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  • Meeting abstract
  • Open Access

PW02-019 - Inflammatory pathways activation in TRAPS patients

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Pediatric Rheumatology201311 (Suppl 1) :A159

  • Published:


  • Intracellular Signalling Pathway
  • Signalling Pathway Activation
  • Protein Microarray
  • Matched Healthy Control
  • Periodic Syndrome


Mutations in TNFRSF1A can result in the autosomal dominant TNF receptor-associated periodic syndrome

(TRAPS): a complex and heterogeneous systemic autoinflammatory disorder. Misfolding, intracellular aggregation and ligand-independent signalling by mutant TNFR1 play central roles in disease pathophysiology.


This work was conducted to study the intracellular signalling pathway activation elicited by mutant TNFR1.


To understand the complexity of intracellular signalling pathway perturbation in TRAPS, a prototypic mutant TNFR1 (C33Y), or wild-type TNFR1 (WT), were expressed at near physiological levels in an SK-Hep-1 cell model system. TNFR1-associated signalling pathway intermediates were examined under a range of conditions, employing reverse-phase protein microarray. Peripheral blood mononuclear cells (PBMC) from C33Y TRAPS patients and matched healthy controls were similarly examined.


In comparison to cells expressing WT TNFR1 alone, expression of C33Y-TNFR1 in SK-Hep–1 cells and TRAPS patients’ PBMCs revealed a subtle up-regulation of a wide spectrum of signalling intermediates and their phosphorylated forms. These were associated with a proinflammatory/ anti-apoptotic phenotype, including NF-k B, p38, MEK/ERK and JNK MAP kinase pathways, Phosphoinositide 3 kinase, STAT3, JAK2/c-Src, Gsk-3β and transcription factors (including ATF, Elk, Jun). Increased activated Jak2/STAT3 may contribute to an “IL6 amplifier” positive feedback loop that promotes and sustains a proinflammatory state.


The study thus reveals the pleiotropic effect of a TRAPS-associated mutant form of TNFR1 on multiple inflammatory signalling pathways.

Disclosure of interest

None declared.

Authors’ Affiliations

Immunology, School of Molecular Medical Sciences, University of Nottingham, UK
Nottingham University Hospitals, National Health Service Trust, Nottingham, UK


© Negm et al; licensee BioMed Central Ltd. 2013

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.