Evidence map›Paper›PMID 31201888›Full record

ArticleThe Journal of allergy and clinical immunology2019

Gain-of-function CEBPE mutation causes noncanonical autoinflammatory inflammasomopathy.

Helka Göös, Christopher L Fogarty, Biswajyoti Sahu, Vincent Plagnol, Kristiina Rajamäki, Katariina Nurmi, Xiaonan Liu, Elisabet Einarsdottir, Annukka Jouppila, Tom Pettersson and 22 more

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in The Journal of allergy and clinical immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

22 citing papers in PubMed, 55 citations in OpenAlex.

  1. Genetic susceptibility ofGlobal medical genetics · 2025
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  7. Nature and nurture: understanding phenotypic variation in inborn errors of immunity.Frontiers in cellular and infection microbiology · 2023
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  14. Pharmaceuticals (Basel, Switzerland) · 2021
    Article
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  18. Article
  19. Innate Immune Responses and Pulmonary Diseases.Advances in experimental medicine and biology · 2021
    Article
  20. Review
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

32 authors at 8 institutions in 5 countries.

Helka GöösInstitute of Biotechnology, HiLIFE, University of Helsinki, Helsinki, Finland.
Christopher L FogartyFolkhälsan Research Center, Helsinki, Finland; Abdominal Center Nephrology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; Diabetes & Obesity Research Program, Research Program's Unit, University of Helsinki, Helsinki, Finland; Institute of Clinical Medicine, University of Helsinki, Helsinki, Finland.
Biswajyoti SahuResearch Programs Unit, Genome-Scale Biology, Biomedicum Helsinki, University of Helsinki, Helsinki, Finland.
Vincent PlagnolUniversity College London Genetics Institute, University College London, London, United Kingdom.
Kristiina RajamäkiClinicum, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Katariina NurmiClinicum, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Xiaonan LiuInstitute of Biotechnology, HiLIFE, University of Helsinki, Helsinki, Finland.
Elisabet EinarsdottirFolkhälsan Institute of Genetics, Helsinki, Finland; Department of Biosciences and Nutrition, Karolinska Institutet, Stockholm, Sweden; Research Programs Unit, Molecular Neurology, University of Helsinki, Helsinki, Finland.
Annukka JouppilaHelsinki University Hospital Research Institute, Helsinki, Finland.
Tom PetterssonClinicum, Faculty of Medicine, University of Helsinki, Helsinki, Finland; Department of Internal Medicine and Rehabilitation, Helsinki University Hospital, Helsinki, Finland.
Helena VihinenElectron Microscopy Unit, Institute of Biotechnology, University of Helsinki, Helsinki, Finland.
Kaarel KrjutskovDepartment of Biosciences and Nutrition, Karolinska Institutet, Stockholm, Sweden; Helsinki University Hospital Research Institute, Helsinki, Finland; Competence Centre on Health Technologies, Tartu, Estonia.
Päivi SaavalainenResearch Programs Unit, Immunobiology, University of Helsinki, Helsinki, Finland; Department of Medical and Clinical Genetics, University of Helsinki, Helsinki, Finland.
Asko JärvinenAdult Immunodeficiency Unit, Infectious Diseases, Inflammation Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Mari MuurinenFolkhälsan Institute of Genetics, Helsinki, Finland; Research Programs Unit, Molecular Neurology, University of Helsinki, Helsinki, Finland.
Dario GrecoInstitute of Biotechnology, HiLIFE, University of Helsinki, Helsinki, Finland; Faculty of Medicine and Life Sciences & Institute of Biosciences and Medical Technology, University of Tampere, Tampere, Finland.
Giovanni ScalaInstitute of Biotechnology, HiLIFE, University of Helsinki, Helsinki, Finland; Faculty of Medicine and Life Sciences & Institute of Biosciences and Medical Technology, University of Tampere, Tampere, Finland.
James CurtisDepartment of Medicine, University of Cambridge, Cambridge, United Kingdom.
Dan NordströmClinicum, Faculty of Medicine, University of Helsinki, Helsinki, Finland; Department of Rheumatology, Inflammation Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Robert FlaumenhaftBeth Israel Deaconess Medical Center, Department of Medicine, Harvard Medical School, Boston, Mass.
Outi VaaralaPediatric Research Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; Respiratory, Inflammation and Autoimmunity, Innovative Medicine, AstraZeneca, Mölndal, Sweden.
Panu E KovanenDepartment of Pathology, University of Helsinki, and HUSLAB, Helsinki University Hospital, Helsinki, Finland.
Salla KeskitaloInstitute of Biotechnology, HiLIFE, University of Helsinki, Helsinki, Finland.
Annamari RankiDepartment of Dermatology, Allergology and Venereal Diseases, Inflammation Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Juha KereFolkhälsan Institute of Genetics, Helsinki, Finland; Department of Biosciences and Nutrition, Karolinska Institutet, Stockholm, Sweden; Research Programs Unit, Molecular Neurology, University of Helsinki, Helsinki, Finland; School of Basic and Medical Biosciences, King's College London, Guy's Hospital, London, United Kingdom.
Markku LehtoFolkhälsan Research Center, Helsinki, Finland; Abdominal Center Nephrology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; Diabetes & Obesity Research Program, Research Program's Unit, University of Helsinki, Helsinki, Finland.
Luigi D NotarangeloLaboratory of Clinical Immunology and Microbiology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Md.
Sergey NejentsevDepartment of Medicine, University of Cambridge, Cambridge, United Kingdom.
Kari K EklundClinicum, Faculty of Medicine, University of Helsinki, Helsinki, Finland; Department of Rheumatology, Inflammation Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; Orton Orthopaedic Hospital and Research Institute, Invalid Foundation, Helsinki, Finland.
Markku VarjosaloInstitute of Biotechnology, HiLIFE, University of Helsinki, Helsinki, Finland.
Jussi TaipaleResearch Programs Unit, Genome-Scale Biology, Biomedicum Helsinki, University of Helsinki, Helsinki, Finland; Division of Functional Genomics and Systems Biology, Department of Medical Biochemistry and Biophysics, Karolinska Institutet, Solna, Sweden; Department of Biochemistry, Cambridge University, Cambridge, United Kingdom.
Mikko R J SeppänenAdult Immunodeficiency Unit, Infectious Diseases, Inflammation Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; Rare Diseases Center and Pediatric Research Center, Children's Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. Electronic address: mikko.seppanen@hus.fi.
University of Helsinki · FIHelsinki University Hospital · FIFolkhälsans Forskningscentrum · FIKarolinska Institutet · SETampere University · FIUniversity of Cambridge · GBNational Institute of Allergy and Infectious Diseases · USUniversity College London · GB

