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An activating NLRC4 inflammasome mutation causes autoinflammation with recurrent macrophage activation syndrome

Open access
Canna, Scott W, de Jesus, Adriana A, Gouni, Sushanth, Brooks, Stephen R, Marrero, Bernadette, Liu, Yin, DiMattia, Michael A, Zaal, Kristien J M, Sanchez, Gina A Montealegre, Kim, Hanna, Chapelle, Dawn, Plass, Nicole, Huang, Yan, Villarino, Alejandro V, Biancotto, Angelique, Fleisher, Thomas A, Duncan, Joseph A, O'Shea, John J, Benseler, Susanne, Grom, Alexei, Deng, Zuoming, Laxer, Ronald M, Goldbach-Mansky, Raphaela·2014·Nature Genetics

Abstract

Inflammasomes are innate immune sensors that respond to pathogen- and damage-associated signals with caspase-1 activation, interleukin (IL)-1β and IL-18 secretion, and macrophage pyroptosis. The discovery that dominant gain-of-function mutations in NLRP3 cause the cryopyrin-associated periodic syndromes (CAPS) and trigger spontaneous inflammasome activation and IL-1β oversecretion led to successful treatment with IL-1–blocking agents. Herein we report a de novo missense mutation (c.1009A>T, encoding p.Thr337Ser) affecting the nucleotide-binding domain of the inflammasome component NLRC4 that causes early-onset recurrent fever flares and macrophage activation syndrome (MAS). Functional analyses demonstrated spontaneous inflammasome formation and production of the inflammasome-dependent cytokines IL-1β and IL-18, with the latter exceeding the levels seen in CAPS. The NLRC4 mutation caused constitutive caspase-1 cleavage in cells transduced with mutant NLRC4 and increased production of IL-18 in both patient-derived and mutant NLRC4–transduced macrophages. Thus, we describe a new monoallelic inflammasome defect that expands the monogenic autoinflammatory disease spectrum to include MAS and suggests new targets for therapy.

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Metadata

Authors
Canna, S. W., de Jesus, A. A., Gouni, S., Brooks, S. R., Marrero, B., Liu, Y., DiMattia, M. A., Zaal, K. J. M., Sanchez, G. A. M., Kim, H., Chapelle, D., Plass, N., Huang, Y., Villarino, A. V., Biancotto, A., Fleisher, T. A., Duncan, J. A., O'Shea, J. J., Benseler, S., Grom, A., Deng, Z., Laxer, R. M., & Goldbach-Mansky, R.
Venue
Nature Genetics
Published
2014-09-14
Volume
46
Issue
10
Pages
1140-1146
ISSN
  • 1061-4036 (ISSN-L)
  • 1546-1718
OpenAlex
W2028368428
Cited by
740
References
11
FWCI
22.88
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: An activating NLRC4 inflammasome mutation causes autoinflammation with recurrent macrophage activation syndrome. https://app.cochat.ai/papers/10.1038/ng.3089
The paper
Canna, S. W., de Jesus, A. A., Gouni, S., Brooks, S. R., Marrero, B., Liu, Y., DiMattia, M. A., Zaal, K. J. M., Sanchez, G. A. M., Kim, H., Chapelle, D., Plass, N., Huang, Y., Villarino, A. V., Biancotto, A., Fleisher, T. A., Duncan, J. A., O'Shea, J. J., Benseler, S., . . . Goldbach-Mansky, R. (2014). An activating NLRC4 inflammasome mutation causes autoinflammation with recurrent macrophage activation syndrome. Nature Genetics. https://doi.org/10.1038/ng.3089

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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