Abstract
The cryopyrin-associated periodic syndrome (CAPS) comprises of three clinical phenotypes, the familial cold-induced autoinflammatory syndrome (FCAS), Muckle-Wells syndrome (MWS) and the ‘chronic infantile neurological cutaneous and articular’ syndrome (CINCA; in the USA known as ‘neonatal onset multisystem inflammatory disease’, NOMID). CAPS is a rare hereditary systemic illness which is caused by mutations of single genes encoding for proteins that are involved in innate immunity regulating inflammation, apoptosis and the production of cytokines. Such diseases can be thought of as ‘inborn errors of inflammation’. In case of CAPS, NLRP3, which is located on chromosome 1q44, has been identified as the responsible gene. NLRP3 encodes for the protein cryopyrin which is mutated in CAPS. In nearly 50 % of the CAPS patients, however, no NLRP3 mutations can be detected, so that the presence of additional genetic factors that initiate and modulate the cryopyrinopathies has been discussed. In some cases with typical clinical features of CAPS but without identifiable NLRP3, germ line mutations and somatic mutations have been discovered.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Aksentijevich I, Putnam D, Remmers EF et al (2007) The clinical continuum of cryopyrinopathies: novel CIAS1 mutations in North American patients and a new cryopyrin model. Arthritis Rheum 56:1273–1285
Alexander T, Klotz O, Feist E et al (2005) Successful treatment of acute visual loss in Muckle-Wells syndrome with interleukin 1 receptor antagonist. Ann Rheum Dis 64:1245–1246
Dalgic B, Egritas O, Sari S, Cuisset L (2007) A variant Muckle-Wells syndrome with a novel mutation in CIAS1 gene responding to anakinra. Pediatr Nephrol 22:1391–1394
Dinarello CA (2007) Mutations in cryopyrin: bypassing roadblocks in the caspase 1 inflammasome for interleukin-1beta secretion and disease activity. Arthritis Rheum 56:2817–2822
Dollfus H, Hafner R, Hofmann HM et al (2000) Chronic infantile neurological cutaneous and articular/neonatal onset multisystem inflammatory disease syndrome: ocular manifestations in a recently recognized chronic inflammatory disease of childhood. Arch Ophthalmol 118:1386–1392
Drenth JP, van der Meer JW (2006) The inflammasome–a linebacker of innate defense. N Engl J Med 355:730–732
Gattorno M, Tassi S, Carta S et al (2007) Pattern of interleukin-1beta secretion in response to lipopolysaccharide and ATP before and after interleukin-1 blockade in patients with CIAS1 mutations. Arthritis Rheum 56:3138–3148
Goldbach-Mansky R, Dailey NJ, Canna SW et al (2006) Neonatal-onset multisystem inflammatory disease responsive to interleukin-1beta inhibition. N Engl J Med 355:581–592
Haas N, Kuster W, Zuberbier T, Henz BM (2004) Muckle-Wells syndrome: clinical and histological skin findings compatible with cold air urticaria in a large kindred. Br J Dermatol 151:99–104
Hawkins PN, Lachmann HJ, Aganna E, McDermott MF (2004) Spectrum of clinical features in Muckle-Wells syndrome and response to anakinra. Arthritis Rheum 50:607–612
Hoffmann HM, Wanderer AA, Broide DH (2001) Familial cold autoinflammatory syndrome: phenotype and genotype of an autosomal dominant periodic fever. J Allergy Clin Immunol 108:615–620
Kastner DL (2003) The hereditary periodic fevers. In: Hochberg MC, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH (eds) Rheumatology. Mosby, Edinburgh, pp 1717–1734
