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Published in: BMC Infectious Diseases 1/2021

Open Access 01-12-2021 | Stomatitis Aphthosa | Case report

Chronic Candida infection, bronchiectasis, immunoglobulin abnormalities, and stunting: a case report of a natural mutation of STAT1 (c.986C>G) in an adolescent male

Authors: Yali Yu, Fei Xu, Hui Shen, Jiang Wu

Published in: BMC Infectious Diseases | Issue 1/2021

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Abstract

Background

Chronic mucocutaneous candidiasis (CMC) is the most common clinical symptom of singer transducer and signal transducer and activator of transcription 1 (STAT1) gain-of-function (GOF) mutations. Bronchiectasis is a chronic lung disease that is characterized by permanent bronchiectasis, causing cough, expectoration, and even haemoptysis. The underlying pathogeny is not yet clear. Immunoglobulin (Ig) A is derived from memory B cells and correlates with immune-related diseases. STAT1 is closely associated with signal transmission and immune regulation.

Case presentation

We report a 17-year-old male patient carrying a GOF mutation in STAT1. The variant led to CMC, bronchiectasis, and elevated serum IgA levels, as well as stunting. Whole-exome sequencing (WES) revealed a c.986C>G (p.P329R) heterozygous mutation in the STAT1 gene.

Conclusion

Further Sanger sequencing analysis of STAT1 in the patient and his parents showed that the patient harboured a de novo mutation.
Literature
1.
go back to reference Sadowski HB, Shuai K, Darnell JE Jr. A common nuclear signal transduction pathway activated by growth factor and cytokine receptors. Science. 1993;261(5291):1739–44.CrossRef Sadowski HB, Shuai K, Darnell JE Jr. A common nuclear signal transduction pathway activated by growth factor and cytokine receptors. Science. 1993;261(5291):1739–44.CrossRef
2.
go back to reference Wegenka UM, Lutticken C, Buschmann J. The interleukin-6-activated acute-phase response factor is antigenically and functionally related to members of the signal transducer and activator of transcription (STAT) family. Mol Cell Biol. 1994;14(6):3186–96.CrossRef Wegenka UM, Lutticken C, Buschmann J. The interleukin-6-activated acute-phase response factor is antigenically and functionally related to members of the signal transducer and activator of transcription (STAT) family. Mol Cell Biol. 1994;14(6):3186–96.CrossRef
3.
go back to reference Zhong Z, Wen Z Jr. JED: Stat3: a STAT family member activated by tyrosine phosphorylation in response to epidermal growth factor and interleukin-6. Science. 1994;264(5155):95–8.CrossRef Zhong Z, Wen Z Jr. JED: Stat3: a STAT family member activated by tyrosine phosphorylation in response to epidermal growth factor and interleukin-6. Science. 1994;264(5155):95–8.CrossRef
4.
go back to reference Schindler C, Shuai K, Prezioso VR, Darnell JE Jr. Interferon-dependent tyrosine phosphorylationof a latent cytoplasmic transcription factor. Science. 1992;257(5071):809–13.CrossRef Schindler C, Shuai K, Prezioso VR, Darnell JE Jr. Interferon-dependent tyrosine phosphorylationof a latent cytoplasmic transcription factor. Science. 1992;257(5071):809–13.CrossRef
5.
go back to reference Shuai K, Schindler C, Prezioso VR, Darnell JE Jr. Activation of transcription by IFN-y: tyrosine phosphorylation of a 91-kD-DNA binding protein. Science. 1992;258(5089):1808–12.CrossRef Shuai K, Schindler C, Prezioso VR, Darnell JE Jr. Activation of transcription by IFN-y: tyrosine phosphorylation of a 91-kD-DNA binding protein. Science. 1992;258(5089):1808–12.CrossRef
6.
go back to reference Darnell JE Jr, Kerr IM, Stark GR. Jak-STAT pathways and transcriptional activation in response to IFNs and other extracellular signaling proteins. Science. 1994;264(5164):1415–21.CrossRef Darnell JE Jr, Kerr IM, Stark GR. Jak-STAT pathways and transcriptional activation in response to IFNs and other extracellular signaling proteins. Science. 1994;264(5164):1415–21.CrossRef
7.
go back to reference Darnell JE Jr. STATs and gene regulation. Science. 1997;277(5332):1630–5.CrossRef Darnell JE Jr. STATs and gene regulation. Science. 1997;277(5332):1630–5.CrossRef
8.
