Dominant negative variants in ITPR3 impair T cell Ca2+ dynamics causing combined immunodeficiency

Elena Blanco1, Carme Camps2,3, Sameer Bahal1

  • 1Molecular and Cellular Immunology, Great Ormond Street Institute of Child Health, University College London , London, UK.

PubMed

Insights

Genetic variants in ITPR3 cause combined immunodeficiency (CID) by disrupting calcium (Ca2+) signaling in T cells. This impairs T cell development and function, leading to immune system defects and multisystem disease.

Area of Science:

  • Immunology
  • Cell Biology
  • Genetics

Background:

  • Calcium (Ca2+) influx via store-operated Ca2+ entry (SOCE) is critical for T cell signaling and immune function.
  • Deficiencies in STIM1 and ORAI1, key regulators of SOCE, lead to combined immunodeficiency (CID).

Purpose of the Study:

  • To investigate the role of inositol 1,4,5-trisphosphate receptor (IP3R) in T cell signaling and its association with combined immunodeficiency (CID).

Main Methods:

  • Genetic analysis of five unrelated patients with de novo missense variants in ITPR3.
  • Assessment of T cell calcium homeostasis, development, and function.
  • Evaluation of endoplasmic reticulum (ER) Ca2+ stores and SOCE.

Main Results:

  • Identified de novo missense variants in ITPR3 in patients presenting with CID, abnormal T cell Ca2+ homeostasis, ectodermal dysplasia, and multisystem disease.
  • Observed significant T cell lymphopenia, impaired thymic T cell development, and defective peripheral T cell responses (NF-κB, NFAT, proliferation, metabolism).
  • Demonstrated that ITPR3 variants impair IP3R channel function, leading to ER Ca2+ depletion and blunted SOCE in T cells.

Conclusions:

  • De novo variants in ITPR3 cause a distinct form of combined immunodeficiency (CID) by disrupting T cell calcium signaling.
  • ITPR3 variants lead to impaired T cell development and function through defective ER Ca2+ release and blunted SOCE.
  • This study highlights the crucial role of IP3R-mediated calcium release in T cell immunity and overall health.

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