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Inborn errors in RNA polymerase III underlie severe varicella zoster virus infections.

J Clin Invest. 2017; 
Ogunjimi B,,,,, Zhang SY,,, Sørensen KB,,, Skipper KA,, Carter-Timofte M,, Kerner G,, Luecke S,, Prabakaran T,, Cai Y,, Meester J, Bartholomeus E, Bolar NA, Vandeweyer G, Claes C, Sillis Y, Lorenzo L,,, Fiorenza RA,,, Boucherit S,,, Dielman C, Heynderickx S, Elias G, Kurotova A, Auwera AV, Verstraete L, Lagae L, Verhelst H, Jansen A,, Ramet J, Suls A, Smits E, Ceulemans B, Van Laer L, Plat Wilson G, Kreth J, Picard C,, Von Bernuth H, Fluss J, Chabrier S, Abel L,,, Mortier G, Fribourg S, Mikkelsen JG,, Casanova JL,,,,, Paludan SR,, Mogensen TH,,.
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Plasmid DNA Preparation For plasmid construction, POLR3C (Plas- mID HsCD0032 1588) and POLR3A (GenScript OHu2 7038C) cDNAs were acquired commercially. Get A Quote

摘要

Varicella zoster virus (VZV) typically causes chickenpox upon primary infection. In rare cases, VZV can give rise to life-threatening disease in otherwise healthy people, but the immunological basis for this remains unexplained. We report 4 cases of acute severe VZV infection affecting the central nervous system or the lungs in unrelated, otherwise healthy children who are heterozygous for rare missense mutations in POLR3A (one patient), POLR3C (one patient), or both (two patients). POLR3A and POLR3C encode subunits of RNA polymerase III. Leukocytes from all 4 patients tested exhibited poor IFN induction in response to synthetic or VZV-derived DNA. Moreover, leukocytes from 3 of the patients displayed defective... More

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