Evidence map›Paper›PMID 38780621›Full record

ArticleThe Journal of experimental medicine2024

Large-scale mutational analysis identifies UNC93B1 variants that drive TLR-mediated autoimmunity in mice and humans.

Victoria E Rael, Julian A Yano, John P Huizar, Leianna C Slayden, Madeleine A Weiss, Elizabeth A Turcotte, Jacob M Terry, Wenqi Zuo, Isabelle Thiffault, Tomi Pastinen and 15 more

Abstract read
In one paragraph

Article in The Journal of experimental medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–field-weighted citation impact
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

26 citing papers in PubMed.

  1. Review
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  9. Article
  10. Review
  11. Review
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  13. Article
  14. Review
  15. Review
  16. Review
  17. The emergence of SLE-causing UNC93B1 variants in 2024.Nature reviews. Rheumatology · 2025
    Article
  18. Review
  19. Review
  20. Case Report: NovelFrontiers in immunology · 2025
    Article
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

25 authors.

Victoria E Rael *Division of Immunology and Molecular Medicine, Department of Molecular and Cell Biology, University of California, Berkeley, Berkeley, CA, USA.ORCID 0000-0002-4179-3911
Julian A Yano *Division of Immunology and Molecular Medicine, Department of Molecular and Cell Biology, University of California, Berkeley, Berkeley, CA, USA.ORCID 0000-0002-5134-8782
John P HuizarDivision of Immunology and Molecular Medicine, Department of Molecular and Cell Biology, University of California, Berkeley, Berkeley, CA, USA.ORCID 0000-0002-3729-8950
Leianna C SlaydenDivision of Immunology and Molecular Medicine, Department of Molecular and Cell Biology, University of California, Berkeley, Berkeley, CA, USA.ORCID 0000-0003-0231-0961
Madeleine A WeissDivision of Immunology and Molecular Medicine, Department of Molecular and Cell Biology, University of California, Berkeley, Berkeley, CA, USA.ORCID 0009-0005-8508-5799
Elizabeth A TurcotteDivision of Immunology and Molecular Medicine, Department of Molecular and Cell Biology, University of California, Berkeley, Berkeley, CA, USA.ORCID 0000-0002-0165-7173
Jacob M TerryDivision of Immunology and Molecular Medicine, Department of Molecular and Cell Biology, University of California, Berkeley, Berkeley, CA, USA.ORCID 0009-0003-1051-6983
Wenqi ZuoDivision of Immunology and Molecular Medicine, Department of Molecular and Cell Biology, University of California, Berkeley, Berkeley, CA, USA.
Isabelle ThiffaultDepartment of Pathology and Laboratory Medicine, Children's Mercy Hospital, Kansas City, MO, USA.ORCID 0000-0001-7987-6731
Tomi PastinenGenomic Medicine Center, Children's Mercy Hospital , Kansas City, MO, USA.ORCID 0000-0003-4016-5021
Emily G FarrowDepartment of Pathology and Laboratory Medicine, Children's Mercy Hospital, Kansas City, MO, USA.ORCID 0000-0002-8864-7073
Janda L JenkinsDepartment of Genetics, Children's Mercy Hospital, Kansas City, MO, USA.ORCID 0000-0003-2463-449X
Mara L BeckerDivision of Rheumatology, Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA.ORCID 0009-0008-1088-2015
Stephen C WongDivision of Rheumatology, Department of Pediatrics, Seattle Children's Hospital, Seattle, WA, USA.ORCID 0000-0003-1617-9634
Anne M StevensDivision of Rheumatology, Department of Pediatrics, Seattle Children's Hospital, Seattle, WA, USA.ORCID 0009-0000-5742-6844
Catherine OttenDivision of Pediatric Neurology, Department of Neurology, Seattle Children's Hospital, University of Washington, Seattle, WA, USA.ORCID 0000-0003-1618-9437
Eric J AllenspachDepartment of Pediatrics, University of Washington School of Medicine, Seattle, WA, USA.ORCID 0000-0001-7346-5835
Devon E BonnerStanford Center for Undiagnosed Diseases, Stanford University , Stanford, CA, USA.ORCID 0000-0002-8771-0886
Jonathan A BernsteinStanford Center for Undiagnosed Diseases, Stanford University , Stanford, CA, USA.ORCID 0000-0001-5369-346X
Matthew T WheelerStanford Center for Undiagnosed Diseases, Stanford University , Stanford, CA, USA.ORCID 0000-0001-8721-3022
Robert A SaxtonDivision of Immunology and Molecular Medicine, Department of Molecular and Cell Biology, University of California, Berkeley, Berkeley, CA, USA.ORCID 0000-0001-9777-8270
Undiagnosed Diseases Network
Bo LiuKey Laboratory of Immune Response and Immunotherapy, Shanghai Institute of Immunity and Infection, Chinese Academy of Sciences, Shanghai, China.ORCID 0000-0002-5008-296X
Olivia MajerMax Planck Institute for Infection Biology , Berlin, Germany.ORCID 0000-0001-9467-4898
Gregory M BartonDivision of Immunology and Molecular Medicine, Department of Molecular and Cell Biology, University of California, Berkeley, Berkeley, CA, USA.ORCID 0000-0002-3793-0100

