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. 2018 Sep 5;132(17):1901–1924. doi: 10.1042/CS20171498

Table 1. Monogenic autoinflammatory disorder summary table.

Condition Gene/s Protein MOI GOF/LOF Pathway Cytokine group System involved Human cell model Potential murine model Reference/s
ADAM17 deficiency ADAM17 ADAM17 AR LOF Unknown Unknown Skin GIT PBMC: ↓TNF-α response to LPS, PMA + anti-CD3/anti-CD28 antibodies Nil [148]
AGS1 TREX1 TREX1 AR or AD LOF IFN T1IFN CNS Human neural stem cell-derived astrocytes, primary astrocytes, brain-derived endothelial cells: shRNA knockdown → IFN gene signature + ↑ proinflammatory cytokines Trex1–/– mice [66,149–151]
AGS2 RNASEH2B RNASEH2B AR LOF IFN T1IFN CNS Rnaseh2b knockout first [KOF] mice [68,74]
AGS3 RNASEH2C RNASEH2C AR LOF IFN T1IFN CNS Rnaseh2c−/− mice [68,74,152,153,154]
AGS4 RNASEH2A RNASEH2A AR LOF IFN T1IFN CNS Human neural stem cell-derived astrocytes, primary astrocytes, brain-derived endothelial cells: shRNA knockdown minimal change in ISG/IFN cytokine profile Rnaseh2aG37S/G37S [68,74,149]
AGS5 SAMHD1 SAMHD1 AR LOF IFN T1IFN CNS HeLa cells: transfection of mutant SAMHD1 showed abnormal localisationHuman neural stem cell-derived astrocytes primary astrocytes, brain-derived endothelial cells: shRNA knockdown → IFN gene signature + ↑ proinflammatory cytokines Samhd1−/− mice [67,73,149,155–157]
AGS6 ADAR1 ADAR1 AR LOF IFN T1IFN CNS HEK293Tcells: IFN reporter assay
Lymphoblastoid cell line: ↓ ADAR1 expression of mutant c/w WTHuman neural stem cell-derived astrocytes, primary astrocytes, brain-derived endothelial cells: shRNA knockdown minimal change in ISG/IFN cytokine profile
Adarf/− SCL-Cre-ERT * mice [149,158]
AGS7 IFIH1 MDA5 AD GOF IFN T1IFN CNS HEK293T: IFN reporter assay Ifih1gs/+ mice [159–161]
AIADK NLRP1 NLRP1 AD GOF Inflam IL-18
?IL-1β
Multiple Nlrp1aQ593P mice* [162,153]
AIFEC NLRC4 NLRC4 AD GOF Inflam IL-18 Multiple Monocytes: ↑IL-1β in response to PrgI
Monocyte-derived macrophages: ↑cell death, ↑IL-1β, IL-18 with LPS priming + flagellin
HEK293T cells: ASC speck analysis and inflammasome reconstitution
iPSCs: ↑IL-1β, IL18 to LPS
mu-NLRC4 transgenic mice [147,32,163–165]
AILJK COPA COPA AD Dominant negative ?NF-κB
?IFN
Multiple incl lungs, kidney CD4 T cells: skewing to Th17 response
BLCL: ↓ autophagy, ↑ transcription IL-1 β, IL-6, IL-23
HEK293T cells: siRNA knockdown → ↑ER stress
Nil [166,167]
APLAID PLCG2 PLCγ2 AD GOF Unknown ?Inflam
?NF-κB
Unknown
?IL-1β
Multiple PBMC: ↑response to NLRP3 activation
B cells: ↑ERK phosphorylation
Multiple* [80,82]
Blau syndrome NOD2 NOD2 AD GOF NF-κB Multiple
TNFα
Multiple HEK293T cells: NF-κB luciferase assay. ↑ activity with transfection of mutants
PBMC: single patient w novel variant ↓ NF-κB response
Nod22939ic mice [168–170]
CAPS NLRP3
NLRP3 AD GOF Inflam IL-1β Multiple PBMC: constitutively high IL-1β secretion, as well as IL-6 + TNF
THP1 cells: ↑ IL-1β and IL-18 when transduced with mutant c/w WT
CD4 T cells: α-CD3 + α-CD46 stimulation →↑ IL-1β in patient cells c/w WT
Nlrp3A350VneoR/+ Nlrp3L351PneoR/+ mice
