RT info:eu-repo/semantics/article T1 Inborn errors of OAS–RNase L in SARS-CoV-2–related multisystem inflammatory syndrome in children A1 Lee, Danyel A1 Le Pen, Jérémie A1 Yatim, Ahmad A1 Dong, Beihua A1 Aquino, Yann A1 Ogishi, Masato A1 Pescarmona, Rémi A1 Talouarn, Estelle A1 Rinchai, Darawan A1 Zhang, Peng A1 Perret, Magali A1 Liu, Zhiyong A1 Jordan, Iolanda A1 Elmas Bozdemir, Sefika A1 Bayhan, Gulsum Iclal A1 Beaufils, Camille A1 Bizien, Lucy A1 Bisiaux, Aurelie A1 Lei, Weite A1 Hasan, Milena A1 Chen, Jie A1 Gaughan, Christina A1 Asthana, Abhishek A1 Libri, Valentina A1 Luna, Joseph M. A1 Jaffré, Fabrice A1 Hoffmann, H.-Heinrich A1 Michailidis, Eleftherios A1 Moreews, Marion A1 Seeleuthner, Yoann A1 Bilguvar, Kaya A1 Mane, Shrikant A1 Flores, Carlos A1 Zhang, Yu A1 Arias, Andrés A. A1 Bailey, Rasheed A1 Schlüter, Agatha A1 Milisavljevic, Baptiste A1 Bigio, Benedetta A1 Le Voyer, Tom A1 Materna, Marie A1 Gervais, Adrian A1 Moncada-Velez, Marcela A1 Pala, Francesca A1 Lazarov, Tomi A1 Levy, Romain A1 Neehus, Anna-Lena A1 Rosain, Jérémie A1 Peel, Jessica A1 Chan, Yi-Hao A1 Morin, Marie-Paule A1 Pino-Ramirez, Rosa Maria A1 Belkaya, Serkan A1 Lorenzo, Lazaro A1 Anton, Jordi A1 Delafontaine, Selket A1 Toubiana, Julie A1 Bajolle, Fanny A1 Fumadó, Victoria A1 DeDiego, Marta L. A1 Fidouh, Nadhira A1 Rozenberg, Flore A1 Pérez-Tur, Jordi A1 Chen, Shuibing A1 Evans, Todd A1 Geissmann, Frédéric A1 Lebon, Pierre A1 Weiss, Susan R. A1 Bonnet, Damien A1 Duval, Xavier A1 Pan-Hammarström, Qiang A1 Planas, Anna M. A1 Meyts, Isabelle A1 Haerynck, Filomeen A1 Pujol, Aurora A1 Sancho-Shimizu, Vanessa A1 Dalgard, Clifford L. A1 Bustamante, Jacinta A1 Puel, Anne A1 Boisson-Dupuis, Stéphanie A1 Boisson, Bertrand A1 Maniatis, Tom A1 Zhang, Qian A1 Bastard, Paul A1 Notarangelo, Luigi A1 Béziat, Vivien A1 Perez de Diego, Rebeca A1 Rodriguez-Gallego, Carlos A1 Su, Helen C. A1 Lifton, Richard P. A1 Jouanguy, Emmanuelle A1 Cobat, Aurélie A1 Alsina, Laia A1 Keles, Sevgi A1 Haddad, Elie A1 Abel, Laurent A1 Belot, Alexandre A1 Quintana-Murci, Lluis A1 Rice, Charles M. A1 Silverman, Robert H. A1 Zhang, Shen-Ying A1 Casanova, Jean-Laurent A1 Alavoine, Loubna A1 Behillil, Sylvie A1 Burdet, Charles A1 Charpentier, Charlotte A1 Dechanet, Aline A1 Descamps, Diane A1 Ecobichon, Jean-Luc A1 Enouf, Vincent A1 Frezouls, Wahiba A1 Houhou, Nadhira A1 Kafif, Ouifiya A1 Lehacaut, Jonathan A1 Letrou, Sophie A1 Lina, Bruno A1 Lucet, Jean-Christophe A1 Manchon, Pauline A1 Nouroudine, Mariama A1 Piquard, Valentine A1 Quintin, Caroline A1 Thy, Michael A1 Tubiana, Sarah A1 van der Werf, Sylvie A1 Vignali, Valérie A1 Visseaux, Benoit A1 Yazdanpanah, Yazdan A1 Chahine, Abir A1 Waucquier, Nawal A1 Migaud, Maria-Claire A1 Deplanque, Dominique A1 Djossou, Félix A1 Mergeay-Fabre, Mayka A1 Lucarelli, Aude A1 Demar, Magalie A1 Bruneau, Léa A1 