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Genetic variations in A20 DUB domain provide a genetic link to citrullination and neutrophil extracellular traps in systemic lupus erythematosus

Odqvist, Lina (author)
AstraZeneca R&D Gothenburg, BioPharmaceut R&D, Res & Early Dev, Resp Inflammat & Autoimmune, Molndal, Sweden,AstraZeneca RandD Gothenburg, Sweden
Jevnikar, Zala (author)
AstraZeneca R&D Gothenburg, BioPharmaceut R&D, Res & Early Dev, Resp Inflammat & Autoimmune, Molndal, Sweden,AstraZeneca RandD Gothenburg, Sweden
Riise, Rebecca (author)
AstraZeneca R&D Gothenburg, BioPharmaceut R&D, Res & Early Dev, Resp Inflammat & Autoimmune, Molndal, Sweden,AstraZeneca RandD Gothenburg, Sweden
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Öberg, Lisa (author)
AstraZeneca R&D Gothenburg, BioPharmaceut R&D, Res & Early Dev, Resp Inflammat & Autoimmune, Molndal, Sweden,AstraZeneca RandD Gothenburg, Sweden
Rhedin, Magdalena (author)
AstraZeneca R&D Gothenburg, BioPharmaceut R&D, Res & Early Dev, Resp Inflammat & Autoimmune, Molndal, Sweden,AstraZeneca RandD Gothenburg, Sweden
Leonard, Dag, 1975- (author)
Uppsala universitet,Uppsala University,Reumatologi,Science for Life Laboratory, SciLifeLab,Uppsala Univ, Sweden
Yrlid, Linda (author)
AstraZeneca R&D Gothenburg, BioPharmaceut R&D, Res & Early Dev, Resp Inflammat & Autoimmune, Molndal, Sweden,AstraZeneca RandD Gothenburg, Sweden
Jackson, Sonya (author)
AstraZeneca R&D Gothenburg, BioPharmaceut R&D, Res & Early Dev, Resp Inflammat & Autoimmune, Molndal, Sweden,AstraZeneca RandD Gothenburg, Sweden
Mattsson, Johan (author)
AstraZeneca R&D Gothenburg, BioPharmaceut R&D, Res & Early Dev, Resp Inflammat & Autoimmune, Molndal, Sweden,AstraZeneca RandD Gothenburg, Sweden
Nanda, Sambit (author)
University of Dundee,Univ Dundee, MRC Prot Phosphorylat & Ubiquitylat Unit, Dundee, Scotland
Cohen, Philip (author)
University of Dundee,Univ Dundee, MRC Prot Phosphorylat & Ubiquitylat Unit, Dundee, Scotland
Knebel, Axel (author)
University of Dundee,Univ Dundee, MRC Prot Phosphorylat & Ubiquitylat Unit, Dundee, Scotland
Arthur, Simon (author)
University of Dundee,Univ Dundee, Sch Life Sci, Div Immunol & Cell Signaling, Dundee, Scotland
Thörn, Kristofer (author)
AstraZeneca R&D Gothenburg, BioPharmaceut R&D, Res & Early Dev, Resp Inflammat & Autoimmune, Molndal, Sweden,AstraZeneca RandD Gothenburg, Sweden
Svenungsson, Elisabet (author)
Karolinska Institutet,Karolinska Institute,Karolinska Inst, Dept Med, Rheumatol Unit, Stockholm, Sweden
Jönsen, Andreas (author)
Lund University,Lunds universitet,Lund SLE Research Group,Forskargrupper vid Lunds universitet,Lund University Research Groups,Skåne University Hospital,Lund Univ, Skane Univ Hosp, Dept Clin Sci Lund, Rheumatol, Lund, Sweden
Gunnarsson, Iva (author)
Karolinska Institutet,Karolinska Institute,Karolinska Inst, Dept Med, Rheumatol Unit, Stockholm, Sweden
Tandre, Karolina (author)
Uppsala universitet,Uppsala University,Reumatologi,Science for Life Laboratory, SciLifeLab,Uppsala Univ, Sweden
Alexsson, Andrei (author)
Uppsala universitet,Uppsala University,Reumatologi,Science for Life Laboratory, SciLifeLab,Uppsala Univ, Sweden
Kastbom, Alf (author)
Linköpings universitet,Linköping University,Linkoping Univ, Dept Rheumatol, Linkoping, Sweden;Linkoping Univ, Dept Clin & Expt Med, Linkoping, Sweden,Avdelningen för neuro- och inflammationsvetenskap,Medicinska fakulteten,Region Östergötland, Reumatologiska kliniken i Östergötland
Rantapää-Dahlqvist, Solbritt (author)
Umeå universitet,Umeå University,Reumatologi,Umea Univ, Med Fak, Dept Publ Hlth & Clin Med Rheumatol, Umea, Sweden
Eloranta, Maija-Leena (author)
Uppsala universitet,Uppsala University,Reumatologi,Science for Life Laboratory, SciLifeLab,Uppsala Univ, Sweden
Syvänen, Ann-Christine, 1950- (author)
Uppsala universitet,Uppsala University,Molekylär medicin,Science for Life Laboratory, SciLifeLab,Uppsala Univ, Sweden
Bengtsson, Anders (author)
