与NLRP12相关的自身炎症性疾病的临床异质性
Yue Li1, Mengyue Deng1, Yulu Li1
1Department of Rheumatology and Immunology, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Child Infection and Immunity, Chongqing 400014, China.
Genes & diseases
|July 3, 2023
概括
与NLRP12相关的自身炎症性疾病 (NLRP12-AID) 是罕见的,通常呈现为周期性发烧或关节炎. 这项研究确定了新的NLRP12突变,并发现它们会损害NF-κB信号传递,扩大已知的疾病谱.
科学领域:
- 免疫学 免疫学 免疫学
- 遗传学 是一个遗传学.
- 类风湿病学 类风湿病学
背景情况:
- 节点状受体家族的pyrin域含有蛋白12 (NLRP12) 对于调节炎症反应至关重要.
- 在NLRP12的突变导致罕见的NLRP12相关的自身炎症性疾病 (NLRP12-AID),临床和遗传数据有限.
- 了解NLRP12-AID对于诊断和管理自身炎症状况至关重要.
研究的目的:
- 描述NLRP12-AID患者的临床表型和遗传特征.
- 确定新型NLRP12突变并研究它们对炎症信号传递的功能影响.
- 扩大对NLRP12-AID的遗传多样性和临床谱的理解.
主要方法:
- 招募了10名患有周期性发烧综合征或关节炎的患者.
- 进行下一代测序 (NGS) 来识别NLRP12突变.
- 分析了患者细胞中的细胞因子水平,NLRP12蛋白表达和核因子-kappa B (NF-κB) 信号通路.
主要成果:
- 在10名患者中鉴定了6种异性NLRP12突变,其中包括2种新的零突变.
- 在具有相同突变的患者中观察到不同的临床特征.
- 患者表现出细胞因子水平的增加和因突变的NLRP12蛋白质而导致NF-κB抑制受损.
结论:
- 这项研究报告了NLRP12-AID的显著病例系列,扩大了已知的临床和遗传谱.
- NLRP12突变可变地影响蛋白质表达和功能,导致NF-κB调节受损.
- 在患有不明原因的自身炎症性疾病,特别是周期性发烧的患者中,应考虑与NLRP12相关的疾病.
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