A dominant pathogenic MEFV mutation causes atypical pyrin-associated periodic syndromes

Bibliographic Details
Title: A dominant pathogenic MEFV mutation causes atypical pyrin-associated periodic syndromes
Authors: Qintao Wang, Taijie Jin, Shan Jian, Xu Han, Hongmei Song, Qing Zhou, Xiaomin Yu
Source: JCI Insight, Vol 8, Iss 19 (2023)
Publisher Information: American Society for Clinical investigation, 2023.
Publication Year: 2023
Collection: LCC:Medicine
Subject Terms: Immunology, Inflammation, Medicine
More Details: Pyrin, a protein encoded by the MEFV gene, plays a vital role in innate immunity by sensing modifications in Rho GTPase and assembling the pyrin inflammasome, which in turn activates downstream immune responses. We identified a novel and de novo MEFV p.E583A dominant variant in 3 patients from the same family; the variant was distinct from the previously reported S242 and E244 sites. These patients exhibited a phenotype that diverged from those resulting from classical MEFV gene mutations, characterized by the absence of recurrent fever but the presence of recurrent chest and abdominal pain. Colchicine effectively controlled the phenotype, and the mutation was found to induce pyrin inflammasome assembly and activation in patients’ peripheral blood mononuclear cells (PBMCs) and cell lines. Mechanistically, truncation experiments revealed that the E583A variant affected the autoinhibitory structure of pyrin. Our study offers insights into the mechanisms underlying pyrin inflammasome activation.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2379-3708
Relation: https://doaj.org/toc/2379-3708
DOI: 10.1172/jci.insight.172975
Access URL: https://doaj.org/article/bdcda9bed79a42c1bdfa66054f4cd1b4
Accession Number: edsdoj.bdcda9bed79a42c1bdfa66054f4cd1b4
Database: Directory of Open Access Journals
More Details
ISSN:23793708
DOI:10.1172/jci.insight.172975
Published in:JCI Insight
Language:English