Nlrp3R258W mice
[21,154,171–173]
Cherubism SH3BP2 SH3BP2 AD ? GOF
? dominant negative
? NF-κB
? NFATc1
TNF-α Bone Sh3bp2 P416R/+ mice [174,175]
DADA2 CECR1 ADA2 AR LOF Unknown ?T1IFN
?TNFα
Multiple incl vascular PBMC: ↑ B cell death when cultured without stimulation
Monocytes: differentiate into M1>M2
Nil [84,85,92,93]
DIRA IL1RN IL-1Ra AR LOF IL-1β Multiple Multiple bone Mononuclear cells: stimulation with IL-1β → ↑ IL-1α, MIP1α, TNFα, IL-8, IL-6 c/w WT Il1ra/− mice* [176,177,178,179,180,181,40–42]
DITRA IL36RN IL-36Ra AR LOF Other IL-36 Skin PBMC: IL-36A stimulation → ↑ IL-1α, IL-6, IL-8, TNFα c/w WT IL1F6 transgenic, IL1F5−/− mice [182]
EOIBD IL10, IL10RA, IL10RB IL10, IL10RA, IL10RB AR LOF Other IL-10 GIT PBMC: Failure of IL-10 to ↓ LPS induced TNF α in patients with receptor mutations; More rapid TNF α response to LPS; Failure to phosphorylate STAT3 in response to IL10 IL10Trunc/Trunc mice*
IL-10−/− Cx3cr1gfp/+ mice
[47,48,51,183]
FCAS2 NLRP12 NLRP12 AD LOF NF-κB
? Inflam
TNFα, IL-6, IL-1β Skin Multiple HEK293T cells: NF-κB luciferase assay
PBMC: ↑ spontaneous TNF-α, IL-6, IL-1β c/w WT
NLRP12−/− mice [184–186]
FMF MEFV Pyrin AR>>AD GOF Inflam IL-1β Multiple PBMC: no spontaneous IL-1β secretion when cultured. ↑ IL-1β in response to LPS (inconsistent). Anti-CD3/CD28 stimulation → ↑ IL-17 and IL-22
Neutrophils: possible release of IL-1β through NETS
MefvM680I/M680I mice
MefvM694V/M694V mice
MefvV726A/V726A mice
[178,179,187,188]
H syndrome SLC29A3 SLC29A3 AR LOF Unknown Unknown Multiple ENT3–/– mice [189,190]
HA20 TNFAIP3 A20 AR LOF NF-κB
Inflam
Multiple HEK293T cells: NF-κB luciferase assay
PBMC, fibroblasts: ↑ nuclear translocation p65 at rest + with TNF stimulation
PBMC: LPS → ↑ inflammatory cytokines; Polarisation to Th9, Th17 CD4 T cell linage. LPS → NLRP3 inflam activation
A20−/− mice* [14]
HIDS MVK MVK AR LOF Inflam IL-1β Multiple PBMC: ↑ IL-1β, IL-6 and TNFα at rest and with stimulation
EBV-LCL: accumulation unprenylated Rab proteins (temperature dependent)
Mvk−/+ mice [191–195]
HOIL1 deficiency RBCK1 HOIL1 AR LOF NF-κB Multiple Multiple Fibroblasts, B cells: ↓NF-κB activation. JNK phosphorylation normal. Impaired response to IL-1β > TNF
CD3+, CD19+, CD56+ cells: No response to TNF or IL-1β stimulation
Monocytes: IL-1β stimulation → ↑IL-6 and MIP-1α c/w healthy control
Rbck1−/− mice* (overtly normal) [76]
HOIP deficiency RNF31 HOIP AR LOF NF-κB Multiple Multiple Fibroblasts: ↓IKK phosphorylation, IL-6 production in response to TNF or IL-1β stimulation
B cells: ↓ CD80 up-regulation with CD40L + IL-21 or IL-4
Monocytes: IL-1β stimulation → ↑IL-6 and IL-1β c/w healthy control
Hoip−/− mice (embryonically lethal). Various crosses [77]
HYDM1 NLRP7 NLRP7 AR Unknown ? Inflam
? NF-κB
Unknown Placenta HEK293T cells: transient transfection → abnormal methylation
PBMC: ↓IL-1β and TNF in response to LPS. Conflicting data on secretion as well as effect on pro-IL-1β expression
Nil (no murine orthologue) [180,181,196–199]
Majeed syndrome LPIN2 Lipin 2 AR LOF Inflam IL-1β Bone
Skin
Multiple
HEK293T cells: PAP activity assay.