Gérardin, Patrick A1 Maillot, Adrien A1 Payet, Christine A1 Laviolle, Bruno A1 Laine, Fabrice A1 Paris, Christophe A1 Desille-Dugast, Mireille A1 Fouchard, Julie A1 Malvy, Denis A1 Nguyen, Duc A1 Pistone, Thierry A1 Perreau, Pauline A1 Gissot, Valérie A1 Le Goas, Carole A1 Montagne, Samatha A1 Richard, Lucie A1 Chirouze, Catherine A1 Bouiller, Kévin A1 Desmarets, Maxime A1 Meunier, Alexandre A1 Lefèvre, Benjamin A1 Jeulin, Hélène A1 Legrand, Karine A1 Lomazzi, Sandra A1 Tardy, Bernard A1 Gagneux-Brunon, Amandine A1 Bertholon, Frédérique A1 Botelho-Nevers, Elisabeth A1 Christelle, Kouakam A1 Nicolas, Leturque A1 Roufai, Layidé A1 Amat, Karine A1 Couffin-Cadiergues, Sandrine A1 Espérou, Hélène A1 Hendou, Samia A1 Abolhassani, Hassan A1 Aguilera-Albesa, Sergio A1 Aiuti, Alessandro A1 Akcan, Ozge Metin A1 Akcay, Nihal A1 Alkan, Gulsum A1 Alkhater, Suzan A. A1 Allende, Luis Miguel A1 Alper, Yosunkaya A1 Amenzoui, Naima A1 Anderson, Mark S. A1 Arkin, Lisa A1 Aubart, Melodie A1 Avramenko, Iryna A1 Aydemir, Şehnaz A1 Gayretli Aydin, Zeynep Gökçe A1 Aytekin, Caner A1 Aytekin, Gökhan A1 Erol Aytekin, Selma A1 Bando, Silvia Yumi A1 Beland, Kathie A1 Biggs, Catherine M. A1 Bilbao Aburto, Agurtzane A1 Blanchard-Rohner, Geraldine A1 Blázquez-Gamero, Daniel A1 Bloomfield, Marketa A1 Bogunovic, Dusan A1 Bondarenko, Anastasia A1 Borghesi, Alessandro A1 Bousfiha, Amed Aziz A1 Boyarchuk, Oksana A1 Brodin, Petter A1 Bryceson, Yenan A1 Bucciol, Giorgia A1 Calcaterra, Valeria A1 Casari, Giorgio A1 Cavalcanti, Andre A1 Celik, Jale Bengi A1 Chrousos, George P. A1 Colobran, Roger A1 Condino-Neto, Antonio A1 Conti, Francesca A1 Cooper, Megan A1 Coskuner, Taner A1 Cyrus, Cyril A1 D’Auria, Enza A1 Drolet, Beth A. A1 Bursal Duramaz, Burcu A1 El Zein, Loubna A1 Elnagdy, Marwa H. A1 Emiroglu, Melike A1 Erdeniz, Emine Hafize A1 Fabi, Marianna A1 Baris Feldman, Hagit A1 Fellay, Jacques A1 Fencl, Filip A1 Filippatos, Filippos A1 Freiss, Julie A1 Fremuth, Jiri A1 Gagro, Alenka A1 Garcia-Solis, Blanca A1 Vergine, Gianluca A1 González-Montelongo, Rafaela A1 Gul, Yahya A1 Gülhan, Belgin A1 Gultekin, Sara Sebnem Kilic A1 Gut, Marta A1 Halwani, Rabih A1 Hammarström, Lennart A1 Hatipoğlu, Nevin A1 Heath, James A1 Henrickson, Sarah E. A1 Hernandez-Brito, Elisa A1 Hoffman, Ilse A1 Hoste, Levi A1 Hsieh, Elena A1 Íñigo-Campos, Antonio A1 Itan, Yuval A1 Jabandziev, Petr A1 Kandemir, Bahar A1 Kanık-Yüksek, Saliha A1 Kapakli, Hasan A1 Karbuz, Adem A1 Kasapcopur, Ozgur A1 Kechiche, Robin A1 Kendir Demirkol, Yasemin A1 Kilic, Omer A1 Hansen, Stella Kim A1 Klocperk, Adam A1 Lau, Yu-Lung A1 Lebl, Jan A1 Lorenzo-Salazar, José M. A1 Lucas, Carrie L. A1 Maglorius, Majistor A1 Marque, Laura A1 Novoa Medina, Yeray A1 Montesdeoca Melián, Abián A1 Mentis, Alexios-Fotios A. A1 Pato, Michele T. A1 Michos, Athanasios A1 Milner, Joshua D. A1 Mogensen, Trine