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The DOI matches its Crossref record; 5 of the 5 references it cites were found in a registry or an index.

Severe influenza pneumonitis in children with inherited TLR3 deficiency

Open access
Lim, Hye Kyung, Huang, Sarah X.L., Chen, Jie, Kerner, Gaspard, Gilliaux, Olivier, Bastard, Paul, Dobbs, Kerry, Hernandez, Nicholas, Goudin, Nicolas, Hasek, Mary L., García Reino, Eduardo Javier, Lafaille, Fabien G., Lorenzo, Lazaro, Luthra, Priya, Kochetkov, Tatiana, Bigio, Benedetta, Boucherit, Soraya, Rozenberg, Flore, Vedrinne, Catherine, Keller, Michael D., Itan, Yuval, García-Sastre, Adolfo, Celard, Marie, Orange, Jordan S., Ciancanelli, Michael J., Meyts, Isabelle, Zhang, Qian, Abel, Laurent, Notarangelo, Luigi D., Snoeck, Hans-Willem, Casanova, Jean-Laurent, Zhang, Shen-Ying·2019·Journal of Experimental Medicine

Abstract

Autosomal recessive IRF7 and IRF9 deficiencies impair type I and III IFN immunity and underlie severe influenza pneumonitis. We report three unrelated children with influenza A virus (IAV) infection manifesting as acute respiratory distress syndrome (IAV-ARDS), heterozygous for rare TLR3 variants (P554S in two patients and P680L in the third) causing autosomal dominant (AD) TLR3 deficiency. AD TLR3 deficiency can underlie herpes simplex virus-1 (HSV-1) encephalitis (HSE) by impairing cortical neuron-intrinsic type I IFN immunity to HSV-1. TLR3-mutated leukocytes produce normal levels of IFNs in response to IAV. In contrast, TLR3-mutated fibroblasts produce lower levels of IFN-β and -λ, and display enhanced viral susceptibility, upon IAV infection. Moreover, the patients’ iPSC-derived pulmonary epithelial cells (PECs) are susceptible to IAV. Treatment with IFN-α2b or IFN-λ1 rescues this phenotype. AD TLR3 deficiency may thus underlie IAV-ARDS by impairing TLR3-dependent, type I and/or III IFN–mediated, PEC-intrinsic immunity. Its clinical penetrance is incomplete for both IAV-ARDS and HSE, consistent with their typically sporadic nature.

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Metadata

Authors
Lim, H. K., Huang, S. X. L., Chen, J., Kerner, G., Gilliaux, O., Bastard, P., Dobbs, K., Hernandez, N., Goudin, N., Hasek, M. L., García Reino, E. J., Lafaille, F. G., Lorenzo, L., Luthra, P., Kochetkov, T., Bigio, B., Boucherit, S., Rozenberg, F., Vedrinne, C., Keller, M. D., Itan, Y., García-Sastre, A., Celard, M., Orange, J. S., Ciancanelli, M. J., Meyts, I., Zhang, Q., Abel, L., Notarangelo, L. D., Snoeck, H.-W., Casanova, J.-L., & Zhang, S.-Y.
Venue
Journal of Experimental Medicine
Published
2019-06-19
Volume
216
Issue
9
Pages
2038-2056
ISSN
  • 0022-1007 (ISSN-L)
  • 1540-9538
OpenAlex
W2951088327
Cited by
194
References
5
FWCI
8.57
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Severe influenza pneumonitis in children with inherited TLR3 deficiency. https://app.cochat.ai/papers/10.1084/jem.20181621
The paper
Lim, H. K., Huang, S. X. L., Chen, J., Kerner, G., Gilliaux, O., Bastard, P., Dobbs, K., Hernandez, N., Goudin, N., Hasek, M. L., García Reino, E. J., Lafaille, F. G., Lorenzo, L., Luthra, P., Kochetkov, T., Bigio, B., Boucherit, S., Rozenberg, F., Vedrinne, C., . . . Zhang, S.-Y. (2019). Severe influenza pneumonitis in children with inherited TLR3 deficiency. Journal of Experimental Medicine. https://doi.org/10.1084/jem.20181621

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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