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EnglishWe describe the third family in the world, after Arabian and Turkish ones, displaying an autosomal recessive autoimmune disease (AID), mimicking systemic lupus erythematosus (SLE), with unusual manifestations due to a homozygous frame-shift variant in DNASE1L3. SLE is a complex AID characterized by multiple organ involvement. Genetic risk variants identified account for only 15% of SLE heritability. Rare Mendelian forms have been reported, including DNASE1L3-related SLE. Through specific genetic tests we identified a homozygous 2 bp-deletion c.289_290delAC (NM_004944.2) in DNASE1L3, predicting frameshift and premature truncation (p.Thr97Ilefs*2). The same mutation was previously reported in three sisters, born from consanguineous parents and affected with hypocomplementemic urticarial vasculitis syndrome (HUVS). As approximately 50% of individuals affected with HUVS develop SLE, it is still unclear whether it is a SLE sub-phenotype or a separate condition. Lupus (2016) 0, 1–5.
Carbonella, A., Mancano, G., Gremese, E., Alkuraya, F. S., Patel, N., Gurrieri, F., Ferraccioli, G., An autosomal recessive DNASE1L3-related autoimmune disease with unusual clinical presentation mimicking systemic lupus erythematosus, <<LUPUS>>, 2017; 26 (7): 768-772. [doi:10.1177/0961203316676382] [http://hdl.handle.net/10807/86998]
| Autori: | ||
| Titolo: | An autosomal recessive DNASE1L3-related autoimmune disease with unusual clinical presentation mimicking systemic lupus erythematosus | |
| Digital Object Identifier (DOI): | http://dx.doi.org/10.1177/0961203316676382 | |
| Data di pubblicazione: | 2017 | |
| Abstract: | We describe the third family in the world, after Arabian and Turkish ones, displaying an autosomal recessive autoimmune disease (AID), mimicking systemic lupus erythematosus (SLE), with unusual manifestations due to a homozygous frame-shift variant in DNASE1L3. SLE is a complex AID characterized by multiple organ involvement. Genetic risk variants identified account for only 15% of SLE heritability. Rare Mendelian forms have been reported, including DNASE1L3-related SLE. Through specific genetic tests we identified a homozygous 2 bp-deletion c.289_290delAC (NM_004944.2) in DNASE1L3, predicting frameshift and premature truncation (p.Thr97Ilefs*2). The same mutation was previously reported in three sisters, born from consanguineous parents and affected with hypocomplementemic urticarial vasculitis syndrome (HUVS). As approximately 50% of individuals affected with HUVS develop SLE, it is still unclear whether it is a SLE sub-phenotype or a separate condition. Lupus (2016) 0, 1–5. | |
| Lingua: | Inglese | |
| Rivista: | ||
| Citazione: | Carbonella, A., Mancano, G., Gremese, E., Alkuraya, F. S., Patel, N., Gurrieri, F., Ferraccioli, G., An autosomal recessive DNASE1L3-related autoimmune disease with unusual clinical presentation mimicking systemic lupus erythematosus, <<LUPUS>>, 2017; 26 (7): 768-772. [doi:10.1177/0961203316676382] [http://hdl.handle.net/10807/86998] | |
| Appare nelle tipologie: | Articolo in rivista, Nota a sentenza |
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