Review Article

Interleukin-1 as a Common Denominator from Autoinflammatory to Autoimmune Disorders: Premises, Perils, and Perspectives

Table 1

Brief summary of the monogenic autoinflammatory disorders.

DiseaseGene
locus
ProteinInheritanceClinical featuresTreatment

FMF [22, 23]MEFV
16p13.3
PyrinARFever, serositis, arthralgias or arthritides, erysipelas-like eruption on the legs, responsiveness to colchicine prophylaxis, amyloidosis in untreated or noncompliant patientsColchicine, anakinra,
canakinumab

TRAPS [2430]TNFRSF1A
12p13
p55 tumor necrosis
factor receptor
type 1
ADFever, severe migrating muscle and joint involvement, conjunctivitis, periorbital edema, arthralgias or arthritis, sacroiliitis, serosal involvement, steroid responsiveness of febrile attacks, risk of amyloidosisCorticosteroids,
etanercept, anakinra,
canakinumab,
tocilizumab

MKD [31, 32]MVK
12q24
Mevalonate kinaseARFever, widespread polymorphous rash, arthralgias, abdominal pain, diarrhea, lymph node enlargement, oral aphthosisNSAIDs, anakinra,
corticosteroids

CAPS [33, 34] FCASNLRP3
1q44
CryopyrinADFever, cold-induced urticaria-like rash, conjunctivitis, arthralgias, fatigue Anakinra, canakinumab, rilonacept
MWSFever, urticaria-like rash, conjunctivitis, arthralgias, neurosensorial deafness, risk of amyloidosis
CINCAsFever, urticaria-like rash, uveitis, papilledema, deforming arthritis involving large joints, neurosensorial deafness, aseptic chronic meningopathy, risk of amyloidosis

PAPAs [3537]PSTPIP1
15q24-q25.1
CD2BP1ADPauciarticular pyogenic arthritis, osteocartilaginous erosions of joints, cystic acne, pyogenic abscessesInfliximab, anakinra

MAJEEDs [3840]LPIN2
18p11.31
Lipin 2ARRecurrent multifocal osteomyelitis, congenital dyserythropoietic anemia, chronic dermatosis resembling Sweet’s syndromeNSAIDs,
corticosteroids,
anakinra,
canakinumab

BS [4143]NOD2
(CARD15)
16q12.1-13
Nod2 (Card15)ADIntermittent fevers, granulomatous dermatitis with ichthyosis-like changes, symmetrical granulomatous polyarthritis, recurrent severe granulomatous panuveitisCorticosteroids,
immunosuppressive
agents, anti-TNF-α drugs, anakinra

AD: autosomal dominant; AR: autosomal recessive; BS: Blau syndrome; CAPS: cryopyrin-associated periodic syndromes; CINCAs: chronic inflammatory neurological cutaneous articular syndrome; FCAS: familial cold autoinflammatory syndrome; FMF: familial Mediterranean fever; MAJEEDs: Majeed syndrome; MKD: mevalonate kinase deficiency syndrome; MWS: Muckle-Wells syndrome; NSAIDs: nonsteroidal anti-inflammatory drugs; PAPAs: pyogenic arthritis-pyoderma gangrenosum-acne syndrome; TRAPS: tumor necrosis factor receptor-associated periodic syndrome.