go back to reference Vera J, Rateitschak K, Lange F, Kossow C, Wolkenhauer O, Jaster R. Systems biology of JAK-STAT signalling in human malignancies. Prog Biophys Mol Biol. 2011;106(2):426–34.CrossRef Vera J, Rateitschak K, Lange F, Kossow C, Wolkenhauer O, Jaster R. Systems biology of JAK-STAT signalling in human malignancies. Prog Biophys Mol Biol. 2011;106(2):426–34.CrossRef
9.
go back to reference Dale TCIA, Kerr IM, Stark GR. Rapid activation by interferon alpha of a latent DNA-binding protein present in the cytoplasm of untreated cells. Proc Natl Acad Sci U S A. 1989;86(4):1203–7.CrossRef Dale TCIA, Kerr IM, Stark GR. Rapid activation by interferon alpha of a latent DNA-binding protein present in the cytoplasm of untreated cells. Proc Natl Acad Sci U S A. 1989;86(4):1203–7.CrossRef
10.
go back to reference Chapgier A, Boisson-Dupuis S, Jouanguy E, et al. Novel STAT1 alleles in otherwise healthy patients with mycobacterial disease. PLoS Genet. 2006;2(8):e131.CrossRef Chapgier A, Boisson-Dupuis S, Jouanguy E, et al. Novel STAT1 alleles in otherwise healthy patients with mycobacterial disease. PLoS Genet. 2006;2(8):e131.CrossRef
11.
go back to reference Sampath D, Look DC, Holtzman MJ. Constitutive activation of an epithelial signal transducer and activator of transcription (STAT) pathway in asthma. J Clin Invest. 1999;103(9):1353–61.CrossRef Sampath D, Look DC, Holtzman MJ. Constitutive activation of an epithelial signal transducer and activator of transcription (STAT) pathway in asthma. J Clin Invest. 1999;103(9):1353–61.CrossRef
12.
go back to reference Yokota A, Narazaki M, Shima Y, et al. Preferential and persistent activation of the STAT1 pathway in rheumatoid synovial fluid cells. J Rheumatol. 2001;28(9):1952–9.PubMed Yokota A, Narazaki M, Shima Y, et al. Preferential and persistent activation of the STAT1 pathway in rheumatoid synovial fluid cells. J Rheumatol. 2001;28(9):1952–9.PubMed
13.
go back to reference PR SS, Hampe J, Nikolaus S, Groessner B, Schottelius A, Kühbacher T, Hämling J, Fölsch UR, Seegert D. Activation of signal transducer and activator of transcription (STAT) 1 in human chronicinflammatory bowel disease. Gut. 2002;51(3):379–85.CrossRef PR SS, Hampe J, Nikolaus S, Groessner B, Schottelius A, Kühbacher T, Hämling J, Fölsch UR, Seegert D. Activation of signal transducer and activator of transcription (STAT) 1 in human chronicinflammatory bowel disease. Gut. 2002;51(3):379–85.CrossRef
14.
go back to reference Sampaio EP, Hsu AP, Pechacek J, et al. Signal transducer and activator of transcription 1 (STAT1) gain-of-function mutations and disseminated coccidioidomycosis and histoplasmosis. J Allergy Clin Immunol. 2013;131(6):1624–34 e1617.CrossRef Sampaio EP, Hsu AP, Pechacek J, et al. Signal transducer and activator of transcription 1 (STAT1) gain-of-function mutations and disseminated coccidioidomycosis and histoplasmosis. J Allergy Clin Immunol. 2013;131(6):1624–34 e1617.CrossRef
15.
go back to reference Consonni F, Dotta L, Todaro F, et al. Signal transducer and activator of transcription gain-of-function primary immunodeficiency/.immunodysregulation disorders. Curr Opin Pediatr. 2017;29(6):711–7.CrossRef Consonni F, Dotta L, Todaro F, et al. Signal transducer and activator of transcription gain-of-function primary immunodeficiency/.immunodysregulation disorders. Curr Opin Pediatr. 2017;29(6):711–7.CrossRef
16.
go back to reference Liu L, Okada S, Kong XF, et al. Gain-of-function human STAT1 mutations impair IL-17 immunity and underlie chronic mucocutaneous candidiasis. J Exp Med. 2011;208(8):1635–48.CrossRef Liu L, Okada S, Kong XF, et al. Gain-of-function human STAT1 mutations impair IL-17 immunity and underlie chronic mucocutaneous candidiasis. J Exp Med. 2011;208(8):1635–48.CrossRef
17.
go back to reference Lee JS, An Y, Yoon CJ, et al. Germline gain-of-function mutation of STAT1 rescued by somatic mosaicism in immune dysregulation-polyendocrinopathy-enteropathy-X-linked-like disorder. J Allergy Clin Immunol. 2020;145(3):1017–21.CrossRef Lee JS, An Y, Yoon CJ, et al. Germline gain-of-function mutation of STAT1 rescued by somatic mosaicism in immune dysregulation-polyendocrinopathy-enteropathy-X-linked-like disorder. J Allergy Clin Immunol. 2020;145(3):1017–21.CrossRef
18.
