Evidence map›Paper›PMID 38593810›Full record

ArticleCell reports. Medicine2024

Truncating NFKB1 variants cause combined NLRP3 inflammasome activation and type I interferon signaling and predispose to necrotizing fasciitis.

Katariina Nurmi, Kristiina Silventoinen, Salla Keskitalo, Kristiina Rajamäki, Vesa-Petteri Kouri, Matias Kinnunen, Sami Jalil, Rocio Maldonado, Kirmo Wartiovaara, Elma Inés Nievas and 22 more

Open access · goldAbstract read
In one paragraph

Article in Cell reports. Medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

14 citing papers in PubMed, 15 citations in OpenAlex.

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  5. Clinical and immunological characterization ofFrontiers in immunology · 2026
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  12. TPL2 kinase activity is required forFrontiers in immunology · 2025
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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 10 institutions in 5 countries.

Katariina NurmiFaculty of Medicine, Clinicum, Translational Immunology Research Program, Research Program Unit (RPU), University of Helsinki (UH), 00014 Helsinki, Finland.
Kristiina SilventoinenFaculty of Medicine, Clinicum, Translational Immunology Research Program, Research Program Unit (RPU), University of Helsinki (UH), 00014 Helsinki, Finland.
Salla KeskitaloSystems Biology/Pathology Research Group, iCAN Digital Precision Cancer Medicine Flagship, Institute of Biotechnology, HiLIFE, UH, 00014 Helsinki, Finland.
Kristiina RajamäkiFaculty of Medicine, Clinicum, Translational Immunology Research Program, Research Program Unit (RPU), University of Helsinki (UH), 00014 Helsinki, Finland; Department of Medical and Clinical Genetics, Applied Tumor Genomics Research Program, RPU, UH, 00014 Helsinki, Finland.
Vesa-Petteri KouriFaculty of Medicine, Clinicum, Translational Immunology Research Program, Research Program Unit (RPU), University of Helsinki (UH), 00014 Helsinki, Finland.
Matias KinnunenSystems Biology/Pathology Research Group, iCAN Digital Precision Cancer Medicine Flagship, Institute of Biotechnology, HiLIFE, UH, 00014 Helsinki, Finland.
Sami JalilClinical Genetics UH and Helsinki University Hospital (HUH), 00014 Helsinki, Finland.
Rocio MaldonadoClinical Genetics UH and Helsinki University Hospital (HUH), 00014 Helsinki, Finland.
Kirmo WartiovaaraClinical Genetics UH and Helsinki University Hospital (HUH), 00014 Helsinki, Finland.
Elma Inés NievasAlexander Fleming Hospital, OSEP, CP 5501 Mendoza, Argentina.
Silvina Paola Denita-JuárezHEMA, Laboratory for Clinical Genetics, CP 5501 Mendoza, Argentina.
Christopher J A DuncanTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne NE1 4HH, UK.
Outi KuisminDepartment of Clinical Genetics, Oulu University Hospital (OUH), 90014 Oulu, Finland; PEDEGO Research Unit and Medical Research Center Oulu, OUH and University of Oulu (OU), 90014 Oulu, Finland.
Janna SaarelaInstitute for Molecular Medicine Finland, HiLIFE, UH, 00014 Helsinki, Finland; Centre for Molecular Medicine Norway, University of Oslo, 0313 Oslo, Norway; Department of Medical Genetics, Oslo University Hospital, 0450 Oslo, Norway.
Inka RomoInflammation Center, Department of Infectious Disease, HUH, 00029 Helsinki, Finland.
Timi MarteliusInflammation Center, Department of Infectious Disease, HUH, 00029 Helsinki, Finland.
Jukka ParantainenFaculty of Medicine, Clinicum, Translational Immunology Research Program, Research Program Unit (RPU), University of Helsinki (UH), 00014 Helsinki, Finland.
Arzu BeklenFaculty of Medicine, Clinicum, Translational Immunology Research Program, Research Program Unit (RPU), University of Helsinki (UH), 00014 Helsinki, Finland.
Marcelina BilickaFaculty of Medicine, Clinicum, Translational Immunology Research Program, Research Program Unit (RPU), University of Helsinki (UH), 00014 Helsinki, Finland.
Sampsa MatikainenFaculty of Medicine, Clinicum, Translational Immunology Research Program, Research Program Unit (RPU), University of Helsinki (UH), 00014 Helsinki, Finland.
Dan C NordströmFaculty of Medicine, Clinicum, Translational Immunology Research Program, Research Program Unit (RPU), University of Helsinki (UH), 00014 Helsinki, Finland; Department of Internal Medicine and Rehabilitation, HUH and UH, 00029 Helsinki, Finland.
Meri KaustioInstitute for Molecular Medicine Finland, HiLIFE, UH, 00014 Helsinki, Finland.
Ulla Wartiovaara-KauttoDepartment of Hematology, HUH, Comprehensive Cancer Center, UH, 00029 Helsinki, Finland; Applied Tumor Genomics Research Program, RPU, Faculty of Medicine, UH, 00014 Helsinki, Finland.
Outi KilpivaaraApplied Tumor Genomics Research Program, RPU, Faculty of Medicine, UH, 00014 Helsinki, Finland; Department of Medical and Clinical Genetics/Medicum, Faculty of Medicine, UH, 00014 Helsinki, Finland; iCAN Digital Precision Cancer Medicine Flagship, UH, 00014 Helsinki, Finland; HUS Diagnostic Center, HUSLAB Laboratory of Genetics, HUH, 00029 Helsinki, Finland.
Christoph KleinDepartment of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital, Ludwig-Maximilians-Universität München, 80337 Munich, Germany.
Fabian HauckDepartment of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital, Ludwig-Maximilians-Universität München, 80337 Munich, Germany.
Tiina JahkolaDepartment of Plastic Surgery, HUH, 00029 Helsinki, Finland.
Timo HautalaResearch Unit of Internal Medicine and Biomedicine, OU, and Infectious Diseases Clinic, OUH, 90014 Oulu, Finland.
Markku VarjosaloSystems Biology/Pathology Research Group, iCAN Digital Precision Cancer Medicine Flagship, Institute of Biotechnology, HiLIFE, UH, 00014 Helsinki, Finland.
Goncalo BarretoFaculty of Medicine, Clinicum, Translational Immunology Research Program, Research Program Unit (RPU), University of Helsinki (UH), 00014 Helsinki, Finland.
Mikko R J SeppänenAdult Immunodeficiency Unit, Infectious Diseases, Inflammation Center, HUH and UH, 00029 Helsinki, Finland; Rare Disease Center, Children and Adolescents, HUH and UH, 00029 Helsinki, Finland. Electronic address: mikko.seppanen@hus.fi.
Kari K EklundFaculty of Medicine, Clinicum, Translational Immunology Research Program, Research Program Unit (RPU), University of Helsinki (UH), 00014 Helsinki, Finland; Department of Rheumatology, HUH and UH, 00029 Helsinki, Finland; Orton Orthopaedic Hospital, 00280 Helsinki, Finland. Electronic address: kari.eklund@hus.fi.
University of Helsinki · FIInstitute for Molecular Medicine Finland · FIHelsinki University Hospital · FILudwig-Maximilians-Universität München · DEOulu University Hospital · FICancer Society of Finland · FIHospital District of Helsinki and Uusimaa · FIInstituto Alexander Fleming · ARNewcastle University · GBOslo University Hospital · NO