H. A1 Muñoz-Barrera, Adrián A1 Nepesov, Serdar A1 Farela Neves, João A1 Ng, Ashley A1 Ng, Lisa F. P. A1 Novelli, Antonio A1 Novelli, Giuseppe A1 Oz, Fatma Nur A1 Ocejo-Viñals, J. Gonzalo A1 Okada, Satoshi A1 Orbak, Zerrin A1 Kilic, Ahmet Osman A1 Ouair, Hind A1 Öz, Şadiye Kübra Tüter A1 Özçelik, Tayfun A1 Özkan, Esra Akyüz A1 Parlakay, Aslınur Özkaya A1 Pato, Carlos N. A1 Paz-Artal, Estela A1 Pelham, Simon A1 Pellier, Isabelle A1 Philippot, Quentin A1 Planas-Serra, Laura A1 Plassart, Samira A1 Pokorna, Petra A1 Polat, Meltem A1 Poli, Cecilia A1 Prando, Carolina A1 Renia, Laurent A1 Rivière, Jacques G. A1 Rodríguez-Palmero, Agustí A1 Roussel, Lucie A1 Rubio-Rodriguez, Luis A. A1 Salifu, Moro A1 Sasek, Lumir A1 Sasia, Laura A1 Scherbina, Anna A1 Schmitt, Erica A1 Sediva, Anna A1 Sevketoglu, Esra A1 Slaba, Katerina A1 Slaby, Ondrej A1 Sobh, Ali A1 Solé-Violán, Jordi A1 Soler-Palacin, Pere A1 De Somer, Lien A1 Sözeri, Betül A1 Spaan, András N. A1 Stepanovskiy, Yuriy A1 Tangye, Stuart G. A1 Tanir, Gonul A1 Tatsi, Elizabeth Barbara A1 Thorball, Christian W. A1 Hancerli Torun, Selda A1 Turvey, Stuart A1 Uddin, Mohammed J. A1 Uyar, Emel A1 Valencia Ramos, Juan A1 Van Den Rym, Ana Maria A1 Vatansev, Hulya A1 Castillo de Vera, Martín A1 Vermeulen, François A1 Vinh, Donald C. A1 Volokha, Alla A1 von Bernuth, Horst A1 Wouters, Carine A1 Yahşi, Aysun A1 Yarar, Volkan A1 Yesilbas, Osman A1 Yıldız, Mehmet A1 Zatz, Mayana A1 Zawadzki, Pawel A1 Zuccotti, Gianvincenzo K1 Medicina K1 Medicine AB Multisystem inflammatory syndrome in children (MIS-C) is a rare and severe condition that follows benign COVID-19. We report autosomal recessive deficiencies of OAS1, OAS2, or RNASEL in five unrelated children with MIS-C. The cytosolic double-stranded RNA (dsRNA)–sensing OAS1 and OAS2 generate 2′-5′-linked oligoadenylates (2-5A) that activate the single-stranded RNA–degrading ribonuclease L (RNase L). Monocytic cell lines and primary myeloid cells with OAS1, OAS2, or RNase L deficiencies produce excessive amounts of inflammatory cytokines upon dsRNA or severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) stimulation. Exogenous 2-5A suppresses cytokine production in OAS1-deficient but not RNase L–deficient cells. Cytokine production in RNase L–deficient cells is impaired by MDA5 or RIG-I deficiency and abolished by mitochondrial antiviral-signaling protein (MAVS) deficiency. Recessive OAS–RNase L deficiencies in these patients unleash the production of SARS-CoV-2–triggered, MAVS-mediated inflammatory cytokines by mononuclear phagocytes, thereby underlying MIS-C. PB American Association for the Advancement of Science SN 0036-8075 YR 2023 FD 2023-02 LK http://hdl.handle.net/10259/10036 UL http://hdl.handle.net/10259/10036 LA eng NO The Laboratory of Human Genetics of Infectious Diseases is supported by the Howard