Kümmerle-Deschner JB, Hachulla E, Cartwright R et al (2011) Two-year results from an open-label, multicenter, phase III study evaluating the safety and efficacy of canakinumab in patients with cryopyrin-associated periodic syndrome across different severity phenotypes. Ann Rheum Dis 70:2095–2102
Kümmerle-Deschner JB, Ramos E, Blank N et al (2011) Canakinumab (ACZ885, a fully human IgG1 anti-IL-1ß mAb) induces sustained remission in pediatric patients with cryopyrin-associated periodic syndrome (CAPS). Arthritis Res Ther 13:R34
Kümmerle-Deschner JB, Tyrrell PN, Kötter I et al (2011) Efficacy and safety of anakinra therapy in pediatric and adult patients with the autoinflammatory Muckle-Wells syndrome. Arthritis Rheum 63:840–849
Kümmerle-Deschner JB, Wittkowski H, Tyrrell PN et al (2013) Treatment of Muckle-Wells syndrome: analysis of two IL-1-blocking regimens. Arthritis Res Ther 15:R64
Lequerré T, Vittecoq O, Saugier-Veber P et al (2007) A cryopyrin-associated periodic syndrome with joint destruction. Rheumatology (Oxford) 46:709–714
Lovell DJ, Bowyer SL, Solinger AM (2005) Interleukin-1 blockade by anakinra improves clinical symptoms in patients with neonatal-onset multisystem inflammatory disease. Arthritis Rheum 52:1283–1286
Mariathasan S, Weiss DS, Newton K et al (2006) Cryopyrin activates the inflammasome in response to toxins and ATP. Nature 440:228–232
Michels H, Häfner R, Kettner HO et al (2006) Inefficacy of etanercept but successful treatment with anakinra in a 19-year-old TRAPS patient with a TNFRSF1A R92Q germ line defect and a somatic CIAS1 A352S mutation. Arthritis Rheum 54:S638, Abstract 1579
O’Connell SM, O’Regan GM, Bolger T et al (2007) Response to IL-1-receptor antagonist in a child with familial cold autoinflammatory syndrome. Pediatr Dermatol 24:85–89
Prieur AM, Griscelli C, Lampert F et al (1987) A chronic, infantile, neurological, cutaneous and articular (CINCA) syndrome. A specific entity analysed in 30 patients. Scand J Rheumatol 66:57–68
Saito M, Fujisawa A, Nishikomori R et al (2005) Somatic mosaicism of CIAS1 in a patient with chronic infantile neurologic, cutaneous, articular syndrome. Arthritis Rheum 52:3579–3585
Shakeel A, Gouws P (2007) Muckle-Wells syndrome: another cause of acute anterior uveitis. Eye 21:849–850
Zierhut M, Kümmerle-Deschner JB, Lohse P, et al (2011) CAP-syndrome: genetic and clinical investigation in a family of five generations considering particularly uveitis. ARVO abstract no. 6562
Zierhut M, Sobolewska B, Deuter C, Doycheva D, Kümmerle-Deschner J (2013) CAP-syndrome. Response to treatment with canakinumab. ARVO abstract no. 359
Goldbach-Mansky R, Shroff SD, Wilson M et al (2008) A pilot study to evaluate the safety and efficacy of the long-acting interleukin-1 inhibitor rilonacept (interleukin-1 Trap) in patients with familial cold autoinflammatory syndrome. Arthritis Rheum 58:2432–2442
Hoffman HM, Throne ML, Amar NJ et al (2008) Efficacy and safety of rilonacept (interleukin-1 Trap) in patients with cryopyrin-associated periodic syndromes: results from two sequential placebo-controlled studies. Arthritis Rheum 58:2443–52
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Michels, H., Deuter, C., Kümmerle-Deschner, J. (2016). The Cryopyrin-Associated Periodic Syndrome (CAPS). In: Zierhut, M., Pavesio, C., Ohno, S., Orefice, F., Rao, N. (eds) Intraocular Inflammation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-75387-2_78
Download citation
DOI: https://doi.org/10.1007/978-3-540-75387-2_78
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-75385-8
Online ISBN: 978-3-540-75387-2
eBook Packages: MedicineMedicine (R0)