Evidence map›Paper›PMID 34343497›Full record

ArticleImmunity2021

Protein kinase R and the integrated stress response drive immunopathology caused by mutations in the RNA deaminase ADAR1.

Megan Maurano, Jessica M Snyder, Caitlin Connelly, Jorge Henao-Mejia, Carmela Sidrauski, Daniel B Stetson

Open access · greenAbstract read
In one paragraph

Article in Immunity, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed
7.2field-weighted citation impact, top 2% 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

83 citing papers in PubMed, 119 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Two codes of RNA editing by deamination in human diseases.Experimental & molecular medicine · 2026
    Review
  11. HeterozygousiScience · 2026
    Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Mouse models of type I interferonopathies.Human molecular genetics · 2025
    Review
  19. Article
  20. USP8-Governed MDA5 Homeostasis Promotes Innate Immunity and Autoimmunity.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article

23 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

6 authors at 2 institutions in 1 country.

Megan MauranoDepartment of Immunology, University of Washington School of Medicine, Seattle, WA 98195, USA; Medical Scientist Training Program, University of Washington School of Medicine, Seattle, WA 98195, USA; Molecular and Cellular Biology Graduate Program, University of Washington School of Medicine, Seattle, WA 98195, USA.
Jessica M SnyderDepartment of Comparative Medicine, University of Washington School of Medicine, Seattle, WA 98195, USA.
Caitlin ConnellyCalico Life Sciences LLC, South San Francisco, CA 94080, USA.
Jorge Henao-MejiaDepartment of Pathology and Laboratory Medicine, Institute for Immunology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104; Division of Protective Immunity, Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, PA 19104.
Carmela SidrauskiCalico Life Sciences LLC, South San Francisco, CA 94080, USA.
Daniel B StetsonDepartment of Immunology, University of Washington School of Medicine, Seattle, WA 98195, USA. Electronic address: stetson@uw.edu.
University of Washington · USChildren's Hospital of Philadelphia · US

Funding

Intracellular nucleic acid detection in autoimmunityR01AI084914 · NIAID · UNIVERSITY OF WASHINGTON · PI STETSON, DANIEL B · 2010 to 2024
$7.2M
Basic Training at the Intersection of Innate and Adaptive Immunity in DiseaseT32AI106677 · NIAID · UNIVERSITY OF WASHINGTON · PI GALE, MICHAEL, GOVERMAN, JOAN M · 2013 to 2022
$2.1M
ADAR1 regulation of MDA5 in Autoimmunity and Antiviral ResponsesF31AR076186 · NIAMS · UNIVERSITY OF WASHINGTON · PI MAURANO, MEGAN · 2019 to 2020
$71k
Howard Hughes Medical InstituteNIAID NIH HHS R01 AI084914NIAID NIH HHS T32 AI106677NIAMS NIH HHS F31 AR076186
6 · The paper itself

Abstract

The RNA deaminase ADAR1 is an essential negative regulator of the RNA sensor MDA5, and loss of ADAR1 function triggers inappropriate activation of MDA5 by self-RNAs. Mutations in ADAR, the gene that encodes ADAR1, cause human immune diseases, including Aicardi-Goutières syndrome (AGS). However, the mechanisms of MDA5-dependent disease pathogenesis in vivo remain unknown. Here we generated mice with a single amino acid change in ADAR1 that models the most common human ADAR AGS mutation. These Adar mutant mice developed lethal disease that required MDA5, the RIG-I-like receptor LGP2, type I interferons, and the eIF2α kinase PKR. A small-molecule inhibitor of the integrated stress response (ISR) that acts downstream of eIF2α phosphorylation prevented immunopathology and rescued the mice from mortality. These findings place PKR and the ISR as central components of immunopathology in vivo and identify therapeutic targets for treatment of human diseases associated with the ADAR1-MDA5 axis.

Indexed as

A549 CellsAdenosine DeaminaseAnimalsAutoimmune Diseases of the Nervous SystemDisease Models, AnimaleIF-2 KinaseHEK293 CellsHumansMiceMice, Mutant StrainsMutationNervous System MalformationsStress, PhysiologicalAdenosine DeaminaseeIF-2 KinaseADAR1Aicardi-Goutières syndromeintegrated stress responseinterferonsLGP2MDA5PKR

Identifiers

PMID34343497
PMCPMC8446335
OpenAlexW3192920336

What OpenQuestion holds

Textmetadata
LicenceTDM
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.