Activating germline mutations in STAT3 cause early-onset multi-organ autoimmune disease

被引:385
作者
Flanagan, Sarah E. [1 ]
Haapaniemi, Emma [2 ,3 ]
Russell, Mark A. [1 ]
Caswell, Richard [1 ]
Allen, Hana Lango [1 ]
De Francol, Elisa [1 ]
McDonald, Timothy J. [1 ]
Rajala, Hanna [4 ,5 ]
Ramelius, Anita [6 ,7 ]
Barton, John [8 ]
Heiskanen, Kaarina [3 ,9 ]
Heiskanen-Kosmal, Tarja [10 ]
Kajosaari, Merja
Murphyli, Nuala P. [11 ]
Milenkovic, Tatjana [12 ]
Seppanen, Mikko [13 ]
Lemmark, Ake [6 ,7 ]
Mustjoki, Satu [5 ]
Otonkoski, Timo [3 ]
Kere, Juha [9 ,14 ,15 ]
Morgan, Noel G. [1 ]
Ellard, Sian [1 ,2 ]
Hattersley, Andrew T. [1 ]
机构
[1] Univ Exeter, Sch Med, Inst Biomed & Clin Sci, Exeter, Devon, England
[2] Univ Helsinki, Folkhalsan Inst Genet, Helsinki, Finland
[3] Univ Helsinki, Res Programs Unit, Helsinki, Finland
[4] Univ Helsinki, Hematol Res Unit Helsinki, Dept Hematol, Helsinki, Finland
[5] Univ Helsinki, Cent Hosp, Ctr Canc, Helsinki, Finland
[6] Lund Univ, Dept Clin Sci, Lund, Sweden
[7] Skane Univ Hosp, Clin Res Ctr, Malmo, Sweden
[8] Bristol Royal Hosp Children, Bristol, Avon, England
[9] Univ Helsinki, Cent Hosp, Childrens Hosp, Helsinki, Finland
[10] Kuopio Univ Hosp, Dept Pediat, Helsinki, Finland
[11] Childrens Univ Hosp, Dept Endocrinol & Diabet, Dublin, Ireland
[12] Inst Mother & Child Hlth Care Serbia Dr Vukan Cup, Dept Endocrinol, Belgrade, Serbia
[13] Univ Helsinki, Cent Hosp, Div Infect Dis, Immunodeficiency Unit, Helsinki, Finland
[14] Karolinska Inst, Dept Biosci & Nutr, Huddinge, Sweden
[15] Karolinska Inst, Ctr Innovat Med, Huddinge, Sweden
基金
英国惠康基金;
关键词
GENOME-WIDE ASSOCIATION; HYPER IGE SYNDROME; RHEUMATOID-ARTHRITIS; SUSCEPTIBILITY LOCI; TH17; CELLS; VARIANTS; RISK;
D O I
10.1038/ng.3040
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
Monogenic causes of autoimmunity provide key insights into the complex regulation of the immune system. We report a new monogenic cause of autoimmunity resulting from de novo germline activating STAT3 mutations in five individuals with a spectrum of early-onset autoimmune disease, including type 1 diabetes. These findings emphasize the critical role of STAT3 in autoimmune disease and contrast with the germline inactivating STAT3 mutations that result in hyper IgE syndrome.
引用
收藏
页码:812 / 814
页数:3
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