Abstract

Abstract The X-chromosome linked RNA helicase DDX3X plays multiple roles in RNA metabolism and antiviral interferon responses. Some viruses, including SARS-CoV-2, usurp the function of DDX3X to support viral genome replication and evasion of antiviral interferon. These findings have led to development of DDX3X inhibitors as potential antiviral agents. However, somatic loss of function mutations in this helicase are linked to neurological disease and malignancies, including a form of non-Hodgkin’s lymphoma initiated in the natural killer (NK) cell lineage. Given the critical role of NK cells in antiviral and antitumor immunity, we sought to determine how inhibition of DDX3X could affect NK-cell biology. Constitutive (Ncr1-iCre) or inducible (Ncr1-iCreER T2) deletion of Ddx3x in Ncr1-expressing cells (i.e. NK cells) in mice resulted in a complete loss of peripheral NK cells. Addition of the DDX3X inhibitor RK-33 to in vitro cultures of NK cells resulted in a similar loss of cellularity, while deletion of Ddx3x blocked development of NK cells from progenitor cells in an in vitro culture on stromal cells. Preliminary analyses suggest that loss of DDX3X results in rapid cell death of committed NK cells. Partial preservation of early stages of NK-cell development in the bone marrow of male but not female Ncr1 DDdx3xsuggests that the Y-chromosome DDX3Y may compensate for loss of DDX3X in supporting NK-cell survival at the earliest stages of differentiation. We identify a crucial role for DDX3 helicases in the development and survival of NK cells that may have implications for the clinical use of DDX3 inhibitors as antiviral agents. R01 AI148080 R01 AR073228

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