Autoinflammatory & rare systemic diseases

A germline IκBα mutation outside the signal reception domain blocks nuclear translocation of NFκB1 and associates with autoinflammation-like features

Ann Rheum DisPublished Mechanistic study

Authors' conclusion

NFKBIA variants not localising to the signal reception domain can affect IκBα function and consequently restrict the canonical activation of NFκB.

Study context

Population
A family with a history of arthritis and psoriasis harbouring the p.Gln228* variant in NFKBIA
Outcome
Functional effects of the NFKBIA p.Gln228* variant
Methodological detailswhole-exome sequencing, family study
  • Whole-exome sequencing
  • Family study

Main finding

As reported in the abstract

  • Did not affect induced degradation of IκBα
  • Truncating effect and reduced NFκB activation on expression in HEK293T cells
  • Substantially reduced nuclear levels of NFκB1 p50 in patients' PBMCs, suggesting functional insufficiency of NFκB1
  • High serum IL-18 and enhanced induced ASC speck formation and IL-1β secretion in vitro, suggesting enhanced inflammasome activation

Original publication

A germline IκBα mutation outside the signal reception domain blocks nuclear translocation of NFκB1 and associates with autoinflammation-like features. Ann Rheum Dis. Published 5 September 2025. doi:10.1016/j.ard.2025.08.010

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