Evidence map›Paper›PMID 38869500›Full record

ArticleThe Journal of experimental medicine2024

Gain-of-function human UNC93B1 variants cause systemic lupus erythematosus and chilblain lupus.

Clémence David, Carlos A Arango-Franco, Mihaly Badonyi, Julien Fouchet, Gillian I Rice, Blaise Didry-Barca, Lucie Maisonneuve, Luis Seabra, Robin Kechiche, Cécile Masson and 22 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 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing 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

34 citing papers in PubMed.

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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.

Clémence DavidLaboratory of Neurogenetics and Neuroinflammation, Imagine Institute, INSERM UMR1163, Paris, France.ORCID 0000-0001-6455-3251
Carlos A Arango-Franco *Laboratory of Human Genetics of Infectious Diseases, INSERM UMR1163, Necker Hospital for Sick Children, Paris, France.ORCID 0000-0002-7404-0860
Mihaly Badonyi *MRC Human Genetics Unit, Institute of Genetics and Cancer, University of Edinburgh , Edinburgh, UK.ORCID 0000-0002-8305-5618
Julien Fouchet *Faculté de Médecine Necker, Institut Necker Enfants Malades, INSERM U1151-CNRS UMR 8253, Université Paris Cité, Paris, France.ORCID 0009-0009-4572-5084
Gillian I RiceFaculty of Biology, Medicine and Health, Division of Evolution and Genomic Sciences, School of Biological Sciences, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.ORCID 0000-0002-4223-0571
Blaise Didry-BarcaLaboratory of Neurogenetics and Neuroinflammation, Imagine Institute, INSERM UMR1163, Paris, France.ORCID 0009-0003-3261-7670
Lucie MaisonneuveFaculté de Médecine Necker, Institut Necker Enfants Malades, INSERM U1151-CNRS UMR 8253, Université Paris Cité, Paris, France.ORCID 0000-0002-5056-9444
Luis SeabraLaboratory of Neurogenetics and Neuroinflammation, Imagine Institute, INSERM UMR1163, Paris, France.ORCID 0000-0002-4678-3026
Robin KechicheLaboratory of Neurogenetics and Neuroinflammation, Imagine Institute, INSERM UMR1163, Paris, France.ORCID 0009-0007-0462-8224
Cécile MassonBioinformatics Core Facility, Université Paris Cité-Structure Fédérative de Recherche Necker, INSERM US24/CNRS UMS3633, Paris, France.ORCID 0000-0001-7870-7821
Aurélie CobatLaboratory of Human Genetics of Infectious Diseases, INSERM UMR1163, Necker Hospital for Sick Children, Paris, France.ORCID 0000-0001-7209-6257
Laurent AbelLaboratory of Human Genetics of Infectious Diseases, INSERM UMR1163, Necker Hospital for Sick Children, Paris, France.ORCID 0000-0001-7016-6493
Estelle TalouarnLaboratory of Human Genetics of Infectious Diseases, INSERM UMR1163, Necker Hospital for Sick Children, Paris, France.ORCID 0000-0002-5016-0446
Vivien BéziatLaboratory of Human Genetics of Infectious Diseases, INSERM UMR1163, Necker Hospital for Sick Children, Paris, France.ORCID 0000-0002-4020-824X
Caroline DeswarteLaboratory of Human Genetics of Infectious Diseases, INSERM UMR1163, Necker Hospital for Sick Children, Paris, France.ORCID 0000-0002-8775-3368
Katie LivingstoneMRC Human Genetics Unit, Institute of Genetics and Cancer, University of Edinburgh , Edinburgh, UK.ORCID 0009-0001-9620-1549
Carle PaulUniversité Toulouse Paul Sabatier , Toulouse, France.ORCID 0000-0003-0165-5263
Gulshan MalikPaediatric Rheumatology, Royal Aberdeen Children's Hospital, Aberdeen, UK.ORCID 0009-0006-1627-4366
Alison RossPaediatric Rheumatology, Royal Aberdeen Children's Hospital, Aberdeen, UK.ORCID 0009-0006-3812-1889
Jane AdamPaediatric Rheumatology, Royal Aberdeen Children's Hospital, Aberdeen, UK.ORCID 0009-0005-6660-8144
Jo WalshDepartment of Paediatric Rheumatology, Royal Hospital for Children, Glasgow, UK.ORCID 0009-0003-2835-3772
Sathish KumarDepartment of Pediatrics, Pediatric Rheumatology, Christian Medical College, Vellore, India.ORCID 0000-0003-2137-7475
Damien BonnetMedical and Surgical Unit of Congenital and Paediatric Cardiology, Reference Centre for Complex Congenital Heart Defects-M3C, University Hospital Necker-Enfants Malades, Paris, France.ORCID 0000-0002-8722-5805
Christine BodemerDepartment of Dermatology, Hospital Necker-Enfants Malades, AP-HP. Université Paris Cité, Paris, France.ORCID 0000-0001-8772-0905
Brigitte Bader-MeunierDepartment of Paediatric Hematology-Immunology and Rheumatology, Necker-Enfants Malades Hospital, Assistance publique-hôpitaux de Paris (AP-HP), Paris, France.ORCID 0000-0001-8476-8196
Joseph A MarshMRC Human Genetics Unit, Institute of Genetics and Cancer, University of Edinburgh , Edinburgh, UK.ORCID 0000-0003-4132-0628
Jean-Laurent CasanovaLaboratory of Human Genetics of Infectious Diseases, INSERM UMR1163, Necker Hospital for Sick Children, Paris, France.ORCID 0000-0002-7782-4169
Yanick J CrowLaboratory of Neurogenetics and Neuroinflammation, Imagine Institute, INSERM UMR1163, Paris, France.ORCID 0000-0001-7211-7564
Bénédicte Manoury *Faculté de Médecine Necker, Institut Necker Enfants Malades, INSERM U1151-CNRS UMR 8253, Université Paris Cité, Paris, France.ORCID 0000-0002-4827-4110
Marie-Louise Frémond *Laboratory of Neurogenetics and Neuroinflammation, Imagine Institute, INSERM UMR1163, Paris, France.ORCID 0000-0002-2798-9141
Jonathan Bohlen *Laboratory of Human Genetics of Infectious Diseases, INSERM UMR1163, Necker Hospital for Sick Children, Paris, France.ORCID 0000-0003-0458-9484
Alice Lepelley *Laboratory of Neurogenetics and Neuroinflammation, Imagine Institute, INSERM UMR1163, Paris, France.ORCID 0000-0001-8656-7291

