RT Journal Article SR Electronic T1 A toxic palmitoylation on Cdc42 drives a severe autoinflammatory syndrome JF bioRxiv FD Cold Spring Harbor Laboratory SP 808782 DO 10.1101/808782 A1 Bahia Bekhouche A1 Aurore Tourville A1 Yamini Ravichandran A1 Rachida Tacine A1 Laurence Abrami A1 Michael Dussiot A1 Andrea Khau-Dancasius A1 Olivia Boccara A1 Meriem Khirat A1 Marianne Mangeney A1 Nathalia Bellon A1 Sylvie Fraitag A1 Smail Hadj-Rabia A1 Stéphane Blanche A1 Anne Puel A1 Sandrine Etienne-Manneville A1 F. Gisou van der Goot A1 Jacqueline Cherfils A1 Olivier Hermine A1 Jean-Laurent Casanova A1 Christine Bodemer A1 Asma Smahi A1 Jérôme Delon YR 2019 UL http://biorxiv.org/content/early/2019/10/17/808782.abstract AB Background Autoinflammatory diseases (AID) result from dysregulation of the first lines of innate immune responses. Recently, development of high throughput genome sequencing technology led to the rapid emergence of important knowledge in the genetic field. About 20 genes have been identified so far in monogenic forms of distinct AID. However, 70-90 % of patients with AID remain without genetic diagnosis.Objective We report the identification and characterization of a mutation in the C-terminal region of the Rho GTPase Cdc42 in a patient presenting a severe autoinflammatory phenotype.Methods We have analyzed the consequences of the mutation on the subcellular localization of the Cdc42 protein using imaging techniques. Molecular studies were performed using proteomic and biochemical experiments to provide mechanistic bases of the observed defects. Functional assays were also conducted using flow cytometry and cytokine production measurements.Results We show that mutant Cdc42 is trapped in the Golgi apparatus due to the aberrant addition of a palmitate that both enhances the interaction of mutant Cdc42 with Golgi membranes and inhibit its extraction by GDP dissociation inhibitor (GDI), thus impairing its cytosol/membrane shuttling. At the functional level, mutant Cdc42 fails to sustain actin filaments polymerization and induces an exacerbated profile of pro-inflammatory cytokine production due to increased NF-κB activation.Conclusions Our study now provides a molecular explanation for mutations that have been identified recently in our AID patient and others in the C-terminal part of Cdc42. Mutations located in this region of Cdc42 impair the intracellular localization of Cdc42, preventing its interaction with the plasma membrane. Thus, our results definitively link mutations in the CDC42 gene to a complex immune-hemato-autoinflammatory phenotype in humans.