RT Journal Article T1 A Point Mutation in a Domain of Gamma Interferon Receptor 1 Provokes Severe Immunodeficiency A1 Allende Martínez, Luis Miguel A1 López Goyanes, Alberto A1 Paz Artal, Estela Natividad A1 Corell, Alfredo A1 García Pérez, Miguel Ángel A1 Varela Peña, Pilar A1 Scarpellini, Atilio A1 Negreira, Sagrario A1 Palenque Mataix, Elia A1 Arnaiz Villena, Antonio AB Gamma interferon (IFN-γ) and the cellular responses induced by it are essential for controlling mycobacterial infections. Most patients bearing an IFN-γ receptor ligand-binding chain (IFN-γR1) deficiency present gross mutations that truncate the protein and prevent its expression, giving rise to severe mycobacterial infections and, frequently, a fatal outcome. In this report a new mutation that affects the IFN-γR1 ligand-binding domain in a Spanish patient with mycobacterial disseminated infection and multifocal osteomyelitis is characterized. The mutation generates an amino acid change that does not abrogate protein expression on the cellular surface but that severely impairs responses after the binding of IFN-γ (CD64 and HLA class II induction and tumor necrosis factor alpha and interleukin-12 production). A patient's younger brother, who was also probably homozygous for the mutation, died from meningitis due to Mycobacterium bovis. These findings suggest that a point mutation may be fatal when it affects functionally important domains of the receptor and that the severity is not directly related to a lack of IFN-γ receptor expression. Future research on these nontruncating mutations will make it possible to develop new therapeutical alternatives in this group of patients. PB American Society for Microbiology SN 1098-6588 YR 2001 FD 2001-01-01 LK https://hdl.handle.net/20.500.14352/98102 UL https://hdl.handle.net/20.500.14352/98102 LA eng NO Allende LM, López-Goyanes A, Paz-Artal E, Corell A, García-Pérez MA, Varela P, Scarpellini A, Negreira S, Palenque E, Arnaiz-Villena A. A point mutation in a domain of gamma interferon receptor 1 provokes severe immunodeficiency. Clin Diagn Lab Immunol. 2001 Jan;8(1):133-7. doi: 10.1128/CDLI.8.1.133-137.2001. PMID: 11139207; PMCID: PMC96022. NO Ministerio de Educación y Ciencia NO Comunidad Autónoma de Madrid DS Docta Complutense RD 6 abr 2025