RT Journal Article T1 Inherited BCL10 deficiency impairs hematopoietic and nonhematopoietic immunity A1 Torres, Juan Manuel A1 Martínez Barricarte, Rubén A1 García Gómez, Sonia A1 Mazariegos, Marina S A1 Itan, Yuval A1 Boisson, Bertrand A1 Álvarez Carbajal, Rita Lucía A1 Jiménez Reinoso, Anaïs A1 del Pino, Lucía A1 Rodríguez Pena, Rebeca A1 Ferreira Martín, Antonio A1 Hernández Jiménez, Enrique A1 Toledano, Víctor A1 Cubillos Zapata, Carolina A1 Díaz Almirón, Mariana A1 López Collazo, Eduardo A1 Unzueta Roch, José L A1 Sánchez Ramón, Silvia María A1 Regueiro González-Barros, José Ramón A1 López Granados, Eduardo A1 Casanova, Jean-Laurent A1 Pérez de Diego, Rebeca AB Heterotrimers composed of B cell CLL/lymphoma 10 (BCL10), mucosa-associated lymphoid tissue lymphoma translocation protein 1 (MALT1), and caspase recruitment domain–containing (CARD) family adaptors play a role in NF-κB activation and have been shown to be involved in both the innate and the adaptive arms of immunity in murine models. Moreover, individuals with inherited defects of MALT1, CARD9, and CARD11 present with immunological and clinical phenotypes. Here, we characterized a case of autosomal-recessive, complete BCL10 deficiency in a child with a broad immunodeficiency, including defects of both hematopoietic and nonhematopoietic immunity. The patient died at 3 years of age and was homozygous for a loss-of-expression, loss-of function BCL10 mutation. The effect of BCL10 deficiency was dependent on the signaling pathway, and, for some pathways, the cell type affected. Despite the noted similarities to BCL10 deficiency in mice, including a deficient adaptive immune response, human BCL10 deficiency in this patient resulted in a number of specific features within cell populations. Treatment of the patient’s myeloid cells with a variety of pathogen-associated molecular pattern molecules (PAMPs) elicited a normal response; however, NF-κB–mediated fibroblast functions were dramatically impaired. The results of this study indicate that inherited BCL10 deficiency should be considered in patients with combined immunodeficiency with B cell, T cell, and fibroblast defects. PB American Society for Clinical Investigation SN 0021-9738 (print), 1558-8238 (online) YR 2014 FD 2014-11 LK https://hdl.handle.net/20.500.14352/34396 UL https://hdl.handle.net/20.500.14352/34396 LA eng NO Ministerio de Economia y Competitividad (MINECO) NO Fundación Lair DS Docta Complutense RD 27 abr 2025