2016
DOI: 10.1073/pnas.1612594113
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Biallelic hypomorphic mutations in a linear deubiquitinase define otulipenia, an early-onset autoinflammatory disease

Abstract: Systemic autoinflammatory diseases are caused by mutations in genes that function in innate immunity. Here, we report an autoinflammatory disease caused by loss-of-function mutations in OTULIN (FAM105B), encoding a deubiquitinase with linear linkage specificity. We identified two missense and one frameshift mutations in one Pakistani and two Turkish families with four affected patients. Patients presented with neonatal-onset fever, neutrophilic dermatitis/panniculitis, and failure to thrive, but without obviou… Show more

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Cited by 232 publications
(315 citation statements)
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References 20 publications
(28 reference statements)
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“…Two out of three patients respond to anti-TNF treatment with the third patient being treated with anti-IL-1β (anakinra) and steroids. The analysis of patient samples show, in agreement with Damgaard et al, increased levels of Met1-Ub and increased cytokine production relative to cells from healthy donors [10].…”
supporting
confidence: 88%
See 1 more Smart Citation
“…Two out of three patients respond to anti-TNF treatment with the third patient being treated with anti-IL-1β (anakinra) and steroids. The analysis of patient samples show, in agreement with Damgaard et al, increased levels of Met1-Ub and increased cytokine production relative to cells from healthy donors [10].…”
supporting
confidence: 88%
“…A separate recent study also identified patients with mutations in OTULIN [10]. In addition to the L272P mutation, the study identifies two other mutations in the OTU domain.…”
mentioning
confidence: 90%
“…To determine the mechanism by which RNF31 regulates NF-B activation and cell death, further investigations are required. Additionally, the deubiquitinase enzyme OTULIN has been reported to play an essential role in NF-B signaling pathways and inflammation by deconjugating linear ubiquitination from substrates (21,22), and recently, clinical evidence from ORAS (OTULIN-related autoinflammatory syndrome) patients supported the fundamental role of OTULIN in human disease (19,23). Since OTULIN binds with the PUB domain of RNF31 (located in the RNF31 NT mutant), further investigation on the regulation of OTULIN function by RNF31 cleavage will elucidate the mechanism of linear ubiquitinationmediated signaling and its biological significance.…”
Section: Discussionmentioning
confidence: 99%
“…Data analysis was performed as described previously, 20 with slight modifications. Considering the low explained heritability of PM, we thus expect the variants to be rare in population samples.…”
Section: Mutation Screeningmentioning
confidence: 99%