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Novel TLR7 gain-of-function variant and review of the associated disease spectrum - PubMed

5 hours ago
  • #genetic screening
  • #systemic lupus erythematosus
  • #TLR7
  • Early-onset systemic lupus erythematosus (SLE) is often severe and may have monogenic causes in at least 10% of juvenile cases.
  • A novel P435S gain-of-function (GOF) variant in TLR7 was identified in a female patient with early-onset SLE, recurrent infections, and neuroinflammatory features.
  • Functional assays confirmed the pathogenicity of the TLR7 GOF variant, supporting its role in disease onset and progression.
  • A systematic review of 11 additional cases highlighted shared and divergent phenotypic features of TLR7 GOF-associated disease.
  • The findings emphasize the importance of genetic screening in early-onset SLE with atypical features.