Funding

Agence Nationale de la Recherche ANR-10-IAHU-01European Molecular Biology OrganizationEuropean Research Council 786142 E-T1IFNsEuropean Union's Horizon 2020 research and innovation program 824110Fondation pour la Recherche Médicale FDM202106013329French Foundation for Medical Research EQU201903007798General Atlantic FoundationGrandir-Fonds de solidarité pour l'enfanceHoward Hughes Medical InstituteInstitut National de la Santé et de la Recherche MédicaleMedical Research Council MC_UU_00035/11Paris Cité UniversityRockefeller UniversitySquare FoundationSt. Giles Foundation
6 · The paper itself

Abstract

UNC93B1 is a transmembrane domain protein mediating the signaling of endosomal Toll-like receptors (TLRs). We report five families harboring rare missense substitutions (I317M, G325C, L330R, R466S, and R525P) in UNC93B1 causing systemic lupus erythematosus (SLE) or chilblain lupus (CBL) as either autosomal dominant or autosomal recessive traits. As for a D34A mutation causing murine lupus, we recorded a gain of TLR7 and, to a lesser extent, TLR8 activity with the I317M (in vitro) and G325C (in vitro and ex vivo) variants in the context of SLE. Contrastingly, in three families segregating CBL, the L330R, R466S, and R525P variants were isomorphic with respect to TLR7 activity in vitro and, for R525P, ex vivo. Rather, these variants demonstrated a gain of TLR8 activity. We observed enhanced interaction of the G325C, L330R, and R466S variants with TLR8, but not the R525P substitution, indicating different disease mechanisms. Overall, these observations suggest that UNC93B1 mutations cause monogenic SLE or CBL due to differentially enhanced TLR7 and TLR8 signaling.

Indexed as

ChilblainsLupus Erythematosus, SystemicToll-Like Receptor 7AdultChildChild, PreschoolFemaleGain of Function MutationHEK293 CellsHumansLupus Erythematosus, CutaneousMaleMembrane Transport ProteinsMutation, MissensePedigreeToll-Like Receptor 8Membrane Transport ProteinsTLR7 protein, humanToll-Like Receptor 7Toll-Like Receptor 8UNC93B1 protein, human

Identifiers

PMID38869500
PMCPMC11176256

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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.