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Enrichment of Rare Variants of Hemophagocytic Lymphohistiocytosis Genes in Systemic Juvenile Idiopathic Arthritis.

Mariana Correia MarquesDanielle RubinEmily G ShuldinerMallika DattaElizabeth SchmitzGustavo Gutierrez CruzAndrew PattElizabeth BennettAlexei GromDirk FoellMarco GattornoJohn BohnsackRae S M YeungSampath PrahaladElizabeth MellinsJordi AntonClaudio A LenSheila OliveiraPatricia WooSeher Senernull nullZuoming DengMichael J Ombrello
Published in: Arthritis & rheumatology (Hoboken, N.J.) (2024)
We identified an enrichment of rare HLH variants in sJIA patients compared with controls, driven by STXBP2 and UNC13D. Biallelic variation in HLH genes was associated with sJIA, driven by LYST. Only UNC13D displayed enrichment in patients with MAS. This suggests that HLH variants may contribute to the pathophysiology of sJIA, even without MAS.
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