Preview

Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics)

Advanced search

Behcet-like familial autoinflammatory syndrome

https://doi.org/10.21508/1027-4065-2021-66-2-110-115

Abstract

Behcet-like familial autoinflammatory syndrome is a rare autoinflammatory disease with an autosomal dominant mode of inheritance, which is based on heterozygous mutations in the TNFAIP3 gene. It is characterized by recurrent fever, recurrent oral-genital ulcers. Currently, only few patients with this disease are described in the world literature. The clinical case presented in the article demonstrates a new mixed phenotype of pathology in the form of a combination of symptoms resembling Behcet’s disease and autoimmune lymphoproliferative syndrome. It allows us to enrich our knowledge about the genetic nature of autoinflammatory familial Behcet-like syndrome, and indicates the need to more active use of molecular genetic research methods in the differential diagnosis of these diseases.

About the Authors

E. A. Potrokhova
Veltischev Research and Clinical Institute for Pediatrics of the Pirogov Russian National Research Medical University
Russian Federation

Moscow



L. S. Baleva
Veltischev Research and Clinical Institute for Pediatrics of the Pirogov Russian National Research Medical University
Russian Federation

Moscow



A. E. Sipyagina
Veltischev Research and Clinical Institute for Pediatrics of the Pirogov Russian National Research Medical University
Russian Federation

Moscow



E. N. Yakusheva
Veltischev Research and Clinical Institute for Pediatrics of the Pirogov Russian National Research Medical University
Russian Federation

Moscow



M. P. Safonova
Veltischev Research and Clinical Institute for Pediatrics of the Pirogov Russian National Research Medical University
Russian Federation

Moscow



References

1. Fietta P. Autoinflammatory disease: the hereditary periodic fever syndromes. Acta Biol Ateneo Parmense 2004; 75: 92–99

2. Гатторно М. Аутовоспалительные заболевания у детей. Вопросы современной педиатрии 2014; 13(2): 55–64 [Gattorno М. Autoinflammatory diseases in children. Voprosy sovremennoi pediatrii (Current pediatrics) 2014; 13(2): 55– 64. (in Russ.)]

3. Румянцев А.Г., Демина О.М. Аутовоспалительные заболевания: современная концепция патогенеза, клиники и диагностики. Педиатрия. Журнал им. Г.Н. Сперанского 2020; 99(3): 211–219. [Rumjancev A.G., Demina O.M. Autoinflammatory diseases: a modern concept of pathogenesis, clinics and diagnostics. Pediatriya. Zhurnal im. G.N. Speranskogo (Pediatria. Journal named after G.N. Speransky) 2020; 99(3): 211–219. (in Russ.)]

4. Козлова А.Л., Бурлаков В.И., Щербина А.Ю. Аутовоспалительные заболевания. Педиатрия. Журнал им. Г.Н. Сперанского 2019; 98(3): 227–234. [Kozlova A.L., Burlakov V.I., Shherbina A.Ju. Autoinflammatory diseases. Pediatriya. Zhurnal im. G.N. Speranskogo (Pediatria. Journal named after G.N. Speransky) 2019; 98(3): 227–234. (in Russ.)]

5. Steiner A., Harapas C.R., Masters S.L., Davidson S. An update on autoinflammatory diseases: relopathies. Curr Rheumatol Rep 2018; 20: 39. DOI: 10.1007/s11926-018-0749-x

6. Vallabhapurapu S., Karin M. Regulation and Function of NF-kappaB Transcription Factors in the Immune System. Annu Rev Immunol 2009; 27: 693–733. DOI: 10.1146/annurev.immunol.021908.132641

7. Hayden M.S., Ghosh S. NF-kappaB, the first quarter-century: remarkable progress and outstanding questions. Genes Dev 2012; 26(3): 203–234. DOI: 10.1101/gad.183434.111

8. Tokunaga F., Nishimasu H., Ishitani R., Goto E., Noguchi T., Mio K. et al. Specific recognition of linear polyubiquitin by A20 zinc finger 7 is involved in NF-kappaB regulation. EMBO J 2012; 31(19): 3856–3870. DOI: 10.1038/em-boj.2012.241

9. Vereecke L., Beyaert R., Van Loo G. The ubiquitin-editing enzyme A20 (TNFAIP3) is a central regulator of immunopathology. Trends Immunol 2009; 30(8): 383–391. DOI: 10.1016/j.it.2009.05.007

