2003
DOI: 10.1002/art.11215
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Heterogeneity among patients with tumor necrosis factor receptor–associated periodic syndrome phenotypes

Abstract: Objective. To investigate the prevalence of tumor necrosis factor receptor-associated periodic syndrome (TRAPS) among outpatients presenting with recurrent fevers and clinical features consistent with TRAPS.Methods. Mutational screening was performed in affected members of 18 families in which multiple members had symptoms compatible with TRAPS and in 176 consecutive subjects with sporadic (nonfamilial) "TRAPS-like" symptoms. Plasma concentrations of soluble tumor necrosis factor receptor superfamily 1A (sTNFR… Show more

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Cited by 182 publications
(141 citation statements)
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“…2,4 However, the defective shedding is neither correlated with the presence of TNFRSF1A gene mutations nor necessary for the development of TRAPS. Indeed, an impaired TNFRSF1A shedding was not present in TRAPS patients with C30S, T37I, R42Q, del42, C52R and N65I TNFRSF1A mutations, 2,5,6 but it was observed in affected members of three TNFRSF1A mutation-negative families. 6 Supplementary investigations must be performed to understand the exact molecular mechanisms of TRAPS and the significance of an impaired TNFRSF1A shedding.…”
Section: Discussionmentioning
confidence: 89%
“…2,4 However, the defective shedding is neither correlated with the presence of TNFRSF1A gene mutations nor necessary for the development of TRAPS. Indeed, an impaired TNFRSF1A shedding was not present in TRAPS patients with C30S, T37I, R42Q, del42, C52R and N65I TNFRSF1A mutations, 2,5,6 but it was observed in affected members of three TNFRSF1A mutation-negative families. 6 Supplementary investigations must be performed to understand the exact molecular mechanisms of TRAPS and the significance of an impaired TNFRSF1A shedding.…”
Section: Discussionmentioning
confidence: 89%
“…Impaired cleavage of the TNFRI (p55) ectodomain upon cellular activation has been demonstrated as a pathogenic mechanism in some but not all TNFRI variants (3-6) and did not relate to the severity of the phenotype (7,8).…”
Section: Objective To Investigate the Molecular Consequences Of Exprmentioning
confidence: 99%
“…2), mostly located in either the first or second cysteine-rich N-terminal extracellular domain (CRD1 or CRD2) of TNFRSF1A (2,3). Impaired cleavage of the TNFRI (p55) ectodomain upon cellular activation has been demonstrated as a pathogenic mechanism in some but not all TNFRI variants (3-6) and did not relate to the severity of the phenotype (7,8).…”
mentioning
confidence: 99%
“…Indeed, many conflicting data on the function of HPF proteins and associated mutations have been generated by different teams even when using similar experimental systems (e.g., 11,12). In addition, HPFs remain genetically unexplained in a very large number of patients (13)(14)(15)(16), raising the question of whether one or several other genes are responsible for these periodic fever syndromes. Although positional cloning has been of great help to identify HPF genes, 6 years have passed since the last gene was shown to be involved in these disorders.…”
mentioning
confidence: 99%