Evidence map›Paper›PMID 25401470›Full record

Trial reportThe Journal of clinical investigation2014

Inherited STING-activating mutation underlies a familial inflammatory syndrome with lupus-like manifestations.

Nadia Jeremiah, Bénédicte Neven, Matteo Gentili, Isabelle Callebaut, Sophia Maschalidi, Marie-Claude Stolzenberg, Nicolas Goudin, Marie-Louis Frémond, Patrick Nitschke, Thierry J Molina and 8 more

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in The Journal of clinical investigation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 317 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
317citing papers in PubMed, 1 pooled it
13.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

317 citing papers in PubMed, 1 synthesis or guideline pooled it, 539 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Adult-onset STING-associated vasculopathy.Journal of human immunity · 2026
    Article
  10. Review
  11. Article
  12. Article
  13. Interstitial lung disease and the STING pathway.The Journal of clinical investigation · 2026
    Review
  14. Autoinflammatory syndromes of STING and TREX1 dysfunction.The Journal of clinical investigation · 2026
    Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article

257 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 5 institutions in 3 countries.

Nadia Jeremiah
Bénédicte Neven
Matteo Gentili
Isabelle Callebaut
Sophia Maschalidi
Marie-Claude Stolzenberg
Nicolas Goudin
Marie-Louis Frémond
Patrick Nitschke
Thierry J Molina
Stéphane Blanche
Capucine Picard
Gillian I Rice
Yanick J Crow
Nicolas Manel
Alain Fischer
Brigitte Bader-Meunier
Frédéric Rieux-Laucat
Délégation Paris 5 · FRHôpital Necker-Enfants Malades · FRInserm · FRCentre National de la Recherche Scientifique · FRUniversity of Manchester · GB

Funding

European Research Council 249816
6 · The paper itself

Abstract

Innate immunity to viral infection involves induction of the type I IFN response; however, dysfunctional regulation of this pathway leads to inappropriate inflammation. Here, we evaluated a nonconsanguineous family of mixed European descent, with 4 members affected by systemic inflammatory and autoimmune conditions, including lupus, with variable clinical expression. We identified a germline dominant gain-of-function mutation in TMEM173, which encodes stimulator of type I IFN gene (STING), in the affected individuals. STING is a key signaling molecule in cytosolic DNA-sensing pathways, and STING activation normally requires dimerization, which is induced by 2'3' cyclic GMP-AMP (cGAMP) produced by the cGAMP synthase in response to cytosolic DNA. Structural modeling supported constitutive activation of the mutant STING protein based on stabilized dimerization. In agreement with the model predictions, we found that the STING mutant spontaneously localizes in the Golgi of patient fibroblasts and is constitutively active in the absence of exogenous 2'3'-cGAMP in vitro. Accordingly, we observed elevated serum IFN activity and a type I IFN signature in peripheral blood from affected family members. These findings highlight the key role of STING in activating both the innate and adaptive immune responses and implicate aberrant STING activation in features of human lupus.

Indexed as

MutationAdaptive ImmunityAdultAgedChild, PreschoolFemaleGenetic Diseases, InbornHumansImmunity, InnateInterferon Type ILupus Erythematosus, SystemicMaleMembrane ProteinsNucleotides, CyclicProtein MultimerizationSignal Transductioncyclic guanosine monophosphate-adenosine monophosphateInterferon Type IMembrane ProteinsNucleotides, CyclicSTING1 protein, humanSTING Protein

Identifiers

PMID25401470
PMCPMC4348945
OpenAlexW1966408457

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.