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CD40 ligand deficiency causes functional defects of peripheral neutrophils that are improved by exogenous IFN-γ

  • Otavio Cabral-Marques
  • , Tabata Takahashi França
  • , Ashraf Al-Sbiei
  • , Lena Friederike Schimke
  • , Taj Ali Khan
  • , Claudia Feriotti
  • , Tania Alves da Costa
  • , Osvaldo Reis Junior
  • , Cristina Worm Weber
  • , Janaíra Fernandes Ferreira
  • , Fabiola Scancetti Tavares
  • , Claudia Valente
  • , Regina Sumiko Watanabe Di Gesu
  • , Asif Iqbal
  • , Gabriela Riemekasten
  • , Gustavo Pessini Amarante-Mendes
  • , José Alexandre Marzagão Barbuto
  • , Beatriz Tavares Costa-Carvalho
  • , Paulo Vitor Soeiro Pereira
  • , Maria J. Fernandez-Cabezudo
  • Vera Lucia Garcia Calich, Luigi D. Notarangelo, Troy R. Torgerson, Basel K. al-Ramadi, Hans D. Ochs, Antonio Condino-Neto

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Patients with X-linked hyper-IgM syndrome caused by CD40 ligand (CD40L) deficiency often present with episodic, cyclic, or chronic neutropenia, suggesting abnormal neutrophil development in the absence of CD40L-CD40 interaction. However, even when not neutropenic and despite immunoglobulin replacement therapy, CD40L-deficient patients are susceptible to life-threatening infections caused by opportunistic pathogens, suggesting impaired phagocyte function and the need for novel therapeutic approaches. Objectives: We sought to analyze whether peripheral neutrophils from CD40L-deficient patients display functional defects and to explore the in vitro effects of recombinant human IFN-γ (rhIFN-γ) on neutrophil function. Methods: We investigated the microbicidal activity, respiratory burst, and transcriptome profile of neutrophils from CD40L-deficient patients. In addition, we evaluated whether the lack of CD40L in mice also affects neutrophil function. Results: Neutrophils from CD40L-deficient patients exhibited defective respiratory burst and microbicidal activity, which were improved in vitro by rhIFN-γ but not soluble CD40L. Moreover, neutrophils from patients showed reduced CD16 protein expression and a dysregulated transcriptome suggestive of impaired differentiation. Similar to CD40L-deficient patients, CD40L knockout mice were found to have impaired neutrophil responses. In parallel, we demonstrated that soluble CD40L induces the promyelocytic cell line HL-60 to proliferate and mature by regulating the expression of genes of the same Gene Ontology categories (eg, cell differentiation) when compared with those dysregulated in peripheral blood neutrophils from CD40L-deficient patients. Conclusion: Our data suggest a nonredundant role of CD40L-CD40 interaction in neutrophil development and function that could be improved in vitro by rhIFN-γ indicating a potential novel therapeutic application for this cytokine.

Original languageEnglish
Pages (from-to)1571-1588.e9
JournalJournal of Allergy and Clinical Immunology
Volume142
Issue number5
DOIs
Publication statusPublished - Nov 2018

Keywords

  • CD40 ligand
  • IFN-γ
  • Neutrophils
  • cell development

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology

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