TY - JOUR AU - Wolf, Christine AU - Lim, Ee Lyn AU - Mokhtari, Mohammad AU - Kind, Barbara AU - Odainic, Alexandru AU - Lara-Villacanas, Eusebia AU - Koss, Sarah AU - Mages, Simon AU - Menzel, Katharina AU - Engel, Kerstin AU - Dückers, Gregor AU - Bernbeck, Benedikt AU - Schneider, Dominik T AU - Siepermann, Kathrin AU - Niehues, Tim AU - Goetzke, Carl Christoph AU - Durek, Pawel AU - Minden, Kirsten AU - Dörner, Thomas AU - Stittrich, Anna AU - Szelinski, Franziska AU - Guerra, Gabriela Maria AU - Massoud, Mona AU - Bieringer, Markus AU - de Oliveira Mann, Carina C AU - Beltrán, Eduardo AU - Kallinich, Tilmann AU - Mashreghi, Mir-Farzin AU - Schmidt, Susanne V AU - Latz, Eicke AU - Klughammer, Johanna AU - Majer, Olivia AU - Lee-Kirsch, Min Ae TI - UNC93B1 variants underlie TLR7-dependent autoimmunity. JO - Science immunology VL - 9 IS - 92 SN - 2470-9468 CY - Washington, DC PB - AAAS M1 - DZNE-2024-00216 SP - eadi9769 PY - 2024 AB - UNC93B1 is critical for trafficking and function of nucleic acid-sensing Toll-like receptors (TLRs) TLR3, TLR7, TLR8, and TLR9, which are essential for antiviral immunity. Overactive TLR7 signaling induced by recognition of self-nucleic acids has been implicated in systemic lupus erythematosus (SLE). Here, we report UNC93B1 variants (E92G and R336L) in four patients with early-onset SLE. Patient cells or mouse macrophages carrying the UNC93B1 variants produced high amounts of TNF-α and IL-6 and upon stimulation with TLR7/TLR8 agonist, but not with TLR3 or TLR9 agonists. E92G causes UNC93B1 protein instability and reduced interaction with TLR7, leading to selective TLR7 hyperactivation with constitutive type I IFN signaling. Thus, UNC93B1 regulates TLR subtype-specific mechanisms of ligand recognition. Our findings establish a pivotal role for UNC93B1 in TLR7-dependent autoimmunity and highlight the therapeutic potential of targeting TLR7 in SLE. KW - Mice KW - Animals KW - Humans KW - Toll-Like Receptor 7: genetics KW - Autoimmunity: genetics KW - Toll-Like Receptor 9: metabolism KW - Toll-Like Receptor 8 KW - Toll-Like Receptor 3: metabolism KW - Lupus Erythematosus, Systemic: genetics KW - Membrane Transport Proteins KW - Toll-Like Receptor 7 (NLM Chemicals) KW - Toll-Like Receptor 9 (NLM Chemicals) KW - Toll-Like Receptor 8 (NLM Chemicals) KW - Toll-Like Receptor 3 (NLM Chemicals) KW - TLR7 protein, human (NLM Chemicals) KW - UNC93B1 protein, human (NLM Chemicals) KW - Membrane Transport Proteins (NLM Chemicals) KW - UNC93B1 protein, mouse (NLM Chemicals) LB - PUB:(DE-HGF)16 C6 - pmid:38207055 DO - DOI:10.1126/sciimmunol.adi9769 UR - https://pub.dzne.de/record/268464 ER -