Autoinflammatory & rare systemic diseases

Deficiency of AP1M2 Causes a New Autoinflammatory Disease With Colitis

Arthritis RheumatolPublished Mechanistic study

Authors' conclusion

This study identifies the deficiency of AP1M2 as the cause of a new autoinflammatory disease with colitis and highlights the critical function of AP-1 in suppressing NF-κB activation and chemokine production.

Study context

Population
A patient with a biallelic loss-of-function AP1M2 variant with autoinflammatory disease with colitis; Ap1m2-deficient mice and DLD-1 cellsone patient
Comparison
Ap1m2-/- mice vs Ap1m2-/-::Tnfr1-/- mice
Methodological detailscase report with genetic diagnosis, knockout mouse model, Stereo-seq
  • Case report with genetic diagnosis
  • Knockout mouse model
  • Stereo-seq

Main finding

As reported in the abstract

  • Ap1m2-/- mice had elevated serum chemokine production and spontaneously developed intestinal inflammation, phenocopying the patient with the AP1M2 variant
  • Intestinal epithelial AP1M2 deficiency caused accumulation of TNFR1-signaling downstream proteins (RIPK1, TBK1, IKKα/β, NEMO), enhancing NF-κB activation and chemokine overproduction
  • Tnfr1 knockout rescued gastrointestinal inflammation induced by Ap1m2 deficiency by suppressing NF-κB activation and chemokine production

Original publication

Deficiency of AP1M2 Causes a New Autoinflammatory Disease With Colitis. Arthritis Rheumatol. Published 26 March 2026. doi:10.1002/art.70038

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