Key result
TRIM37 variants were significantly associated with recurrent infections in patients, which mechanistic mouse models revealed is driven by paralyzed follicular helper T cell differentiation and defective antibody production.
Why the study?
Mulibrey nanism patients suffer from severe respiratory infections with increased mortality, but the underlying immunologic mechanism was unclear.
TRIM37 loss-of-function variants, which cause Mulibrey nanism, impair follicular helper T cell differentiation and antibody production by destabilizing Bcl6, explaining the recurrent respiratory infections in these patients.
Provides mechanistic basis for infections in Mulibrey nanism; extends TRIM37 to humoral immunity but leaves open clinical translation.
The Mulibrey (Muscle–liver–brain–eye) nanism caused by loss-of-function variants in TRIM37 gene is an autosomal recessive disorder characterized by severe growth failure and constrictive pericarditis. These patients also suffer from severe respiratory infections, co-incident with an increased mortality rate. Here, we revealed that TRIM37 variants were associated with recurrent infection. Trim37 FIN major (a representative variant of Mulibrey nanism patients) and Trim37 knockout mice were susceptible to influenza virus infection. These mice showed defects in follicular helper T (T FH ) cell development and antibody production. The effects of Trim37 on T FH cell differentiation relied on its E3 ligase activity catalyzing the K27/29-linked polyubiquitination of Bcl6 and its MATH domain-mediated interactions with Bcl6, thereby protecting Bcl6 from proteasome-mediated degradation. Collectively, these findings highlight the importance of the Trim37-Bcl6 axis in controlling the development of T FH cells and the production of high-affinity antibodies, and further unveil the immunologic mechanism underlying recurrent respiratory infection in Mulibrey nanism.
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Gu et al. (2023) studied Recurrent infections in Mulibrey nanism (n=16,330). TRIM37 variants vs. Absence of TRIM37 variants was evaluated on Incidence of recurrent infection (p=<0.05). TRIM37 variants were significantly associated with recurrent infections in patients, which mechanistic mouse models revealed is driven by paralyzed follicular helper T cell differentiation and defective antibody production.
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