
Spontaneous NETosis and type I IFN signaling activation in resting neutrophils of chronic granulomatous disease patients with CYBB mutations
Mutations in CYBB, encoding gp91phox subunit of NADPH oxidase in phagocytes, impair the respiratory burst of neutrophils and result in X-linked chronic granulomatous disease (CGD). While inflammatory response and NETosis are important modalities employed by neutrophils for pathogen clearance, variants in these cell functions in CGD neutrophils (CGD-PMN) could possibly explain the insufficient defense and accumulation of phagocytes in the sites of infection. To decipher the intrinsic features of CGD-PMN, neutrophils from X-linked CGD patients with CYBB mutations and age-matched healthy donors (HD-PMN) were compared. Our study found an enhanced spontaneous neutrophil extracellular trap (NET) formation with histone hypercitrullination in resting CGD-PMN. RNA sequencing (RNA-seq) analysis and qPCR validation further revealed a prominent activated type I interferon (IFN) gene signature. This suggested that in CGD patients an inefficient clearance of pathogen caused a chronic stimulation to provoke a spontaneous type I IFN-mediated neutrophil activation and NET formation which were never seen in resting neutrophils of healthy controls.