2020
DOI: 10.1002/jimd.12234
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RBCK1‐related disease: A rare multisystem disorder with polyglucosan storage, auto‐inflammation, recurrent infections, skeletal, and cardiac myopathy—Four additional patients and a review of the current literature

Abstract: In this article, we report four new patients, from three kindreds, with pathogenic variants in RBCK1 and a multisystem disorder characterised by widespread polyglucosan storage. We describe the clinical presentation of progressive skeletal and cardiac myopathy, combined immunodeficiencies and auto‐inflammation, illustrate in detail the histopathological findings in multiple tissue types, and report muscle MRI findings.

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Cited by 26 publications
(35 citation statements)
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“…This plasticity in the composition of myddosomes adds to the difficulty in elucidating the molecular basis for the diverse effects on cytokine production caused by the loss of ester‐linked ubiquitylation in different immune cells. The present study has not only highlighted the potential importance of IRAK2 ubiquitylation but also begun to explain why loss of the E3 ligase activity of HOIL‐1 can cause immunodeficiency and auto‐inflammation [51,52].…”
Section: Discussionmentioning
confidence: 99%
“…This plasticity in the composition of myddosomes adds to the difficulty in elucidating the molecular basis for the diverse effects on cytokine production caused by the loss of ester‐linked ubiquitylation in different immune cells. The present study has not only highlighted the potential importance of IRAK2 ubiquitylation but also begun to explain why loss of the E3 ligase activity of HOIL‐1 can cause immunodeficiency and auto‐inflammation [51,52].…”
Section: Discussionmentioning
confidence: 99%
“…Compared with only two patients with HOIP, multiple patients have been reported with homozygous or compound heterozygous mutations in the HOIL-1L gene [ 21 ]. OMIM has registered HOIL-1L deficiency as PGBM1 WITH OR WITHOUT IMMUNODEFICIENCY (OMIM entry #615895).…”
Section: Lubac and Pb Diseasementioning
confidence: 99%
“…Using in vitro experiments, malin was shown to incorporate lysine 48 (K48) or K63-linked ubiquitin chains on substrates leading to their proteasomal or autophagosomal degradation [20]. (B) HOIL-1L deficiency results in a disease in which polyglucosans accumulate in skeletal and cardiac muscle, resulting in skeletal and cardiomyopathy and heart failure necessitating cardiac transplantation [21]. While all HOIL-1L deficient patients accumulate polyglucosans, some depending on the mutation, also Ubiquitin is transferred from E1 to E2 and finally to one of three types of E3 ubiquitin ligases.…”
Section: Introductionmentioning
confidence: 99%
“…Mutations that reduce the expression of HOIL-1 (haem-oxidised IRP2 ubiquitin ligase-1), also called RBCK1 (RING-B-Box-coiled-coil protein interacting with PKC 1 or RANBP2-Type and C3HC4-type zinc finger-containing protein 1) cause both auto-inflammation and immuno-insufficiency in humans (Boisson et al, 2012;Phadke et al, 2020) and immunoinsufficiency in mice (MacDuff et al, 2015;Tokunaga et al, 2009). However, HOIL-1 deficiency in humans also leads to cardiomyopathy and death from heart failure in early adulthood (Boisson et al, 2012;Fanin et al, 2015;Krenn et al, 2018;Nilsson et al, 2013;Phadke et al, 2020;Wang et al, 2013), which is unrelated to the immune defects, and arises from the progressive accumulation of toxic polyglucosan bodies in cardiac muscle and other tissues, such as the brain, with some patients also displaying cognitive impairment (Chen et al, 2021;Phadke et al, 2020). Mice expressing low levels of HOIL-1 (Fujita et al, 2018) also form toxic polyglucosan bodies in cardiac muscle (MacDuff et al, 2015), brain and spinal cord (Sullivan et al, 2018), but it is the brain that is affected predominantly in mice, the animals displaying defects in learning, memory and motor coordination (Sullivan et al, 2018).…”
Section: Introductionmentioning
confidence: 99%