Type I interferonopathies—an expanding disease spectrum of immunodysregulation
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Abstract
Type I interferons (IFNs) play a central role in the immune defense against viral infections. Type I IFN signaling is activated by pattern recognition receptors upon sensing of viral nucleic acids and induces antiviral programs through modulation of innate and adaptive immune responses. Type I interferonopathies comprise a heterogenous group of genetically determined diseases that are characterized by inappropriate activation of type I IFN. While their phenotypic spectrum is broad, ranging from severe neurological impairment to mild cutaneous disease, systemic autoinflammation, and autoimmunity are commonly shared signs of type I interferonopathies. Although the mechanisms underlying various disease phenotypes associated with inappropriate type I IFN activation have yet to be fully elucidated, our current understanding of the molecular pathogenesis of type I interferonopathies has provided a set of candidate molecules that can be interrogated in search of targeted therapies.
Keywords
Type I interferonopathies Type I interferon Autoinflammation Autoimmunity Aicardi-Goutières syndrome Familial chilblain lupus Systemic lupus erythematosusAbbreviations
- ADAR
Adenosine deaminase, RNA-specific
- AGS
Aicardi-Goutières syndrome
- CANDLE
Chronic atypical neutrophilic dermatosis with lipodystrophy and elevated temperature syndrome
- cGAMP
Cyclic GMP-AMP
- cGAS
Cyclic GMP-AMP synthase
- IFIH1
Interferon induced with helicase C domain 1
- IFN
Interferon
- IRF
Interferon-regulatory factor
- ISG
Interferon-stimulated gene
- MAVS
Mitochondrial antiviral signaling protein
- MDA5
Melanoma differentiation-associated gene 5
- MYD88
Myeloid differentiation primary-response protein 88
- NF-κB
Nuclear factor-κB
- RIG-I
Retinoic acid-inducible gene 1
- RNASEH2
Ribonuclease H2
- RVCL
Retinal vasculopathy with cerebral leukodystrophy
- SAMHD1
SAM domain and HD domain-containing protein 1
- SAVI
STING-associated vasculopathy, infantile-onset
- SLE
Systemic lupus erythematosus
- STING
Stimulator of interferon genes
- TBK1
TANK-binding kinase 1
- TLR
Toll-like receptor
- TREX1
3′ Repair exonuclease 1
- TRIF
TIR domain-containing adaptor protein inducing IFN-β
Notes
Acknowledgments
This work was supported by grants from the Deutsche Forschungsgemeinsschaft (Clinical Research Group 249 to M.L.-K. and A.R.) and the Friede Springer Stiftung to M.L.-K.
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