10. Catrysse L., Vereecke L., Beyaert R., Van Loo G. A20 in inflammation and autoimmunity. Trends Immunol 2014; 35(1): 22–31. DOI: 10.1016/j.it.2013.10.005

11. Coornaert B., Carpentier I., Beyaert R. A20: central gatekeeper in inflammation and immunity. J Biol Chem 2009; 284(13): 8217–8221. DOI: 10.1074/jbc.R800032200

12. Evans P.C. Regulation of pro-inflammatory signaling networks by ubiquitin: identification of novel targets for anti-inflammatory drugs. Expert Rev Mol Med. 2005; 7: 1–19. DOI: 10.1017/S1462399405009415

13. Shembade N., Ma A., Harhai E.W. Inhibition of NF-kappa B signaling by A20 through disruption of ubiquitin enzyme complexes. Science 2010; 327: 1135–1139. DOI: 10.1126/science.1182364

14. Aksentijevich I., Zhou Q. NF-κB pathway in autoinflammatory diseases: dysregulation of protein modifications by ubiquitin defines a new category of autoinflammatory diseases. Front Immunol 2017; 8: 399. DOI: 10.3389/fimmu.2017.00399

15. Adrianto I., Wen F., Templeton A., Wiley G., King J.B., Lessard C.J. et al. Association of a functional variant downstream of TNFAIP3 with systemic lupus erythematosus. Nat Genet 2011; 43(3): 253–258. DOI: 10.1038/ng.766

16. Moaaz M., Mohannad N. Association of the polymorphisms of TRAF1 (rs10818488) and TNFAIP3 (rs2230926) with rheumatoid arthritis and systemic lupus erythematosus and their relationship to disease activity among Egyptian patients. Cent Eur J Immunol 2016; 41(2): 165–175. DOI: 10.5114/ceji.2016.60991

17. Musone S.L., Taylor K.E., Lu T.T., Nititham J., Ferreira R.C., Ortmann W. et al. Multiple polymorphisms in the TNFAIP3 region are independently associated with systemic lupus erythematosus. Nat Genet 2008; 40(9): 1062–1064. DOI: 10.1038/ng.202

18. Nair R.P., Duffin K.C., Helms C., Ding J., Stuart P.E., Goldgar D. et al. Genome-wide scan reveals association of psoriasis with IL-23 and NF-kappaB pathways. Nat Genet 2009; 41(2): 199–204. DOI: 10.1038/ng.311

19. Indhumathi S., Rajappa M., Chandrashekar L., Ananthanarayanan P.H., Thappa D.M., Negi V.S. TNFAIP3 and TNIP1 polymorphisms confer psoriasis risk in South Indian Tamils. Br J Biomed Sci 2015; 72(4): 168–173. DOI: 10.1080/09674845.2015.11665748

20. Kato M., Sanada M., Kato I., Sato Y., Takita J., Takeuchi K. et al. Frequent inactivation of A20 in B-cell lymphomas. Nature 2009; 459: 712–716. DOI: 10.1038/nature07969

21. Schmitz R., Hansmann M.L., Bohle V., Martin-Subero J.I., Hartmann S., Mechtersheimer G. et al. TNFAIP3 (A20) is a tumor suppressor gene in Hodgkin lymphoma and primary mediastinal B cell lymphoma. J Exp Med 2009; 206(5): 981– 989. DOI: 10.1084/jem.20090528

22. Zhou Q., Wang H., Schwartz D.M., Stoffels M., Park Y.H., Zhang Y. et al. Loss-of-function mutations in TNFAIP3 leading to A20 haploinsufficiency cause an early-onset auto-inflammatory disease. Nature Genet 2016; 48: 67–73. DOI: 10.1038/ng.3459

23. Takagi M., Ogata S., Ueno H., Yoshida K., Yeh T., Hoshino A. et al. Haploinsufficiency of TNFAIP3 (A20) by Germline Mutation Is Involved in Autoimmune Lymphoproliferative Syndrome. Allergy Clin Immunol 2017; 139(6): 1914–1922. DOI: 10.1016/j.jaci.2016.09.038


Review

For citations:


Potrokhova E.A., Baleva L.S., Sipyagina A.E., Yakusheva E.N., Safonova M.P. Behcet-like familial autoinflammatory syndrome. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2021;66(2):110-115. (In Russ.) https://doi.org/10.21508/1027-4065-2021-66-2-110-115

Views: 1044


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1027-4065 (Print)
ISSN 2500-2228 (Online)