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Pyogenic Bacterial Infections in Humans with IRAK-4 Deficiency

Picard, Capucine, Puel, Anne, Bonnet, Marion, Ku, Cheng-Lung, Bustamante, Jacinta, Yang, Kun, Soudais, Claire, Dupuis, Stéphanie, Feinberg, Jacqueline, Fieschi, Claire, Elbim, Carole, Hitchcock, Remi, Lammas, David, Davies, Graham, Al-Ghonaium, Abdulaziz, Al-Rayes, Hassan, Al-Jumaah, Sulaiman, Al-Hajjar, Sami, Al-Mohsen, Ibrahim Zaid, Frayha, Husn H., Rucker, Rajivi, Hawn, Thomas R., Aderem, Alan, Tufenkeji, Haysam, Haraguchi, Soichi, Day, Noorbibi K., Good, Robert A., Gougerot-Pocidalo, Marie-Anne, Ozinsky, Adrian, Casanova, Jean-Laurent·2003·Science

Abstract

Members of the Toll-like receptor (TLR) and interleukin-1 receptor (IL-1R) superfamily share an intracytoplasmic Toll–IL-1 receptor (TIR) domain, which mediates recruitment of the interleukin-1 receptor–associated kinase (IRAK) complex via TIR-containing adapter molecules. We describe three unrelated children with inherited IRAK-4 deficiency. Their blood and fibroblast cells did not activate nuclear factor κB and mitogen-activated protein kinase (MAPK) and failed to induce downstream cytokines in response to any of the known ligands of TIR-bearing receptors. The otherwise healthy children developed infections caused by pyogenic bacteria. These findings suggest that, in humans, the TIR-IRAK signaling pathway is crucial for protective immunity against specific bacteria but is redundant against most other microorganisms.

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Metadata

Authors
Picard, C., Puel, A., Bonnet, M., Ku, C.-L., Bustamante, J., Yang, K., Soudais, C., Dupuis, S., Feinberg, J., Fieschi, C., Elbim, C., Hitchcock, R., Lammas, D., Davies, G., Al-Ghonaium, A., Al-Rayes, H., Al-Jumaah, S., Al-Hajjar, S., Al-Mohsen, I. Z., Frayha, H. H., Rucker, R., Hawn, T. R., Aderem, A., Tufenkeji, H., Haraguchi, S., Day, N. K., Good, R. A., Gougerot-Pocidalo, M.-A., Ozinsky, A., & Casanova, J.-L.
Venue
Science
Published
2003-03-28
Volume
299
Issue
5615
Pages
2076-2079
ISSN
  • 0036-8075 (ISSN-L)
  • 1095-9203
OpenAlex
W4241949506
Cited by
826
References
0
FWCI
19.13
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Pyogenic Bacterial Infections in Humans with IRAK-4 Deficiency. https://app.cochat.ai/papers/10.1126/science.1081902
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Picard, C., Puel, A., Bonnet, M., Ku, C.-L., Bustamante, J., Yang, K., Soudais, C., Dupuis, S., Feinberg, J., Fieschi, C., Elbim, C., Hitchcock, R., Lammas, D., Davies, G., Al-Ghonaium, A., Al-Rayes, H., Al-Jumaah, S., Al-Hajjar, S., Al-Mohsen, I. Z., . . . Casanova, J.-L. (2003). Pyogenic Bacterial Infections in Humans with IRAK-4 Deficiency. Science. https://doi.org/10.1126/science.1081902

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