Rheumatoid arthritis

Rare variants in genes related to inborn errors of immunity in patients with rheumatoid arthritis and secondary immunodeficiency

RMD OpenPublished Cross-sectional study

Authors' conclusion

Although rare, underlying IEIs can account for immunodeficiency in patients with RA.

Study context

Population
Patients with rheumatoid arthritis (RA) screened for secondary immunodeficiency (SID) (persistent hypogammaglobulinaemia or susceptibility to infections requiring prophylactic anti-infective therapy)70 with SID sequenced
Participants
701 patients
Outcome
Rare putatively pathogenic variants in IEI-associated genes in patients with RA and SID
Methodological detailsscreening, targeted whole-exome sequencing
  • Screening
  • Targeted whole-exome sequencing

Main finding

As reported in the abstract

Putatively pathogenic IEI-related variants in patients with SID

Patients with SID harbouring putatively pathogenic variants (17 variants)

15 of 70

21.4%

Variants affecting genes of canonical NF-κB signalling (all variants monoallelic)

7 of 17

41.2%

Patients with variants previously reported as pathogenic

Two patients (3.1%)

Observational data: associations, not effects.

Further findings

Prevalence of SID among patients with RA

SID
70 (10%)
SID more frequent with earlier RA onset, seronegative disease and rituximab therapy

Original publication

Rare variants in genes related to inborn errors of immunity in patients with rheumatoid arthritis and secondary immunodeficiency. RMD Open. Published 3 July 2026. doi:10.1136/rmdopen-2026-007046

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