Hughes Medical Institute, the Rockefeller University, the St. Giles Foundation, the National Institutes of Health (NIH) (R01AI088364 and R21AI160576), the National Center for Advancing Translational Sciences (NCATS), NIH Clinical and Translational Science Award (CTSA) program (UL1TR001866), the Yale Center for Mendelian Genomics and the GSP Coordinating Center funded by the National Human Genome Research Institute (NHGRI) (UM1HG006504 and U24HG008956), the Yale High-Performance Computing Center (S10OD018521), the Fisher Center for Alzheimer’s Research Foundation, the Meyer Foundation, the JBP Foundation, the French National Research Agency (ANR) under the “Investments for the Future” program (ANR-10-IAHU-01), the Integrative Biology of Emerging Infectious Diseases Laboratory of Excellence (ANR-10-LABX-62-IBEID), the French Foundation for Medical Research (FRM) (EQU201903007798), the ANR GenMISC (ANR-21-COVR-039), the ANRS-COV05, ANR GENVIR (ANR-20-CE93-003) and ANR AABIFNCOV (ANR-20-CO11-0001) projects, the ANR-RHU program (ANR-21-RHUS-08), the European Union’s Horizon 2020 research and innovation program under grant agreement 824110 (EASI-genomics), the HORIZON-HLTH-2021-DISEASE-04 program under grant agreement 01057100 (UNDINE), the ANR-RHU Program ANR-21-RHUS-08 (COVIFERON), the Square Foundation, Grandir – Fonds de solidarité pour l’enfance, the Fondation du Souffle, the SCOR Corporate Foundation for Science, the French Ministry of Higher Education, Research, and Innovation (MESRI-COVID-19), Institut National de la Santé et de la Recherche Médicale (INSERM), and Paris Cité University. We acknowledge support from the National Institute of Allergy and Infectious Diseases (NIAID) of the NIH under award R01AI104887 to R.H.S. and S.R.W. The Laboratory of Human Evolutionary Genetics (Institut Pasteur) is supported by the Institut Pasteur, the Collège de France, the French Government’s Investissement d’Avenir program, Laboratoires d’Excellence “Integrative Biology of Emerging Infectious Diseases” (ANR-10-LABX-62-IBEID) and “Milieu Intérieur” (ANR-10-LABX-69-01), the Fondation de France (no. 00106080), the FRM (Equipe FRM DEQ20180339214 team), and the ANR COVID-19-POPCELL (ANR-21-CO14-0003-01). A.Puj. is supported by ACCI20-759 CIBERER, EasiGenomics H2020 Marató TV3 COVID 2021-31-33, the HORIZON-HLTH-2021-ID: 101057100 (UNDINE), the Horizon 2020 program under grant no. 824110 (EasiGenomics grant no. COVID-19/PID12342), and the CERCA Program/Generalitat de Catalunya. The Canarian Health System sequencing hub was funded by the Instituto de Salud Carlos III (COV20_01333 and COV20_01334), the Spanish Ministry of Science and Innovation (RTC-2017-6471-1; AEI/FEDER, UE), Fundación MAPFRE Guanarteme (OA21/131), and Cabildo Insular de Tenerife (CGIEU0000219140 and “Apuestas científicas del ITER para colaborar