Immunodeficiency Diagnosis and treatment of inborn errors in immunity remain a challenge. Salzer et al. studied two siblings who were hospitalized for recurrent pediatric infections. Exome sequencing and functional analyses… Click to show full abstract
Immunodeficiency Diagnosis and treatment of inborn errors in immunity remain a challenge. Salzer et al. studied two siblings who were hospitalized for recurrent pediatric infections. Exome sequencing and functional analyses helped to identify homozygous loss-of-function mutations in genes encoding the protein HEM1 in both individuals. HEM1 is a component of actin-remodeling complexes that have a wide range of functions, from cell migration to cell division. By studying immune cells from these individuals and by generating HEM1-deficient mice, the authors established HEM1 as a key regulator of T and B cell functions. They characterized in depth the role of HEM1 in B cells and propose that HEM1 modulates signaling downstream of the B cell receptor. Sci. Immunol. 5 , eabc3979 (2020).
               
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