Autoinflammatory & rare systemic diseases

Insights from a novel monogenic autoinflammatory disease: overview of a multicentric European cohort of 38 patients with COPA syndrome

Ann Rheum DisPublished Descriptive cohort study

Authors' conclusion

While confirming the core organ features (lung, joint, and kidney) of the disease, our data expand the phenotype to include cardiac, skin, and gastrointestinal features, further demonstrating the clinical overlap with SAVI and other type I interferonopathies.

Study context

Population
Individuals (29 families) carrying a COPA mutation, multicentric European cohort29 families
Participants
46 individuals
Outcome
Clinical phenotype of COPA syndrome
Methodological detailsmulticentre, European cohort
  • Multicentre
  • European cohort

Main finding

As reported in the abstract

Clinical penetrance (≥1 clinical manifestation likely related to mutant state)
38 (83%)
Female symptomatic patients
22 (58%)
Median age at disease onset
3 years (range 0-50 years)
Pulmonary involvement
34
ILD
31
Diffuse alveolar haemorrhage
11
Joint involvement
26
Kidney disease
7
Skin involvement (previously undescribed)
12
Cardiac involvement (previously undescribed)
8
Gastrointestinal involvement (previously undescribed)
7
Hepatic involvement (previously undescribed)
5

Observational data: associations, not effects.

Further findings

Treatment with JAKi

Patients treated with JAKi, with promising efficacy
22

Original publication

Insights from a novel monogenic autoinflammatory disease: overview of a multicentric European cohort of 38 patients with COPA syndrome. Ann Rheum Dis. Published 25 October 2025. doi:10.1016/j.ard.2025.09.013

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