular mechanism of TRIM37's action on Bcl6, including its E3 ligase activity and protein interactions.

Main Results:

  • TRIM37 variants are associated with increased susceptibility to recurrent infections, including influenza virus.
  • Trim37 deficiency impairs follicular helper T (TFH) cell development and reduces antibody production.
  • TRIM37 regulates TFH cell differentiation by catalyzing polyubiquitination of Bcl6, protecting it from degradation via its E3 ligase and MATH domains.

Conclusions:

  • The TRIM37-Bcl6 axis is critical for proper TFH cell development and high-affinity antibody production.
  • Dysregulation of the TRIM37-Bcl6 pathway contributes to the immunodeficiency observed in Mulibrey nanism.
  • Understanding this mechanism provides insight into recurrent respiratory infections in Mulibrey nanism patients.

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