A20 haploinsufficiency disturbs immune homeostasis and drives the transformation of lymphocytes with permissive antigen receptors
Genetic <i>TNFAIP3</i> (A20) inactivation is a classical somatic lymphoma lesion and the genomic trait in haploinsufficiency of A20 (HA20). In a cohort of 34 patients with HA20, we show that heterozygous <i>TNFAIP3</i> loss skews immune repertoires toward lymphocytes with classical self-reactive antigen receptors typically found in B and T cell lymphomas. This skewing was mediated by a feed-forward tumor necrosis factor (TNF)/A20/nuclear factor κB (NF-κB) loop that shaped pre-lymphoma transcriptome signatures in clonally expanded B (<i>CD81</i>, <i>BACH2</i>, and <i>NEAT1</i>) or T (<i>GATA3</i>, <i>TOX</i>, and <i>PDCD1</i>) cells. The skewing was reversed by anti-TNF treatment but could also progress to overt lymphoma. Analysis of conditional <i>TNFAIP3</i> knock-out mice reproduced the wiring of the TNF/A20/NF-κB signaling axis with permissive antigen receptors and suggested a distinct regulation in B and T cells. Together, patients with the genetic disorder HA20 provide an exceptional window into A20/TNF/NF-κB-mediated control of immune homeostasis and early steps of lymphomagenesis that remain clinically unrecognized.
Authors
- Claire de Moreuil (ORCID: https://orcid.org/0000-0003-1142-0978)
- Katrin Hoffmann (ORCID: https://orcid.org/0000-0003-1985-2062)
- Gisa Tiegs (ORCID: https://orcid.org/0000-0002-8011-0167)
- Paul Schmidt-Barbo (ORCID: https://orcid.org/0009-0008-0871-7555)
- Lisa Paschold (ORCID: https://orcid.org/0000-0003-0020-1315)
- Alma N. Mohebiany (ORCID: https://orcid.org/0000-0001-9818-6867)
- Prasad T. Oommen (ORCID: https://orcid.org/0000-0003-2893-7252)
- Anna Mensa‐Vilaró (ORCID: https://orcid.org/0000-0001-7541-9672)
- Bruno Märkl (ORCID: https://orcid.org/0000-0002-7704-850X)
- Ivona Aksentijevich (ORCID: https://orcid.org/0000-0002-6564-7214)
- Ari Waisman (ORCID: https://orcid.org/0000-0003-4304-8234)
- Guilaine Boursier (ORCID: https://orcid.org/0000-0002-2903-3135)
- Daniella M. Schwartz (ORCID: https://orcid.org/0000-0002-1660-8438)
- Christoph Schultheiß (ORCID: https://orcid.org/0000-0001-9789-5776)
- Sascha Dietrich (ORCID: https://orcid.org/0000-0002-0648-1832)
- Yogita Kattimani
- Hanna Jonas
- Alexandra F. Freeman (ORCID: https://orcid.org/0000-0001-7005-8345)
- Bianca Grosser (ORCID: https://orcid.org/0000-0003-4957-4876)
- Katharina L. Gössling
- Juan I. Aróstegui (ORCID: https://orcid.org/0000-0003-4757-504X)
- Timo Hautala (ORCID: https://orcid.org/0000-0001-7889-1614)
- Edith Willscher (ORCID: https://orcid.org/0000-0002-8786-4578)
- Moritz Escher (ORCID: https://orcid.org/0009-0001-0059-481X)
- Mascha Binder (ORCID: https://orcid.org/0000-0003-0663-3004)
- Felix Czernilofsky (ORCID: https://orcid.org/0000-0001-5868-2890)
- Melanie Müller
- Wolfram Klapper (ORCID: https://orcid.org/0000-0001-7208-4117)
- Namuun Chinchuluun
Institutions
- National Institutes of Health (US)
- European Molecular Biology Organization (DE)
- University of Antwerp (BE)
- Inserm (FR)
- Universität Hamburg (DE)
- Université de Bretagne Occidentale (FR)
- University of Pittsburgh (US)
- University of Augsburg (DE)
- German Cancer Research Center (DE)
- Johannes Gutenberg University Mainz (DE)
- Université de Montpellier (FR)
- Heidelberg University (DE)
- Oulu University Hospital (FI)
- University Hospital of Basel (CH)
- Düsseldorf University Hospital (DE)
- National Human Genome Research Institute (US)
- University Medical Center of the Johannes Gutenberg University Mainz (DE)
- Centre de Référence des Maladies Autoinflammatoires et des Amyloses (FR)
- University Medical Center Hamburg-Eppendorf (DE)
- National Center for Tumor Diseases (DE)
- University Hospital Schleswig-Holstein (DE)
- Hospital Clínic de Barcelona (ES)
- VIB-UAntwerp Center for Molecular Neurology (BE)
- National Institute of Allergy and Infectious Diseases (US)
- European Molecular Biology Laboratory (DE)
- Consorci Institut D'Investigacions Biomediques August Pi I Sunyer (ES)
- Heinrich Heine University Düsseldorf (DE)
- Martin Luther University Halle-Wittenberg (DE)
- Universitat de Barcelona (ES)
- University of Lübeck (DE)
- University of Oulu (FI)
Publication Details
- Journal
- Science Advances
- Published
- 2024-08-21
- DOI
- https://doi.org/10.1126/sciadv.adl3975
- Citations
- 14
- Primary Topic
- NF-κB Signaling Pathways
- Type
- article
- Field-Weighted Citation Impact
- 3.99