Article
Author: Zhao, Shuxiang ; Abel, Laurent ; Kerrouche, Nacim ; Lee, Danyel ; Paludan, Søren R ; Ciceri, Gabriele ; Nakajima, Koji ; Kartal, Ayse ; Chaldebas, Matthieu ; Marr, Nico ; Chen, Jie ; Hutchison, Kennen M ; Longnecker, Richard ; Harschnitz, Oliver ; Mogensen, Trine H ; Vanhulle, Catherine ; Cobat, Aurélie ; Chen, Jia ; Yamazaki, Yasuhiro ; Dobbs, Kerry ; Seeleuthner, Yoann ; Hasek, Mary L ; Rinchai, Darawan ; Aubart, Mélodie ; Rozenberg, Flore ; Gervais, Adrian ; Yatim, Ahmad ; Zhang, Peng ; Liu, Zhiyong ; Lorenzo, Lazaro ; Belkaya, Serkan ; Notarangelo, Luigi ; Studer, Lorenz ; Emiroglu, Melike ; Lee, Yoon Seung ; Dulac, Olivier ; Boucherit, Soraya ; Reino, Eduardo Garcia ; Fan, Qing ; Khobrekar, Noopur ; Amin, Param ; Zhang, Shen-Ying ; Bailey, Rasheed ; Matuozzo, Daniela ; Aydın, Kürşad ; Chan, Yi-Hao ; Smith, Greg ; Bastard, Paul ; Casanova, Jean-Laurent
AbstractMost cases of herpes simplex virus 1 (HSV-1) encephalitis (HSE) remain unexplained1,2. Here, we report on two unrelated people who had HSE as children and are homozygous for rare deleterious variants of TMEFF1, which encodes a cell membrane protein that is preferentially expressed by brain cortical neurons. TMEFF1 interacts with the cell-surface HSV-1 receptor NECTIN-1, impairing HSV-1 glycoprotein D- and NECTIN-1-mediated fusion of the virus and the cell membrane, blocking viral entry. Genetic TMEFF1 deficiency allows HSV-1 to rapidly enter cortical neurons that are either patient specific or derived from CRISPR–Cas9-engineered human pluripotent stem cells, thereby enhancing HSV-1 translocation to the nucleus and subsequent replication. This cellular phenotype can be rescued by pretreatment with type I interferon (IFN) or the expression of exogenous wild-type TMEFF1. Moreover, ectopic expression of full-length TMEFF1 or its amino-terminal extracellular domain, but not its carboxy-terminal intracellular domain, impairs HSV-1 entry into NECTIN-1-expressing cells other than neurons, increasing their resistance to HSV-1 infection. Human TMEFF1 is therefore a host restriction factor for HSV-1 entry into cortical neurons. Its constitutively high abundance in cortical neurons protects these cells from HSV-1 infection, whereas inherited TMEFF1 deficiency renders them susceptible to this virus and can therefore underlie HSE.