go back to reference Toubiana J, Okada S, Hiller J, et al. Heterozygous STAT1 gain-of-function mutations underlie an unexpectedly broad clinical phenotype. Blood. 2016;127(25):3154–64.CrossRef Toubiana J, Okada S, Hiller J, et al. Heterozygous STAT1 gain-of-function mutations underlie an unexpectedly broad clinical phenotype. Blood. 2016;127(25):3154–64.CrossRef
19.
go back to reference Van de Veerdonk FL, Plantinga TS, Hoischen A, et al. STAT1 mutations in autosomal dominant chronic mucocutaneous candidiasis. N Engl J Med. 2011;365(1):54–61.CrossRef Van de Veerdonk FL, Plantinga TS, Hoischen A, et al. STAT1 mutations in autosomal dominant chronic mucocutaneous candidiasis. N Engl J Med. 2011;365(1):54–61.CrossRef
20.
go back to reference Haake K, Wustefeld T, Merkert S, Luttge D, et al. Human STAT1 gain-of-function iPSC line from a patient suffering from chronic mucocutaneous candidiasis. Stem Cell Res. 2020;43:101713.CrossRef Haake K, Wustefeld T, Merkert S, Luttge D, et al. Human STAT1 gain-of-function iPSC line from a patient suffering from chronic mucocutaneous candidiasis. Stem Cell Res. 2020;43:101713.CrossRef
21.
go back to reference Alachkar H, Taubenheim N, Haeney MR, et al. Memory switched B cell percentage and not serum immunoglobulin concentration is associated with clinical complications in children and adults with specific antibody deficiency and common variable immunodeficiency. Clin Immunol. 2006;120(3):310–8.CrossRef Alachkar H, Taubenheim N, Haeney MR, et al. Memory switched B cell percentage and not serum immunoglobulin concentration is associated with clinical complications in children and adults with specific antibody deficiency and common variable immunodeficiency. Clin Immunol. 2006;120(3):310–8.CrossRef
22.
go back to reference Yong PL, Orange JS, Sullivan KE. Pediatric common variable immunodeficiency: immunologic and phenotypic associations with switched memory B cells. Pediatr Allergy Immunol Official Publ Eur Soc Pediatr Allergy Immunol. 2010;21(5):852–8.CrossRef Yong PL, Orange JS, Sullivan KE. Pediatric common variable immunodeficiency: immunologic and phenotypic associations with switched memory B cells. Pediatr Allergy Immunol Official Publ Eur Soc Pediatr Allergy Immunol. 2010;21(5):852–8.CrossRef
23.
go back to reference Uzel G, Sampaio EP, Lawrence MG, Hsu AP, Hackett M, et al. Dominant gain-of-function STAT1 mutations in FOXP3 wild-type immune dysregulation-polyendocrinopathy-enteropathy-X-linked-like. J Allergy Clin Immunol. 2013;131(6):1611e1623.CrossRef Uzel G, Sampaio EP, Lawrence MG, Hsu AP, Hackett M, et al. Dominant gain-of-function STAT1 mutations in FOXP3 wild-type immune dysregulation-polyendocrinopathy-enteropathy-X-linked-like. J Allergy Clin Immunol. 2013;131(6):1611e1623.CrossRef
24.
go back to reference Frans G, Moens L, Schaballie H, et al. Gain-of-function mutations in signal transducer and activator of transcription 1 (STAT1): chronic mucocutaneous candidiasis accompanied by enamel defects and delayed dental shedding. J Allergy Clin Immunol. 2014;134(5):1209–13 e1206.CrossRef Frans G, Moens L, Schaballie H, et al. Gain-of-function mutations in signal transducer and activator of transcription 1 (STAT1): chronic mucocutaneous candidiasis accompanied by enamel defects and delayed dental shedding. J Allergy Clin Immunol. 2014;134(5):1209–13 e1206.CrossRef
25.
go back to reference Breuer O, Daum H, Cohen-Cymberknoh M, et al. Autosomal dominant gain of function STAT1 mutation and severe bronchiectasis. Respir Med. 2017;126:39–45.CrossRef Breuer O, Daum H, Cohen-Cymberknoh M, et al. Autosomal dominant gain of function STAT1 mutation and severe bronchiectasis. Respir Med. 2017;126:39–45.CrossRef
26.
go back to reference Olbrich P, Freeman AF. STAT1 and STAT3 mutations: important lessons for clinical immunologists. Expert Rev Clin Immunol. 2018;14(12):1029–41.CrossRef Olbrich P, Freeman AF. STAT1 and STAT3 mutations: important lessons for clinical immunologists. Expert Rev Clin Immunol. 2018;14(12):1029–41.CrossRef
Metadata
Title
Chronic Candida infection, bronchiectasis, immunoglobulin abnormalities, and stunting: a case report of a natural mutation of STAT1 (c.986C>G) in an adolescent male
Authors
Yali Yu
Fei Xu
Hui Shen
Jiang Wu
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Infectious Diseases / Issue 1/2021
Electronic ISSN: 1471-2334
DOI
https://doi.org/10.1186/s12879-020-05734-9

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