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Human life within a narrow range: The lethal ups and downs of type I interferons

Yanick J. Crow, Jean‐Laurent Casanova

Science Immunology | Jul 5, 2024 | 48 citations

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Observations suggest that the manipulation of type I IFN activity to within a physiological range may be clinically relevant for the prevention and treatment of viral and inflammatory diseases.

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The past 20 years have seen the definition of human monogenic disorders and their autoimmune phenocopies underlying either defective or enhanced type I interferon (IFN) activity. These disorders delineate the impact of type I IFNs in natural conditions and demonstrate that only a narrow window of type I IFN activity is beneficial. Insufficient type I IFN predisposes humans to life-threatening viral diseases (albeit unexpectedly few) with a central role in immunity to respiratory and cerebral viral infection. Excessive type I IFN, perhaps counterintuitively, appears to underlie a greater number of autoinflammatory and/or autoimmune conditions known as type I interferonopathies, whose study has revealed multiple molecular programs involved in the induction of type I IFN signaling. These observations suggest that the manipulation of type I IFN activity to within a physiological range may be clinically relevant for the prevention and treatment of viral and inflammatory diseases.

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Yanick J. Crow

first | University of Edinburgh | ORCID 0000-0001-7211-7564

Jean‐Laurent Casanova

last | Howard Hughes Medical Institute | ORCID 0000-0002-7782-4169

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@article{Crow2024Human,
  title = {Human life within a narrow range: The lethal ups and downs of type I interferons},
  author = {Yanick J. Crow and Jean‐Laurent Casanova},
  journal = {Science Immunology},
  year = {2024},
  doi = {10.1126/sciimmunol.adm8185},
  url = {https://doi.org/10.1126/sciimmunol.adm8185}
}

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