en la lucha contra la COVID-19”). The CoV-Contact Cohort was funded by the French Ministry of Health and the European Commission (RECOVER project). Our studies are also funded by the Ministry of Health of the Czech Republic Conceptual Development of Research Organization (FNBr, 65269705) and ANID COVID0999 funding in Chile. G. Novelli and A. Novelli are supported by Regione Lazio (Research Group Projects 2020) No. A0375-2020-36663, GecoBiomark. A.M.P., M.L.D., and J.P.-T. are supported by the Inmungen-CoV2 project of CSIC. This work was supported in part by the Intramural Research Program of the NIAID, NIH. The research work of A.M.P, M.L.D., and J.P.-T. was funded by the European Commission –NextGenerationEU (Regulation EU 2020/2094), through CSIC’s Global Health Platform (PTI Salud Global). I.M. is a senior clinical investigator at FWO Vlaanderen supported by a VIB GC PID grant, by FWO grants G0B5120N (DADA2) and G0E8420N, and by the Jeffrey Modell Foundation. I.M. holds an ERC-StG MORE2ADA2 grant and is also supported by ERN-RITA.​ A.Y. is supported by fellowships from the European Academy of Dermatology and Venereology and the Swiss National Science Foundation and by an Early Career Award from the Thrasher Research Fund. Y.-H.C. is supported by an A*STAR International Fellowship (AIF). M.O. was supported by the David Rockefeller Graduate Program, the New York Hideyo Noguchi Memorial Society (HNMS), the Funai Foundation for Information Technology (FFIT), the Honjo International Scholarship Foundation (HISF), and the National Cancer Institute (NCI) F99 Award (F99CA274708). A.A.A. was supported by Ministerio de Ciencia Tecnología e Innovación MINCIENCIAS, Colombia (111584467551/CT 415-2020). D.L. is supported by a fellowship from the FRM for medical residents and fellows. E.H. received funding from the Bank of Montreal Chair of Pediatric Immunology, Foundation of CHU Sainte-Justine, CIHR grants PCC-466901 and MM1-181123, and a Canadian Pediatric Society IMPACT study. Q.P.-H. received funding from the European Union’s Horizon 2020 research and innovation program (ATAC, 101003650), the Swedish Research Council, and the Knut and Alice Wallenberg Foundation. Work in the Laboratory of Virology and Infectious Disease was supported by NIH grants P01AI138398-S1, 2U19AI111825, R01AI091707-10S1, and R01AI161444; a George Mason University Fast Grant; the G. Harold and Leila Y. Mathers Charitable Foundation; the Meyer Foundation; and the Bawd Foundation. R.P.L. is on the board of directors of both Roche and the Roche subsidiary Genentech. J.L.P. was supported by a Francois Wallace Monahan Postdoctoral Fellowship at the Rockefeller University and by a European Molecular Biology Organization Long-Term Fellowship (ALTF 380-2018). DS Repositorio Institucional de la Universidad de Burgos RD 03-mar-2025