Autosomal dominant loss-of-function (LoF) variants in cytotoxic T-lymphocyte associated protein 4 (
CTLA4
) cause immune dysregulation with autoimmunity, immunodeficiency and lymphoproliferation (IDAIL). Incomplete penetrance and variable expressivity are characteristic of IDAIL caused by CTLA-4 haploinsufficiency (CTLA-4h), pointing to a role for genetic modifiers. Here, we describe an IDAIL proband carrying a maternally inherited pathogenic
CTLA4
variant and a paternally inherited rare LoF missense variant in
CLEC7A,
which encodes for the β-glucan pattern recognition receptor DECTIN-1. The
CLEC7A
variant led to a loss of DECTIN-1 dimerization and surface expression. Notably, DECTIN-1 stimulation promoted human and mouse regulatory T cell (T
reg
) differentiation from naïve αβ and γδ T cells, even in the absence of transforming growth factor–β. Consistent with DECTIN-1’s T
reg
-boosting ability, partial DECTIN-1 deficiency exacerbated the T
reg
defect conferred by CTL4-4h. DECTIN-1/
CLEC7A
emerges as a modifier gene in CTLA-4h, increasing expressivity of
CTLA4
variants and acting in functional epistasis with CTLA-4 to maintain immune homeostasis and tolerance.