Hepa1-6 cells: PPARα luciferase assay.
Lpin2−/− mice [200–203]
MSPC NLRP1 NLRP1 AD GOF Inflam IL-1β Skin HEK293T cells: ASC speck assay, reconstitution of inflam ↑pro-IL-1β cleavage
Primary keratinocytes: spontaneous inflam activation
PMA differentiated THP1 cells: Doxycycline induced NLRP1 expression constructs. Mutants ↑IL-1β and cell death. ASC dependent
Nlrp1aQ593P mice* [153,204]
ORAS OTULIN Otulin AR LOF NF-κB TNF Multiple HEK293T cells: transfection of mutant ↑NF-κB pathway c/w WT; NF-κB luciferase assay showed ↓inhibitory effect of mutant Otulin c/w WT
T cells: Normal proliferation and NF-κB response to TCR stimulation
B cells: Normal proliferation and NF-κB response to BCR stimulation
Fibroblasts: Expression undetectable. ↑p-IKBa, p-IKKa/b, p-P38 and P-JNK with TNF stimulation. ↓ ability to deubiquitinate linear chains
PBMC: ↓ ability to deubiquitinate linear chains
CreERT2-OtulinLacZ/flox mice [205,206]
PAAND MEFV Pyrin AD GOF Inflam ?Multiple Skin
Multiple
Monocyte: ↑ASC speck formation, caspase-1 activity, c/w healthy control
PBMC: ↑ IL-18 and IL-1Ra with LPS stimulation c/w healthy control
HEK293T cells: ASC speck assay. 14-3-3 binding in overexpression model
THP1 cells: Retroviral reconstitution and lentviral reconstitution of MEFV KO cells. Mutants ↑cell death, ↑IL-1β, IL-18
Nil [207,208]
PAPA syndrome PSTPIP1 PSTPIP1 AD Unknown Inflam ?IL-1β Skin, Joints
Multiple
HeLa cells: Transient cotransfection. Mutant PSTPIP1 hyperphosphorylated and ↑binding to pyrin
Cos-7L cells: inflammasome reconstitution assay. Mutant PSTPIP1 ↑IL-1β processing
THP1 cells: Immunoprecipitation to show interaction between PSTPIP1 and pyrin
Macrophages: ↓invasion and podosome formation
T cells: ↓numbers, ↓proliferation response to mitogen. Normal migration
PBMC: ↓ IL-1Ra, ↑IL-1β, IL-6, TNFα and GMCF in response to multiple stimuli. siRNA knockdown of NLRP3 ↓IL-1β in response to LPS
Rosa-PSTPIP1 A230TSTOP del/+ mice [209–213]
PLAID PLCG2 PLCγ2 AD GOF Unknown Unknown Multiple COS7, A20 cells: transfection model. Mutants- ↑phospholipase activity at subphysiological temperatures
LAD2 mast cells: transfection of mutant → spontaneous degranulation at 20°C
B cells and NK cells: ↓ERK phosphorylation in response to stimulation
T cells: normal response to CD3 cross-linking
Multiple* [79]
PRAAS PSMB8, PSMB9, PSMB4, PSMA3, POMP PSMB8, PSMB9, PSMB4, PSMA3, POMP AR LOF ?NF-κB
?IFN
T1IFN Multiple HeLa cells: Transfection studies show poor formation of proteasome with mutant c/w WT
Primary fibroblasts: ↑ precursor complexes in patients. siRNA knockdown in control cells → IFN induction and proteasome dysfunction
Lymphoblastoid cell line: ↑ precursor complexes, ↓ proteasome formation
EBV transformed B cells: generally, ↓ chymotryptic like activity
Primary keratinocytes: Ubiquitin aggregation
Lmp7−/− mice [59,214]
PRP CARD14 CARD14 AD GOF NF-κB Skin HEK293T cells: NF-κB luciferase assay
Immortalised primary keratinocytes: Expression + NF-κB activity
Nil [215,216]
Pustular psoriasis AP1S3 AP1S3 AR LOF ?NF-κB IL36
IL-1
Skin Primary keratinocytes and dermal fibroblasts: abnormal autophagy, accumulation of p62. Abnormal TLR2/6 signalling Nil [217,218]