Lund University,Lunds universitet,Lund SLE Research Group,Forskargrupper vid Lunds universitet,Lund University Research Groups,Skåne University Hospital,Lund Univ, Skane Univ Hosp, Dept Clin Sci Lund, Rheumatol, Lund, Sweden
Johansson, Patrik (author)
AstraZeneca R&D Gothenburg, BioPharmaceut R&D, Discovery Sci, Molndal, Sweden,AstraZeneca RandD Gothenburg, Sweden
Sandling, Johanna K. (author)
Uppsala universitet,Uppsala University,Science for Life Laboratory, SciLifeLab,Reumatologi,Uppsala Univ, Sweden
Sjöwall, Christopher (author)
Linköpings universitet,Linköping University,Linkoping Univ, Dept Rheumatol, Linkoping, Sweden;Linkoping Univ, Dept Clin & Expt Med, Linkoping, Sweden,Avdelningen för neuro- och inflammationsvetenskap,Medicinska fakulteten,Region Östergötland, Reumatologiska kliniken i Östergötland
Rönnblom, Lars (author)
Uppsala universitet,Uppsala University,Reumatologi,Science for Life Laboratory, SciLifeLab,Uppsala Univ, Sweden
Collins, Barry (author)
AstraZeneca R&D Gothenburg, BioPharmaceut R&D, Res & Early Dev, Resp Inflammat & Autoimmune, Molndal, Sweden,AstraZeneca RandD Gothenburg, Sweden
Vaarala, Outi (author)
AstraZeneca R&D Gothenburg, BioPharmaceut R&D, Res & Early Dev, Resp Inflammat & Autoimmune, Molndal, Sweden;MedImmune LLC, Resp Inflammat & Autoimmun Dept, Gaithersburg, MD 20878 USA,AstraZeneca RandD Gothenburg, Sweden; MedImmune LLC, MD 20878 USA
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 (creator_code:org_t)
2019-07-12
2019
English.
In: Annals of the Rheumatic Diseases. - : BMJ. - 0003-4967 .- 1468-2060. ; 78:10, s. 1363-1370
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Objectives: Genetic variations in TNFAIP3 (A20) de-ubiquitinase (DUB) domain increase the risk of systemic lupus erythematosus (SLE) and rheumatoid arthritis. A20 is a negative regulator of NF-κB but the role of its DUB domain and related genetic variants remain unclear. We aimed to study the functional effects of A20 DUB-domain alterations in immune cells and understand its link to SLE pathogenesis. Methods: CRISPR/Cas9 was used to generate human U937 monocytes with A20 DUB-inactivating C103A knock-in (KI) mutation. Whole genome RNA-sequencing was used to identify differentially expressed genes between WT and C103A KI cells. Functional studies were performed in A20 C103A U937 cells and in immune cells from A20 C103A mice and genotyped healthy individuals with A20 DUB polymorphism rs2230926. Neutrophil extracellular trap (NET) formation was addressed ex vivo in neutrophils from A20 C103A mice and SLE-patients with rs2230926. Results: Genetic disruption of A20 DUB domain in human and murine myeloid cells did not give rise to enhanced NF-κB signalling. Instead, cells with C103A mutation or rs2230926 polymorphism presented an upregulated expression of PADI4, an enzyme regulating protein citrullination and NET formation, two key mechanisms in autoimmune pathology. A20 C103A cells exhibited enhanced protein citrullination and extracellular trap formation, which could be suppressed by selective PAD4 inhibition. Moreover, SLE-patients with rs2230926 showed increased NETs and increased frequency of autoantibodies to citrullinated epitopes. Conclusions: We propose that genetic alterations disrupting the A20 DUB domain mediate increased susceptibility to SLE through the upregulation of PADI4 with resultant protein citrullination and extracellular trap formation.

Subject headings

NATURVETENSKAP  -- Biologi -- Cellbiologi (hsv//swe)
NATURAL SCIENCES  -- Biological Sciences -- Cell Biology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Reumatologi och inflammation (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Rheumatology and Autoimmunity (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Medicinska och farmaceutiska grundvetenskaper -- Immunologi inom det medicinska området (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Basic Medicine -- Immunology in the medical area (hsv//eng)

Keyword

NET
PAD4
PADI4
peptidyl arginine deiminase
rs2230926

Publication and Content Type

art (subject category)
ref (subject category)

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