Key result
Biallelic ARPC5 deficiency linked to severe early-onset systemic inflammation, congenital anomalies, and early mortality.
Case Report (n=1)
ARPC5 deficiency causes severe early-onset systemic inflammation, immunodeficiency, and developmental defects, highlighting its non-redundant role in prenatal development and postnatal immune signaling.
ARPC5 biallelic loss may underlie syndromic immunodeficiency; leaves open Arp2/3 roles in human immunity pending replication.
The Arp2/3 complex drives the formation of branched actin networks that are essential for many cellular processes. In humans, the ARPC5 subunit of the Arp2/3 complex is encoded by two paralogous genes (ARPC5 and ARPC5L) with 67% identity. Through whole-exome sequencing, we identified a biallelic ARPC5 frameshift variant in a female child who presented with recurrent infections, multiple congenital anomalies, diarrhea and thrombocytopenia, and suffered early demise from sepsis. Her consanguineous parents also had a previous child who died with similar clinical features. Using CRISPR/Cas9-mediated approaches, we demonstrate that loss of ARPC5 affects actin cytoskeleton organization and function in vitro. Homozygous Arpc5-/- mice do not survive past embryonic day 9 owing to developmental defects, including loss of the second pharyngeal arch, which contributes to craniofacial and heart development. Our results indicate that ARPC5 is important for both prenatal development and postnatal immune signaling, in a non-redundant manner with ARPC5L. Moreover, our observations add ARPC5 to the list of genes that should be considered when patients present with syndromic early-onset immunodeficiency, particularly if recessive inheritance is suspected.
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Sindram et al. (2023) conducted a case report in Syndromic early-onset immunodeficiency (n=1). Biallelic ARPC5 frameshift variant was evaluated. Biallelic ARPC5 deficiency was identified as the cause of severe early-onset systemic inflammation, multiple congenital anomalies, and early mortality in a female child.
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