SAVI TMEM173 STING AD GOF IFN T1IFN Multiple incl lungs, vessels HEK293T cells: IFNB1 reporter assay. Immunoblot analysis of STING pathway
CD4, CD8 T cells, CD19 B cells: constitutive STAT1 phosphorylation
PBMC and dermal fibroblasts: ↑ IFNB1 transcription at rest. No change with cGAMP exposure. Transcription of TNF and IL-6 ↑ at baseline and with cGAMP treatment
StingN153S/+ mice [16–18]
SPENCD ACP5 ACP5 AR LOF IFN T1IFN Multiple Primary human macrophages: colocalisation studiesPlasmacytoid dendritic cells: co-localisation studies. TLR9 stimulation in shRNA ACP5 knockdown studies → ↑ transcription ISGs
HEK293T cells: cotransfection TRAP and osteopontin followed by immunoprecipitation
THP1 cells: shRNA ACP5 knockdown studies → ↑ phosphorylation of osteopontin
Acp5−/− mice [219–222]
TRAPS TNFRS1A TNFR1 AD Unknown NF-κB ?IL-1β Multiple PBMC: ↑surface expression TNFR1 + ↓shedding (conflicting data)
Monocytes: ↑surface expression TNFR1 and ↓shedding; Abnormal autophagy →↑IL-1β + NF-κB activation
Dermal fibroblasts: Mutant TNFR1 ↓ receptor shedding
Neutrophils: Mutant TNFR1 abnormal retention in cytoplasm
HEK293T cells: minor differences in receptor shedding when TNFR1 WT or mutant overexpressed; Cytoplasmic retention and reduced surface expression of mutant
Tnfrsf1aT50M/+ mice
(13)
Tnfrsf1aC33Y/+ mice
(232)
Tnfrsf1ap55deltNS mice
(10)
[1,9–11,13,223–232]
USP18 deficiency USP18 USP18 AR LOF IFN T1IFN CNS
Liver
Primary dermal fibroblasts: ↑ transcription ISG after IFN stimulation. Persistent STAT2 phosphorylation. No sig difference in IL-6 response to IL-1β or poly(I:C) .↑ISGylation Usp18−/ mice* [233]
XLPDR POLA1 POLA1 XLR LOF IFN >
NF-κB
T1IFN Multiple Primary dermal fibroblasts: ↑IFN + NF-κB response to stimulation with poly(da:dt) or TNF; ↑IRF and NF-κB pathway activation; ↓RNA:DNA levels; Lentiviral transduction of WT rescued phenotype
Fibroblast and HeLa cell line: siRNA POLA1 knockdown → ↑ IFN + NF-κB response to stimulation with poly(da:dt) or TNF
Nil [234]

Abbreviations: AD, autosomal dominant; AIADK, autoinflammation with arthritis and dyskeratosis; AID, autoinflammatory disorder; AIFEC, autoinflammation with infantile enterocolitis; AILJK, autoimmune interstitial lung, joint and kidney disease; AR, autosomal recessive; BLCL, EBV-transformed B-lymphoblastoid cell lines; c/w, compared with; CD, cluster of differentiation; COPA, coatomer subunit α; DIRA, deficiency of IL-1 receptor antagonist; ER, endoplasmic reticulum; FCAS2, familial cold autoinflammatory syndrome 2; GIT, gastrointestinal tract; GOF, gain of function; HIDS, hyper IgD syndrome, HYDM1, hydatidiform molar pregnancy; Inflam, inflammasome; ISG, IFN-stimulated gene; LOF, loss of function; MOI, mode of inheritance; MSPC, multiple self-healing palmoplantar carcinoma; NFATc1, nuclear factor of activated T cell, cytoplasmic 1; ORAS, otulin-related autoinflammatory syndrome; PAAND, pyrin-associated autoinflammation with neutrophilic dermatosis; POLA, DNA polymerase α catalytic subunit; PRP, pityriasis rubra pilaris; SMS, Singleton–Merten syndrome; SPENCD, spondyloenchondrodysplasia; T1IFN, type 1 IFN; XLPDR, x-linked pigmentary disorder, reticulate, with systemic manifestations.

*

Murine model prior to the description of monogenic condition.