De novo mutations promote inflammation in children with STAT3 gain-of-function syndrome by affecting IL-1β expression.

Autor: Chen JY; Department of Nephrology & Rheumatology, Kunming Children's Hospital, Kunming 650228, Yunnan, China., Li YF; Department of Nephrology & Rheumatology, Kunming Children's Hospital, Kunming 650228, Yunnan, China., Zhou Z; Department of Nephrology, First Affiliated Hospital of Kunming Medical University, Yunnan Clinical Medical Research Center of Chronic Kidney Disease, Kunming 650032, Yunnan, China., Jiang XM; Department of Nephrology & Rheumatology, Kunming Children's Hospital, Kunming 650228, Yunnan, China., Bi X; Department of Nephrology & Rheumatology, Kunming Children's Hospital, Kunming 650228, Yunnan, China., Yang MF; Department of Nephrology & Rheumatology, Kunming Children's Hospital, Kunming 650228, Yunnan, China., Zhao B; Department of Nephrology & Rheumatology, Kunming Children's Hospital, Kunming 650228, Yunnan, China. Electronic address: zbkmetyy@163.com.
Jazyk: angličtina
Zdroj: International immunopharmacology [Int Immunopharmacol] 2024 Oct 25; Vol. 140, pp. 112755. Date of Electronic Publication: 2024 Aug 03.
DOI: 10.1016/j.intimp.2024.112755
Abstrakt: STAT3 gain-of-function syndrome, characterized by early-onset autoimmunity and primary immune regulatory disorder, remains poorly understood in terms of its immunological mechanisms. We employed whole-genome sequencing of familial trios to elucidate the pivotal role of de novo mutations in genetic diseases. We identified 37 high-risk pathogenic loci affecting 23 genes, including a novel STAT3 c.508G>A mutation. We also observed significant down-regulation of pathogenic genes in affected individuals, potentially associated with inflammatory responses regulated by PTPN14 via miR378c. These findings enhance our understanding of the pathogenesis of STAT3 gain-of-function syndrome and suggest potential therapeutic strategies. Notably, combined JAK inhibitors and IL-6R antagonists may offer promising treatment avenues for mitigating the severity of STAT3 gain-of-function syndrome.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
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Databáze: MEDLINE