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Blood, 1 February 2005, Vol. 105, No. 3, pp. 1195-1197.
Prepublished online as a Blood First Edition Paper on September 30, 2004; DOI 10.1182/blood-2004-07-2972.


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IMMUNOBIOLOGY
Brief report

Early-onset sarcoidosis and CARD15 mutations with constitutive nuclear factor-{kappa}B activation: common genetic etiology with Blau syndrome

Nobuo Kanazawa, Ikuo Okafuji, Naotomo Kambe, Ryuta Nishikomori, Mami Nakata-Hizume, Sonoko Nagai, Akihiko Fuji, Takenosuke Yuasa, Akira Manki, Yoshihiko Sakurai, Mitsuru Nakajima, Hiroko Kobayashi, Ikuma Fujiwara, Hiroyuki Tsutsumi, Atsushi Utani, Chikako Nishigori, Toshio Heike, Tatsutoshi Nakahata, and Yoshiki Miyachi

From the Departments of Dermatology, Pediatrics, and Respiratory Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan; the Department of Internal Medicine, Holy Spirit Hospital, Nagoya, Japan; Yuasa Ophthalmic Clinic, Osaka, Japan; the Department of Pediatrics, Okayama University Medical School, Okayama, Japan; the Department of Pediatrics, Nara Medical University, Nara Kashihara, Japan; the Department of Internal Medicine II, Fukushima Medical University School of Medicine, Fukushima, Japan; the Department of Pediatrics, Tohoku University School of Medicine, Sendai, Japan; the Department of Pediatrics, Sapporo Medical University School of Medicine, Sapporo, Japan; and the Department of Dermatology, Graduate School of Medicine, Kobe University, Kobe, Japan.

Early-onset sarcoidosis (EOS) and inheritable Blau syndrome (BS) share characteristic clinical features of juvenile-onset systemic granulomatosis syndrome that mainly affects skin, joints, and eyes. However, no direct evidence has been shown for the possible common origin of these 2 diseases. Recent discovery of CARD15 mutations in BS families encouraged us to investigate similar CARD15 mutations in EOS patients. Among 10 EOS cases retrospectively collected in Japan, heterozygous missense mutations were found in 9 cases; 4 showed a 1000C>T (R334W in amino acid change) that has been reported in BS, 4 showed novel 1487A>T (H496L), 1538T>C (M513T), 1813A>C (T605P), and 2010C>A (N670K), and 1 case showed double 1146C>G (D382E)/1834G>A (A612T) mutations on different alleles. All 6 of these variants of CARD15 showed increased basal nuclear factor (NF)–{kappa}B activity. These findings indicate that the majority of EOS and BS cases share the common genetic etiology of CARD15 mutations that cause constitutive NF-{kappa}B activation.


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