Original Article

Treatment of STING-associated vasculopathy with onset in infancy in patients carrying a novel mutation in the TMEM173 gene with the JAK3-inhibitor tofacitinib

Volume 38 · Issue 3 · September 2023 Publish Date: September 30, 2023
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DOI
Pervin Elvan Tokgun ORCID
Department of Medical Genetics, Pamukkale University Faculty of Medicine, Denizli, Türkiye image/svg+xml
Nedim Karagenc ORCID
Department of Medical Genetics, Pamukkale University Faculty of Medicine, Denizli, Türkiye image/svg+xml
Uğur Karasu ORCID
Department of Internal Medicine, Division of Rheumatology, Pamukkale University Faculty of Medicine, Denizli, Türkiye image/svg+xml
Onur Tokgun ORCID
Department of Medical Genetics, Pamukkale University Faculty of Medicine, Denizli, Türkiye image/svg+xml
Samet Turel ORCID
Department of Medical Genetics, Pamukkale University Faculty of Medicine, Denizli, Türkiye image/svg+xml
Aydın Demiray ORCID
Department of Medical Genetics, Pamukkale University Faculty of Medicine, Denizli, Türkiye image/svg+xml
Hakan Akca ORCID
Department of Medical Genetics, Pamukkale University Faculty of Medicine, Denizli, Türkiye image/svg+xml
Selçuk Yüksel ORCID
Department of Pediatric Nephrology and Pediatric Rheumatology, Pamukkale University Faculty of Medicine, Denizli, Türkiye image/svg+xml
Pervin Elvan Tokgun, Nedim Karagenc, Uğur Karasu, Onur Tokgun, Samet Turel, Aydın Demiray, … Selçuk Yüksel. (2023). Treatment of STING-associated vasculopathy with onset in infancy in patients carrying a novel mutation in the TMEM173 gene with the JAK3-inhibitor tofacitinib. Archives of Rheumatology, 38(3), 461–467. https://doi.org/10.46497/ArchRheumatol.2023.9927
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Abstract

Objectives: This study aimed to reveal the genetic background of patients in the two-generation family suffering from rheumatoid arthritis, psoriatic arthropathy pain, scratches, and bruises.

Patients and methods: A clinical exome sequencing analysis was performed in 10 individuals in the same family using the Sophia Genetics clinical exome solution kit.

Results: A novel V194L mutation in the TMEM173 gene was identified in three members of the family. Two of the family members were treated with the JAK3 inhibitor tofacitinib and recovered completely one month after the treatment.

Conclusion: The V194L mutation was reported for the first time in this study, and a positive response was achieved with tofacitinib.

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Article Info
Published In
Journal Archives of Rheumatology
Volume / Issue Volume 38 · Issue 3 · September 2023
Pages 461-467
History
Published Online September 30, 2023
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Affiliations
1
Pervin Elvan Tokgun ORCID
Department of Medical Genetics, Pamukkale University Faculty of Medicine, Denizli, Türkiye
2
Nedim Karagenc ORCID
Department of Medical Genetics, Pamukkale University Faculty of Medicine, Denizli, Türkiye
3
Uğur Karasu ORCID
Department of Internal Medicine, Division of Rheumatology, Pamukkale University Faculty of Medicine, Denizli, Türkiye
4
Onur Tokgun ORCID
Department of Medical Genetics, Pamukkale University Faculty of Medicine, Denizli, Türkiye
5
Samet Turel ORCID
Department of Medical Genetics, Pamukkale University Faculty of Medicine, Denizli, Türkiye
6
Aydın Demiray ORCID
Department of Medical Genetics, Pamukkale University Faculty of Medicine, Denizli, Türkiye
7
Hakan Akca ORCID
Department of Medical Genetics, Pamukkale University Faculty of Medicine, Denizli, Türkiye
8
Selçuk Yüksel ORCID
Department of Pediatric Nephrology and Pediatric Rheumatology, Pamukkale University Faculty of Medicine, Denizli, Türkiye
Cite this Article
Pervin Elvan Tokgun, Nedim Karagenc, Uğur Karasu, Onur Tokgun, Samet Turel, Aydın Demiray, … Selçuk Yüksel. (2023). Treatment of STING-associated vasculopathy with onset in infancy in patients carrying a novel mutation in the TMEM173 gene with the JAK3-inhibitor tofacitinib. Archives of Rheumatology, 38(3), 461–467. https://doi.org/10.46497/ArchRheumatol.2023.9927
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