“…No deficiencies of IL-27RA or ciliary neurotrophic factor receptor have been described, but most of the immunological and extrahematopoietic phenotypes of patients with AR partial or complete GP130 deficiency have been seen in patients lacking IL-6R, IL-11R, LIF-R, or OSM-R deficiency (Schwerd et al, 2017;Shahin et al, 2019;Spencer et al, 2019;Nieminen et al, 2011;Mikelonis et al, 2014;Arita et al, 2008). Collectively, these findings suggest that many, perhaps even most, of the immunological abnormalities seen in patients with STAT3 deficiency, whether biological (high IgE levels), clinical (atopy and recurrent staphylococcal infections), or both (low levels of inflammation), are due to poor cellular responses to IL-6 (Puel and Casanova, 2019), whereas most of the skeletal abnormalities are due to poor responses to IL-11 (craniosynostosis and deciduous tooth retention) or LIF (scoliosis, osteoporosis). The apparent lack of CMC in patients with AR deficiency of IL-6R, IL-10RA, IL-10RB, IL-11R, IL-21R, IL-23R, IFNAR1, IFNAR2, LIF-R, or OSM-R deficiency (Schwerd et al, 2017;Spencer et al, 2019;Nieminen et al, 2011;Mikelonis et al, 2014;Arita et al, 2008;Martínez-Barricarte et al, 2018;Hernandez et al, 2019;Glocker et al, 2011;Kotlarz et al, 2014;Duncan et al, 2015) also suggested that the pathogenesis of impaired IL-17 immunity and CMC in patients with mutations in STAT3 or ZNF341 may involve the disruption of multiple cytokine responsive pathways (Minegishi et al, 2007;Puel et al, 2011;Béziat et al, 2018;Ma et al, 2016).…”