Skip to main content
. 2022 Jul 18;11(14):2231. doi: 10.3390/cells11142231

Table 1.

Brief summary of the hereditary monogenic autoinflammatory diseases.

Gene
Locus
Protein Inheritance Main Manifestations and Complications Available Treatments
FMF MEFV
16p13.3
PYRIN or marenostrin AR serositis, limb pain or transient arthritis, erysipelas-like eruption on the legs, nonspecific skin manifestations (like urticaria, angioedema, erythema nodosum, vasculitis), risk of amyloidosis Colchicine, canakinumab, anakinra
TRAPS TNFRSF1A
12p13
TNFRSF1A,
TNF receptor
AD severe migrating muscle pain, arthralgia or arthritis, serositis, painful orbital edema, painful conjunctivitis, risk of amyloidosis Canakinumab, anakinra, corticosteroids
FCAS NLRP3
1q44
CRYOPYRIN AD cold-induced urticaria-like rashes, conjunctivitis, arthralgia Anakinra, rilonacept, canakinumab
MWS cold-induced urticaria-like rash, conjunctivitis, episcleritis, arthralgia, neurosensorial deafness, risk of amyloidosis
CINCA migrating non-itchy urticaria-like rash, uveitis, papilledema, deforming arthritis involving large joints, aseptic chronic meningopathy, retinal dystrophy, neurosensorial deafness, risk of
amyloidosis
MKD MVK
12q24
MEVALONATE KINASE AR fatigue, painful generalized lymph node enlargement, vomiting, diarrhea, abdominal pain, arthralgia, skin rashes
of varying severity, oral and/or genital aphthosis, splenomegaly during
flares
Anti-inflammatory drugs, corticosteroids, anakinra ‘on
demand’, canakinumab
PAPA PSTPIP1
15q24–25
PSTPIP1 (proline-serine-
threonine phosphatase interacting protein 1)
AD sterile pyogenic arthritis, pyoderma gangrenosum, severe acne, skin abscesses, recurrent non-healing sterile ulcers Corticosteroids, infliximab, anakinra, immunosuppressive
agents
MS LPIN2
18p11.31
LIPIN2 (phosphatidate phosphatase) AR recurrent multifocal osteomyelitis, neutrophilic dermatosis, dyserythropoietic anemia Corticosteroids, bisphosphonates, TNF-α inhibitors,
IL-1 antagonists (anakinra)
DIRA IL1RN
2q14.1
IL1RN
(interleukin-1 receptor antagonist)
AR sterile multifocal osteomyelitis starting
in the neonatal period, skin pustulosis, osteitis
Anakinra
BS NOD2 (CARD15)
16q12.1–13
NOD2 (nucleotide binding oligomerization domain containing 2) AD non-erosive granulomatous polyarthritis (‘boggy synovitis’ with painless effusion and cyst-like swelling of joints), granulomatous panuveitis, skin granulomatous rash Corticosteroids, TNF-α inhibitors (infliximab), IL-1
antagonists, JAK inhibitors (tofacitinib)
DITRA IL36RN
2q14.1
IL36RN
(interleukin-36 receptor antagonist)
AR severe pustular psoriasis (generalized or limited to the distal part of limbs) TNF-α inhibitors (adalimumab), IL-12/23 antagonists,
IL-17 antagonists
CAMPS CARD14
17q25.3
CARD14
(caspase recruitment domain-
containing protein 14)
AD psoriasis in a wide range of phenotypes Methotrexate, corticosteroids, cyclosporine, phototherapy,
acitretin, vitamin D analogs, TNF-α inhibitors, IL-12/23
antagonists, IL-17 antagonists
ORAS OTULIN
5p15.2
OTULIN (deubiquitinase) AR fever starting in the neonatal period, neutrophilic dermatosis associated with panniculitis, growth retardation TNF-α inhibitors
HA20 TNFAIP3
6q23.3
TNFAIP3
(tumor necrosis factor alpha-induced protein 3, A20)
AD recurrent mucosal ulcerations of the oral cavity, gastrointestinal tube and
urogenital tract, skin rashes,
polyarthritis, uveitis, vasculitides,
recurrent fevers, association with different autoimmune disorders (systemic lupus erythematosus, psoriatic arthritis, juvenile idiopathic arthritis, autoimmune hepatitis and Hashimoto thyroiditis)
TNF-α inhibitors, colchicine
FCAS2 NLRP12
19q13.42
NLRP12
(nucleotide-
binding oligomerization domain, leucine rich repeat and pyrin domain containing 12)
AD cold-induced rashes, joint pain, abdominal pain, sensorineural deafness, headache Anakinra, TNF-α inhibitors, IL-6 antagonists
(tocilizumab)
PRAAS PSMB8 PSMB8
(proteasome 20s subunit beta 8)
AR chronic atypical neutrophilic dermatosis, lipodystrophy, erythema nodosum-like panniculitis, abnormal growth of lips, muscular weakness and atrophy, severe joint contractures, basal ganglia
calcifications, ear and nose chondritis, aseptic meningitis, conjunctivitis,
hepatosplenomegaly, lymph node
enlargement, arthralgia
Corticosteroids, immunosuppressive agents, anakinra,
IL-6 antagonists (tocilizumab), TNF-α inhibitors, dapsone,
JAK inhibitors (baricitinib)
SAVI STING1 (TMEM173)
5q31.2
STING1 (stimulator of interferon genes protein 1) AD vasculopathy causing severe skin lesions on face, ears, nose and digits, resulting in
ulcerations, necrosis or amputations, chronic interstitial lung disease
JAK inhibitors (ruxolitinib)
AGS TREX1,
RNASEH2B,
RNASEH2C,
RNASEH2A,
SAMHD1,
ADAR,
IFIH1
3p21.31, 13q14.3, 11q13.1, 19p13.13, 20q11.23, 1q21.3,
2q24.2
Enzymes involved in the duplication, repair and recombination of nucleic acids AR
(AD for IFIH1)
leukoencephalopathy (mimicking transplacental infections), calcifications in
cerebral and basal ganglia, dystonia,
microcephaly, cognitive impairment, abnormal eye movements, glaucoma,
livedo reticularis, digital chilblain
lesions on hands and feet,
hepatosplenomegaly, jaundice, silent positivity of autoantibodies
No cure is available, corticosteroids and intravenous
immunoglobulin may control systemic and organ inflammation

FMF: familial Mediterranean fever; TRAPS: tumor necrosis factor receptor-associated periodic syndrome (autosomal dominant familial periodic fever); FCAS: familial cold-induced autoinflammatory syndrome; MWS: Muckle-Wells syndrome; CINCA s.: chronic infantile neurologic cutaneous articular syndrome; MKD: mevalonate kinase deficiency (hyper-IgD syndrome); PAPA s.: pyogenic arthritis, pyoderma gangrenosum and acne (PAPA) syndrome; MS: Majeed syndrome; DIRA: deficiency of IL-1 receptor antagonist; BS: Blau syndrome; DITRA: deficiency of the interleukin-36 receptor antagonist; CAMPS: CARD14-mediated psoriasis; HA20: haploinsufficiency of A20; ORAS: OTULIN-related autoinflammatory syndrome; FCAS2: familial cold autoinflammatory syndrome 2 (NLRP12-associated autoinflammatory disorder); PRAAS: proteasome-associated autoinflammatory syndrome; SAVI: STING-associated vasculopathy with onset in infancy; AGS: Aicardi-Goutières syndrome. AR: autosomic recessive; AD: autosomic dominant; TNF: tumor necrosis factor; IL-1: interleukin-1; JAK: Janus kinase.