Funding

Virtual Reality Rehabilitation for Individuals with Lower Limb AmputationI21RX001598 · VA · PROVIDENCE VA MEDICAL CENTER · PI D'ANDREA, SUSAN ELIZABETH · 2015 to 2017
–
RRD VA I21 RX001598Wellcome Trust
6 · The paper itself

Abstract

In monogenic autoinflammatory diseases, mutations in genes regulating innate immune responses often lead to uncontrolled activation of inflammasome pathways or the type I interferon (IFN-I) response. We describe a mechanism of autoinflammation potentially predisposing patients to life-threatening necrotizing soft tissue inflammation. Six unrelated families are identified in which affected members present with necrotizing fasciitis or severe soft tissue inflammations. Exome sequencing reveals truncating monoallelic loss-of-function variants of nuclear factor κ light-chain enhancer of activated B cells (NFKB1) in affected patients. In patients' macrophages and in NFKB1-variant-bearing THP-1 cells, activation increases both interleukin (IL)-1β secretion and IFN-I signaling. Truncation of NF-κB1 impairs autophagy, accompanied by the accumulation of reactive oxygen species and reduced degradation of inflammasome receptor nucleotide-binding oligomerization domain, leucine-rich repeat-containing protein 3 (NLRP3), and Toll/IL-1 receptor domain-containing adaptor protein inducing IFN-β (TRIF), thus leading to combined excessive inflammasome and IFN-I activity. Many of the patients respond to anti-inflammatory treatment, and targeting IL-1β and/or IFN-I signaling could represent a therapeutic approach for these patients.

Indexed as

Fasciitis, NecrotizingInterferon Type IHumansImmunity, InnateInflammasomesInflammationNF-kappa B p50 SubunitNLR Family, Pyrin Domain-Containing 3 ProteinInflammasomesInterferon Type INF-kappa B p50 SubunitNFKB1 protein, humanNLR Family, Pyrin Domain-Containing 3 Proteinautoinflammationautoinflammatory diseaseautophagymacrophagesmonocytesnecrotizing fasciitisNFKB1NLRP3 inflammasomesevere soft-tissue inflammationtruncating mutation of NFKB1Type I interferon response

Identifiers

PMID38593810
PMCPMC11031424
OpenAlexW4394567671

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Registered trials

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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.