“…Strikingly, besides ITCH, more than two-thirds of the E3 ubiquitin ligases reported to cause NDD have critical functions in the innate and adaptive immune systems. As listed in Tables 1 , 2 , the E3 ubiquitin ligases CUL4B ( Hung et al, 2014 ; Song et al, 2021 ), HUWE1 ( Ohtake et al, 2016 ; Guo et al, 2020b ), RNF216 ( Kumazoe et al, 2017 ), STUB1 ( Yang et al, 2011 ), TRAF7 ( Zotti et al, 2011 ), TRIM37 ( Li et al, 2018 ; Zhao et al, 2021 ), CRBN ( Min et al, 2016 ; Yang et al, 2018 ), and the substrate recognition component FBXO7 ( Kuiken et al, 2012 ) have been shown to regulate the expression of inflammatory cytokines mostly thanks to their capacity of modulating NF-κB signaling and/or the inflammasome. It is worth noting that, except HUWE1, all these ligases are described as inflammation negative regulators of these pathways ( Figure 2 ), implying that any loss-of-function of any one of these genes would result in the sustained production of pro-inflammatory cytokines.…”