Caspase recruitment domain 15 mutations and rheumatic diseases.

Purpose Of Review: The purpose of this article is to review the foundational work and current developments on a group of rheumatic disorders associated with mutations in the caspase recruitment domain 15/nucleotide oligomerization domain 2 gene.Recent Findings: To date, there are at least 10 arthrit...

Full description

Bibliographic Details
Published in:Current Opinion in Rheumatology Vol. 17; no. 5; pp. 579 - 586
Main Authors: Rose, Carlos D, Martin, Tammy M
Format: review Journal Article
Published: Lippincott Williams & Wilkins Sep2005
Online Access:View this record in EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=138711006&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 138711006
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        10408711
        IR0
      jtl: Current Opinion in Rheumatology
      issn: 10408711
      maglogo: N
    pubinfo:
      dt: Sep2005
      vid: 17
      iid: 5
      pid: 433
      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
    artinfo:
      ui:
        138711006
        138711006
        NLM16093837
        138711006
        10.1097/01.bor.0000169362.61443.52
        NLM16093837
        138711006
      ppf: 579
      ppct: 7
      formats:
      tig:
        atl: Caspase recruitment domain 15 mutations and rheumatic diseases.
      aug:
        au:
          Rose, Carlos D
          Martin, Tammy M
        affil: Pediatric Rheumatology, duPont Children's Hospital, Philadelphia, Pennsylvania, USA
      sug:
        subj:
          Peptide Hydrolases
          Rheumatic Diseases
          Mutation
          Proteins
          Arthritis Impact Measurement Scales
          Scales
      ab: Purpose Of Review: The purpose of this article is to review the foundational work and current developments on a group of rheumatic disorders associated with mutations in the caspase recruitment domain 15/nucleotide oligomerization domain 2 gene.Recent Findings: To date, there are at least 10 arthritic conditions for which specific genetic mutations have been demonstrated. They include familial Mediterranean fever; tumor necrosis factor receptor associated periodic syndrome; hyper immunoglobulin D syndrome; neonatal onset multisystemic inflammatory disease; pyogenic arthritis pyoderma gangrenosum and acne; Muckle-Wells syndrome; familial cold autoinflammatory syndrome; immunodysregulation, polyendocrinopathy, enteropathy, X-linked syndrome; Crohn's disease; and familial and sporadic sarcoid granulomatous arthritis. This review focuses on recent progress in the last two diseases and the caspase recruitment domain 15 genetic defects with which they are associated. Up to 50% of patients with familial granulomatous arthritis (Blau's syndrome), 90% of those with sporadic granulomatous arthritis (early-onset sarcoidosis), and 40% of individuals with Crohn's disease have documented mutations in the caspase recruitment domain 15 gene.Summary: Although histologically, Crohn's disease and familial and sporadic sarcoid granulomatous arthritis are distinct from rheumatoid arthritis because of the defining presence (albeit in not all cases) of non-caseating granulomata in the synovial and intestinal tissues, respectively, they still represent a promising model of both chronic synovitis and uveitis. In addition, once the actual mechanism is discovered by which defects of the caspase recruitment domain 15 gene product lead to chronic arthritis, it may uncover unsuspected biologic targets for therapeutics.
      pubtype: Academic Journal
      doctype:
        review
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N