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Publication : LRBA deficiency impairs autophagy and contributes to enhanced antigen presentation and T-cell dysregulation.

First Author  Sindram E Year  2025
Journal  EMBO Rep Volume  26
Issue  16 Pages  4040-4071
PubMed ID  40550954 Mgi Jnum  J:389374
Mgi Id  MGI:8290775 Doi  10.1038/s44319-025-00504-7
Citation  Sindram E, et al. (2025) LRBA deficiency impairs autophagy and contributes to enhanced antigen presentation and T-cell dysregulation. EMBO Rep 26(16):4040-4071
abstractText  Reduced autophagy is associated with the aberrant humoral response observed in lipopolysaccharide-responsive beige-like anchor protein (LRBA) deficiency; however, the molecular mechanisms and their impact on T-cell responses remain poorly understood. We identify two novel LRBA interactors, phosphoinositide 3-kinase regulatory subunit 4 (PIK3R4) and FYVE And Coiled-Coil Domain Autophagy Adaptor 1 (FYCO1), which each play key roles in autophagy. PIK3R4 facilitates the production of phosphatidylinositol-3 phosphate (PI(3)P) that promotes autophagosome formation and autophagosome-lysosome fusion, whereas FYCO1 supports autophagosome movement. LRBA-knockout (KO) cells show impaired PI(3)P production, reduced autophagosome-lysosome fusion, accumulation of enlarged autophagosomes, and decreased cargo degradation. In line with the role of autophagy as a major degradation system for MHC-II loading and antigen presentation, we observe increased numbers of MHC class II and LC3 vesicles, along with enhanced antigen presentation in absence of LRBA, resulting in a higher production of proinflammatory cytokines from T cells in vitro. Our work suggests a novel biological role of LRBA controlling antigen presentation and T-cell responses by positively regulating autophagy, which may contribute to T-cell immune dysregulation observed in LRBA-deficient patients.
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