An inherited duplication at the gene p21 Protein-Activated Kinase 7 (PAK7) is a risk factor for psychosis
HUMAN MOLECULAR GENETICS
Authors: Morris, Derek W.; Cormican, Paul; Kenny, Elaine M.; O'Dushlaine, Colm T.; Perreault, Louis-Philippe Lemieux; Giannoulatou, Eleni; Tropea, Daniela; Maher, Brion S.; Wormley, Brandon; Kelleher, Eric; Fahey, Ciara; Molinos, Ines; Bellini, Stefania; Pirinen, Matti; Strange, Amy; Freeman, Colin; Thiselton, Dawn L.; Elves, Rachel L.; Regan, Regina; Ennis, Sean; Dinan, Timothy G.; McDonald, Colm; Murphy, Kieran C.; O'Callaghan, Eadbhard; Waddington, John L.; Walsh, Dermot; O'Donovan, Michael; Grozeva, Detelina; Craddock, Nick; Stone, Jennifer; Scolnick, Ed; Purcell, Shaun; Sklar, Pamela; Coe, Bradley; Eichler, Evan E.; Ophoff, Roel; Buizer, Jacobine; Szatkiewicz, Jin; Hultman, Christina; Sullivan, Patrick; Gurling, Hugh; Mcquillin, Andrew; St Clair, David; Rees, Elliott; Kirov, George; Walters, James; Blackwood, Douglas; Johnstone, Mandy; Donohoe, Gary; O'Neill, Francis A.; Kendler, Kenneth S.; Gill, Michael; Riley, Brien P.; Spencer, Chris C. A.; Corvin, Aiden
Abstract
Identifying rare, highly penetrant risk mutations may be an important step in dissecting the molecular etiology of schizophrenia. We conducted a gene-based analysis of large (> 100 kb), rare copy-number variants (CNVs) in the Wellcome Trust Case Control Consortium 2 (WTCCC2) schizophrenia sample of 1564 cases and 1748 controls all from Ireland, and further extended the analysis to include an additional 5196 UK controls. We found association with duplications at chr20p12.2 (P = 0.007) and evidence of replication in large independent European schizophrenia (P = 0.052) and UK bipolar disorder case-control cohorts (P = 0.047). A combined analysis of Irish/UK subjects including additional psychosis cases (schizophrenia and bipolar disorder) identified 22 carriers in 11 707 cases and 10 carriers in 21 204 controls [meta-analysis Cochran-Mantel-Haenszel P-value = 2 x 10(-4); odds ratio (OR) = 11.3, 95% CI = 3.7, az]. Nineteen of the 22 cases and 8 of the 10 controls carried duplications starting at 9.68 Mb with similar breakpoints across samples. By haplotype analysis and sequencing, we identified a tandem similar to 149 kb duplication overlapping the gene p21 Protein-Activated Kinase 7 (PAK7, also called PAK5) which was in linkage disequilibrium with local haplotypes (P = 2.5 x 10(-21)), indicative of a single ancestral duplication event. We confirmed the breakpoints in 8/8 carriers tested and found co-segregation of the duplication with illness in two additional family members of one of the affected probands. We demonstrate that PAK7 is developmentally co-expressed with another known psychosis risk gene (DISC1) suggesting a potential molecular mechanism involving aberrant synapse development and plasticity.
Transgenic 4-1BBL-engineered vaccine stimulates potent Gag-specific therapeutic and long-term immunity via increased priming of CD44(+)CD62L(high) IL-7R(+) CTLs with up- and downregulation of anti- and pro-apoptosis genes
CELLULAR & MOLECULAR IMMUNOLOGY
Authors: Wang, Rong; Freywald, Andrew; Chen, Yue; Xu, Jianqing; Tan, Xin; Xiang, Jim
Abstract
Human immunodeficiency virus type-1 (HIV-1)-specific dendritic cell (DC) vaccines have been used in clinical trials. However, they have been found to only induce some degree of immune responses in these studies. We previously demonstrated that the HIV-1 Gag-specific Gag-Texo vaccine stimulated Gag-specific effector CD8(+) cytotoxic T lymphocyte (CTL) responses, leading to completely protective, but very limited, therapeutic immunity. In this study, we constructed a recombinant adenoviral vector, adenovirus (AdV)(4-1BBL), which expressed mouse 4-1BB ligand (4-1BBL), and generated transgenic 4-1BBL-engineered OVA-Texo(/4-1BBL) and Gag-Texo(/4-1BBL) vaccines by transfecting ovalbumin (OVA)-Texo and Gag-Texo cells with AdV(4-1BBL), respectively. We demonstrate that the OVA-specific OVA-Texo/(4-1BBL) vaccine stimulates more efficient OVA-specific CTL responses (3.26%) compared to OVA-Texo-activated responses (1.98%) in wild-type C57BL/6 mice and the control OVA-Texo(/Null) vaccine without transgenic 4-1BBL expression, leading to enhanced therapeutic immunity against 6-day established OVA-expressing B16 melanoma BL6-10(OVA) cells. OVA-Texo(/4-1BBL)-stimulated CTLs, which have a CD44(+)CD62L(high)IL-7R(+) phenotype, are likely memory CTL precursors, demonstrating prolonged survival and enhanced differentiation into memory CTLs with functional recall responses and long-term immunity against BL6-10(OVA) melanoma. In addition, we demonstrate that OVA-Texo(/4-1BBL)-stimulated CTLs up-and downregulate the expression of anti-apoptosis (Bcl2l10, Naip1, Nol3, Pak7 and Tnfrsf11b) and pro-apoptosis (Casp12, Trp63 and Trp73) genes, respectively, by RT2 Profiler PCR array analysis. Importantly, the Gag-specific Gag-Texo(/4-1BBL) vaccine also stimulates more efficient Gag-specific therapeutic and long-term immunity against HLA-A2/Gag-expressing B16 melanoma BL6-10(Gag/A2) cells than the control Gag-Texo(/Null) vaccine in transgenic HLA-A2 mice. Taken together, our novel Gag-Texo(/4-1BBL) vaccine, which is capable of stimulating potent Gag-specific therapeutic and long-term immunity, may represent a new immunotherapeutic vaccine for controlling HIV-1 infection.