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.