Funding

Characterization of the cellular and molecular bases of inborn errors of immunityZIAAI001222 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI NOTARANGELO, LUIGI · 2017 to 2025
$15.2M
Intramural NIH HHS Z99 AI999999Medical Research Council MR/M012328/2
6 · The paper itself

Abstract

backgroundCCAAT enhancer-binding protein epsilon (C/EBPε) is a transcription factor involved in late myeloid lineage differentiation and cellular function. The only previously known disorder linked to C/EBPε is autosomal recessive neutrophil-specific granule deficiency leading to severely impaired neutrophil function and early mortality.

objectiveThe aim of this study was to molecularly characterize the effects of C/EBPε transcription factor Arg219His mutation identified in a Finnish family with previously genetically uncharacterized autoinflammatory and immunodeficiency syndrome.

methodsGenetic analysis, proteomics, genome-wide transcriptional profiling by means of RNA-sequencing, chromatin immunoprecipitation (ChIP) sequencing, and assessment of the inflammasome function of primary macrophages were performed.

resultsStudies revealed a novel mechanism of genome-wide gain-of-function that dysregulated transcription of 464 genes. Mechanisms involved dysregulated noncanonical inflammasome activation caused by decreased association with transcriptional repressors, leading to increased chromatin occupancy and considerable changes in transcriptional activity, including increased expression of NLR family, pyrin domain-containing 3 protein (NLRP3) and constitutively expressed caspase-5 in macrophages.

conclusionWe describe a novel autoinflammatory disease with defective neutrophil function caused by a homozygous Arg219His mutation in the transcription factor C/EBPε. Mutated C/EBPε acts as a regulator of both the inflammasome and interferome, and the Arg219His mutation causes the first human monogenic neomorphic and noncanonical inflammasomopathy/immunodeficiency. The mechanism, including widely dysregulated transcription, is likely not unique for C/EBPε. Similar multiomics approaches should also be used in studying other transcription factor-associated diseases.

Indexed as

AgedCaspasesCCAAT-Enhancer-Binding ProteinsCells, CulturedFemaleGain of Function MutationGene Expression ProfilingHumansImmunologic Deficiency SyndromesInflammasomesInflammationMacrophagesMaleNeutrophilsNLR Family, Pyrin Domain-Containing 3 ProteinPedigreeCASP5 protein, humanCaspasesCCAAT-Enhancer-Binding ProteinsCEBPE protein, humanInflammasomesNLR Family, Pyrin Domain-Containing 3 Proteinautoinflammatory diseaseschemotaxisgain-of-function mutationhereditaryImmunologic deficiency syndromesinflammasomesinterferonsneomorphic mutationNLR familypyrin domain-containing 3 protein

Identifiers

PMID31201888
PMCPMC11057357
OpenAlexW2952735446

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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.