STAT1 Mutations in Autosomal Dominant Chronic Mucocutaneous Candidiasis Frank L
T h e new england journal o f medicine original article STAT1 Mutations in Autosomal Dominant Chronic Mucocutaneous Candidiasis Frank L. van de Veerdonk, M.D., Ph.D., Theo S. Plantinga, Ph.D., Alexander Hoischen, Ph.D., Sanne P. Smeekens, M.Sc., Leo A.B. Joosten, Ph.D., Christian Gilissen, Ph.D., Peer Arts, Ph.D., Diana C. Rosentul, M.Sc., Andrew J. Carmichael, M.D., Chantal A.A. Smits-van der Graaf, M.D., Ph.D., Bart Jan Kullberg, M.D., Ph.D., Jos W.M. van der Meer, M.D., Ph.D., Desa Lilic, M.D., Ph.D., Joris A. Veltman, Ph.D., and Mihai G. Netea, M.D., Ph.D. Abstr act Background Chronic mucocutaneous candidiasis (CMC) is characterized by susceptibility to can- From the Departments of Medicine (F.L.V., dida infection of skin, nails, and mucous membranes. Patients with recessive CMC T.S.P., S.P.S., L.A.B.J., D.C.R., C.A.A.S.G., B.J.K., J.W.M.M., M.G.N.), Human Genet- and autoimmunity have mutations in the autoimmune regulator AIRE. The cause of ics (A.H., C.G., P.A., J.A.V.), and Pulmonary autosomal dominant CMC is unknown. Diseases (C.A.A.S.G.), Radboud University Nijmegen Medical Center, and the Nijme- Methods gen Institute for Infection, Inflammation, and Immunity (F.L.V., T.S.P., S.P.S., L.A.B.J., We evaluated 14 patients from five families with autosomal dominant CMC. We D.C.R., C.A.A.S.G., B.J.K., J.W.M.M., M.G.N.) incubated their peripheral-blood mononuclear cells with different combinations of — both in Nijmegen, the Netherlands; and the Department of Dermatology, James stimuli to test the integrity of pathways that mediate immunity, which led to the Cook University Hospital, Middlesbrough selection of 100 genes that were most likely to contain the genetic defect.
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