Tofacitinib for refractory chilblain lupus erythematosus

Author(s):  
Scott A. Elman ◽  
Daniel R. Mazori ◽  
Joseph F. Merola

1967 ◽  
Vol 60 (5) ◽  
pp. 494-496 ◽  
Author(s):  
R Marks ◽  
S C Gold


Dermatology ◽  
1992 ◽  
Vol 185 (2) ◽  
pp. 160-160 ◽  
Author(s):  
A.J. Kanwar ◽  
S. Ghosh ◽  
S. Dhar


2018 ◽  
Vol 138 (5) ◽  
pp. S49
Author(s):  
A. Fernandez ◽  
L. Kooistra ◽  
C. Ricotti ◽  
S. Billings ◽  
M. Schowalter


2008 ◽  
Vol 27 (10) ◽  
pp. 1341-1341 ◽  
Author(s):  
C. M. Hedrich ◽  
B. Fiebig ◽  
F. H. Hauck ◽  
S. Sallmann ◽  
G. Hahn ◽  
...  


1988 ◽  
Vol 19 (5) ◽  
pp. 908-910 ◽  
Author(s):  
Francisco Allegue ◽  
Maria Luisa Alonso ◽  
Antonio Rocamora ◽  
Antonio Ledo




2016 ◽  
Vol 76 (2) ◽  
pp. 468-472 ◽  
Author(s):  
Nadja König ◽  
Christoph Fiehn ◽  
Christine Wolf ◽  
Max Schuster ◽  
Emanuel Cura Costa ◽  
...  

ObjectivesFamilial chilblain lupus is a monogenic form of cutaneous lupus erythematosus caused by loss-of-function mutations in the nucleases TREX1 or SAMHD1. In a family without TREX1 or SAMHD1 mutation, we sought to determine the causative gene and the underlying disease pathology.MethodsExome sequencing was used for disease gene identification. Structural analysis was performed by homology modelling and docking simulations. Type I interferon (IFN) activation was assessed in cells transfected with STING cDNA using an IFN-β reporter and Western blotting. IFN signatures in patient blood in response to tofacitinib treatment were measured by RT-PCR of IFN-stimulated genes.ResultsIn a multigenerational family with five members affected with chilblain lupus, we identified a heterozygous mutation of STING, a signalling molecule in the cytosolic DNA sensing pathway. Structural and functional analyses indicate that mutant STING enhances homodimerisation in the absence of its ligand cGAMP resulting in constitutive type I IFN activation. Treatment of two affected family members with the Janus kinase (JAK) inhibitor tofacitinib led to a marked suppression of the IFN signature.ConclusionsA heterozygous gain-of-function mutation in STING can cause familial chilblain lupus. These findings expand the genetic spectrum of type I IFN-dependent disorders and suggest that JAK inhibition may be of therapeutic value.



1996 ◽  
Vol 134 (3) ◽  
pp. 533-537 ◽  
Author(s):  
T. AOKI ◽  
T. ISHIZAWA ◽  
Y. HOZUMI ◽  
K. ASO ◽  
S. KONDO


2013 ◽  
Vol 54 (1) ◽  
pp. 74-75
Author(s):  
Beatrice Passarini ◽  
Alessandro Pileri ◽  
Iria Neri ◽  
Bianca Maria Piraccini ◽  
Camilla Reggiani ◽  
...  


Lupus ◽  
1999 ◽  
Vol 8 (3) ◽  
pp. 215-219 ◽  
Author(s):  
F Franceschini ◽  
P Calzavara-Pinton ◽  
M Quinzanini ◽  
I Cavazzana ◽  
L Bettoni ◽  
...  


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