Autoinflammatory & rare systemic diseases

Clinical manifestations, disease penetrance, and treatment in individuals with SOCS1 insufficiency: a registry-based and population-based study

Lancet RheumatolPublished Registry-based and population-based cohort study

An erratum to this article was published (Lancet Rheumatol, May 2025 ↗)

Authors' conclusion

SOCS1 insufficiency differs from other genetic autoimmune lymphoproliferative disorders by the presence of frequent atopic and rheumatological manifestations. Penetrance is incomplete and is higher in females than in males.

Study context

Population
Individuals with SOCS1 insufficiency, European Society for Immunodeficiencies (ESID) registry (nine European countries, China, Taiwan, USA) and UK Biobank
Participants
119 individuals2 cohorts
Exposure
ESID registry vs UK Biobank
  • ESID registryn = 67
  • UK Biobankn = 52
Outcome
Clinical manifestations and penetrance
Methodological detailstwo independent cohorts (ESID registry and UK Biobank), descriptive statistics, ESID registry enrolment Feb 15, 2021, to Dec 31, 2023
  • Two independent cohorts (ESID registry and UK Biobank)
  • Descriptive statistics
  • ESID registry enrolment Feb 15, 2021, to Dec 31, 2023

Main finding

As reported in the abstract

ESID registry, symptomatic: allergy
33 [50%]
ESID registry, symptomatic: inflammatory gastrointestinal
22 [36%]
ESID registry, symptomatic: skin
18 [29%]
ESID registry, symptomatic: autoimmune cytopenia
24 [39%]
ESID registry, symptomatic: lymphoproliferation
23 [37%]
ESID registry, symptomatic: rheumatological manifestations (SLE, Sjögren's disease, RA)
23 [37%]
ESID registry, symptomatic: at least three different manifestations
42 (68%)
UK Biobank symptomatic: female
21 [70%] of 30

Observational data: associations, not effects.

Further findings

Response to JAKi treatment (ESID registry; physician VAS)
92% · 12
  • Response to JAKi treatment (ESID registry; physician VAS): promising results in 12 of 13 participants

Original publication

Clinical manifestations, disease penetrance, and treatment in individuals with SOCS1 insufficiency: a registry-based and population-based study. Lancet Rheumatol. Published 27 February 2025. doi:10.1016/s2665-9913(24)00348-5

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