Letter abstract


Nature Genetics 41, 829 - 832 (2009)
Published online: 14 June 2009 | doi:10.1038/ng.373

Mutations involved in Aicardi-Goutières syndrome implicate SAMHD1 as regulator of the innate immune response

Gillian I Rice1,2, Jacquelyn Bond2, Aruna Asipu2, Rebecca L Brunette3, Iain W Manfield4, Ian M Carr2, Jonathan C Fuller4, Richard M Jackson4, Teresa Lamb5, Tracy A Briggs2, Manir Ali2, Hannah Gornall1, Lydia R Couthard2, Alec Aeby6, Simon P Attard-Montalto7, Enrico Bertini8, Christine Bodemer9, Knut Brockmann10, Louise A Brueton11, Peter C Corry12, Isabelle Desguerre13, Elisa Fazzi14, Angels Garcia Cazorla15, Blanca Gener16, Ben C J Hamel17, Arvid Heiberg18, Matthew Hunter19, Marjo S van der Knaap20, Ram Kumar21, Lieven Lagae22, Pierre G Landrieu23, Charles M Lourenco24, Daphna Marom25, Michael F McDermott2, William van der Merwe26, Simona Orcesi14, Julie S Prendiville27, Magnhild Rasmussen28, Stavit A Shalev29, Doriette M Soler7, Marwan Shinawi30, Ronen Spiegel29, Tiong Y Tan31, Adeline Vanderver32, Emma L Wakeling33, Evangeline Wassmer34, Elizabeth Whittaker35, Pierre Lebon36, Daniel B Stetson3, David T Bonthron2 & Yanick J Crow1

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Aicardi-Goutières syndrome is a mendelian mimic of congenital infection and also shows overlap with systemic lupus erythematosus at both a clinical and biochemical level. The recent identification of mutations in TREX1 and genes encoding the RNASEH2 complex and studies of the function of TREX1 in DNA metabolism have defined a previously unknown mechanism for the initiation of autoimmunity by interferon-stimulatory nucleic acid. Here we describe mutations in SAMHD1 as the cause of AGS at the AGS5 locus and present data to show that SAMHD1 may act as a negative regulator of the cell-intrinsic antiviral response.

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  1. Academic Unit of Medical Genetics, University of Manchester, Manchester, UK.
  2. Leeds Institute of Molecular Medicine, University of Leeds, St. James's University Hospital, Leeds, UK.
  3. Department of Immunology, University of Washington, Seattle, USA.
  4. JIF Centre for Biomolecular Interactions, Astbury Centre for Structural Molecular Biology, Manton Building, University of Leeds, Leeds, UK.
  5. DNA Laboratory, Yorkshire Regional Genetics Service, Ashley Wing, St. James's University Hospital, Leeds, UK.
  6. Department of Paediatric Neurology, Erasme Hospital-ULB, Brussels, Belgium.
  7. Department of Paediatrics, The Medical School, Mater Dei Hospital, Tal-Qroqq, Malta.
  8. Unit of Molecular Medicine and Neuromuscular Disorders, Bambino Gesù Children's Hospital, Rome, Italy.
  9. Department of Dermatology, Université Paris V René Desartes, Paris, France.
  10. Pediatrics and Pediatric Neurology, Georg August University, Goettingen, Germany.
  11. Clinical Genetics Unit, Birmingham Women's Hospital, Edgbaston, Birmingham, UK.
  12. Bradford Child Development Centre, St. Luke's Hospital, Little Horton Lane, Bradford, UK.
  13. APHP, Paediatric Neurology, Hôpital Necker, Paris, France.
  14. Department of Child Neurology and Psychiatry, IRCCS Institute of Neurology, "C. Mondino" Foundation, Pavia, Italy.
  15. Neurology Department, Hospital Sant Joan de Déu, Esplugues, Barcelona, Spain.
  16. Clinical Genetics Unit-Department of Paediatrics, Hospital de Cruces, Baracaldo, Vizcaya, Spain.
  17. Department of Human Genetics, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands.
  18. Department of Medical Genetics, Rikshospitalet, Oslo, Norway.
  19. Genetic Health, Victorian Clinical Genetics Service, Royal Children's Hospital, Parkville, Victoria, Australia.
  20. Department of Pediatrics/Child Neurology, VU University Medical Center, Amsterdam, The Netherlands.
  21. Department of Neurology, Alder Hey Children's NHS Foundation Trust, Liverpool, UK.
  22. Paediatric Neurology, University Hospitals of Gasthuisberg, Leuven, Belgium.
  23. Pediatric Neurology Department, CHU Paris Sud-Hôpital, Bicêtre, France.
  24. Neurogenetics Unit, Medical Genetics Service, Hospital das Clinicas de Ribeirao Preto, School of Medicine of Ribeirao Preto, University of Sao Paulo, Campus Universitario, Monte Alegre, Ribeirão Preto–SP, Brazil.
  25. The Raphael Recanati Genetic Institute, Rabin Medical Center, Petach-Tikva, Israel.
  26. Department of Paediatrics, Nobles Hospital, Strang, Braddan, Isle of Man, UK.
  27. British Columbia's Children's Hospital, Vancouver, British Columbia, Canada.
  28. Department of Paediatrics, Rikshospitalet University Hospital, Oslo, Norway.
  29. The Genetic Institute, Ha'Emek Medical Center, Afula and the Rappaport Faculty of Medicine, Technion, Haifa, Israel.
  30. Department of Molecular and Human Genetics-T619, Baylor College of Medicine, Houston, Texas, USA.
  31. Genetic Health Services Victoria, Murdoch Children's Research Institute, Department of Paediatrics, University of Melbourne, Royal Children's Hospital, Parkville, Victoria, Australia.
  32. Department of Neurology, Children's National Medical Center, Washington, DC, USA.
  33. The Kennedy Galton Centre, North West London Hospitals NHS Trust, Harrow, UK.
  34. Neurology Department, Birmingham Children's Hospital, Steelhouse Lane, Birmingham, UK.
  35. Department of Paediatrics, Imperial College London, London, UK.
  36. Université Paris Descartes, Hôpital Cochin-St. Vincent de Paul, Paris, France.

Correspondence to: Yanick J Crow1 e-mail: yanickcrow@mac.com



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