Funding

UCLA clinical site for the investigation of undiagnosed disordersU01HG007703 · NHGRI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MARTINEZ-AGOSTO, JULIAN, NELSON, STANLEY F. · 2014 to 2022
$10.1M
The cell biology of Toll-like receptor 9: a mechanism to prevent autoimmunityR01AI072429 · NIAID · UNIVERSITY OF CALIFORNIA BERKELEY · PI Gregory M Barton · 2008 to 2026
$7.6M
What comes next? Engaging stakeholders in governance of participant data and relationships during the sunset of large genomic medicine research initiativesU01HG010218 · NHGRI · STANFORD UNIVERSITY · PI ASHLEY, EUAN A, BERNSTEIN, JONATHAN ADAM · 2018 to 2022
$6.3M
Enhanced Surveillance for New Vaccine Preventable DiseasesU01IP001050 · IP · SEATTLE CHILDREN'S HOSPITAL · PI ENGLUND, JANET A, KLEIN, EILEEN · 2016 to 2020
$6.3M
Immunology & Pathogenesis Program Training GrantT32AI100829 · NIAID · UNIVERSITY OF CALIFORNIA BERKELEY · PI Gregory M Barton, ELLEN A ROBEY · 2012 to 2026
$4.7M
Pacific Northwest Undiagnosed Diseases Network Clinical SiteU01NS134355 · NINDS · UNIVERSITY OF WASHINGTON · PI ELIZABETH ELOYCE BLUE, Katrina M Dipple · 2023 to 2026
$3.0M
Academic Rheumatology and Clinical ImmunologyT32AR079068 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Jinoos Yazdany, JULIE ZIKHERMAN · 2021 to 2026
$2.5M
UCLA clinical site for the investigation of undiagnosed disordersU01NS134356 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MARTINEZ-AGOSTO, JULIAN, NELSON, STANLEY F. · 2023 to 2023
$936k
CDC HHS U01IP001050Chan-Zuckerburg Biohub Physician Scientist Fellowship ProgramChildren's Mercy Research InstituteHoward Hughes Medical InstituteLupus Research InstituteNational Science Foundation 1752814NCIRD CDC HHS U01 IP001050NHGRI NIH HHS U01 HG007703NHGRI NIH HHS U01 HG010218NIAID NIH HHS R01 AI072429NIAID NIH HHS T32 AI100829NIAMS NIH HHS T32 AR079068NIH HHS R01AI072429NINDS NIH HHS U01 NS134355NINDS NIH HHS U01 NS134356Office of Strategic CoordinationOffice of the NIH
6 · The paper itself

Abstract

Nucleic acid-sensing Toll-like receptors (TLR) 3, 7/8, and 9 are key innate immune sensors whose activities must be tightly regulated to prevent systemic autoimmune or autoinflammatory disease or virus-associated immunopathology. Here, we report a systematic scanning-alanine mutagenesis screen of all cytosolic and luminal residues of the TLR chaperone protein UNC93B1, which identified both negative and positive regulatory regions affecting TLR3, TLR7, and TLR9 responses. We subsequently identified two families harboring heterozygous coding mutations in UNC93B1, UNC93B1+/T93I and UNC93B1+/R336C, both in key negative regulatory regions identified in our screen. These patients presented with cutaneous tumid lupus and juvenile idiopathic arthritis plus neuroinflammatory disease, respectively. Disruption of UNC93B1-mediated regulation by these mutations led to enhanced TLR7/8 responses, and both variants resulted in systemic autoimmune or inflammatory disease when introduced into mice via genome editing. Altogether, our results implicate the UNC93B1-TLR7/8 axis in human monogenic autoimmune diseases and provide a functional resource to assess the impact of yet-to-be-reported UNC93B1 mutations.

Indexed as

AutoimmunityMembrane Transport ProteinsToll-Like ReceptorsAnimalsAutoimmune DiseasesDNA Mutational AnalysisFemaleHEK293 CellsHumansMaleMiceMice, Inbred C57BLMutationToll-Like Receptor 7Membrane Transport ProteinsToll-Like Receptor 7Toll-Like ReceptorsUNC93B1 protein, humanUNC93B1 protein, mouse

Identifiers

PMID38780621
PMCPMC11116816

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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.