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Mice humanized by syntenic replacement with full-length NLRP3 disease-associated variants model the clinical cryopyrinopathy continuum
John N. Snouwaert, MyTrang Nguyen, Christopher A. Gabel, Ivona Aksentijevich, Jenny P.-Y. Ting, Beverly H. Koller
John N. Snouwaert, MyTrang Nguyen, Christopher A. Gabel, Ivona Aksentijevich, Jenny P.-Y. Ting, Beverly H. Koller
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Research Article Genetics Immunology Inflammation

Mice humanized by syntenic replacement with full-length NLRP3 disease-associated variants model the clinical cryopyrinopathy continuum

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Abstract

Next-generation sequencing technologies are increasingly used to diagnose genetic disorders, particularly immunological diseases with broad and overlapping immune dysregulation. Cryopyrin-associated periodic syndromes (CAPS) are caused by gain-of-function mutations in NLRP3 and include 3 autoinflammatory diseases spanning a continuum of severity: familial cold autoinflammatory syndrome (FCAS), Muckle-Wells syndrome (MWS), and neonatal-onset multisystem inflammatory disease (NOMID). Linking NLRP3 variants to protein dysfunction and clinical phenotype remains challenging because of genetic modifiers and environmental factors. We report the generation and phenotyping of 5 mouse lines expressing either the common human NLRP3 allele or 1 of 4 CAPS mutations spanning the disease spectrum from FCAS to NOMID. In these lines, the murine Nlrp3 locus is replaced by syntenic integration of the human NLRP3 locus, yielding 1 line with the common allele and 4 lines each carrying a distinct CAPS mutation. Unlike models in which a human mutation is introduced into the mouse protein, these lines recapitulate the spectrum of disease severity observed in humans. These findings support a model in which evaluation of nonsynonymous mutations in mice is optimized when introduced in the context of the human gene. This suggests that species-specific regulation and/or intramolecular epistasis may impact modeling of disease-associated variants.

Authors

John N. Snouwaert, MyTrang Nguyen, Christopher A. Gabel, Ivona Aksentijevich, Jenny P.-Y. Ting, Beverly H. Koller

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Figure 1

Phenotypic evaluation of mouse lines with a single copy of the common NLRP3 allele or disease-associated variants.

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Phenotypic evaluation of mouse lines with a single copy of the common NL...
(A–I) Mouse lines were established from ES cell lines carrying a single copy of a CAPS-associated mutation. Female mice were cohoused at weaning, with each cage typically containing at least 1 mouse of each CAPS genotype as well as a female carrying the common NLRP3 allele. At 9–10 months of age, the burden of autoinflammatory disease was evaluated through assessment of body weight (A), spleen weight (B), and liver weight (C). Serum levels of IL-1Ra (D) and SAP (E) were quantified via ELISA. For the analysis of arthritis-like disease development, ELISA was used to measure IL-1β (F), IL-18 (G), prostaglandin E2 (PGE2) (H), and IL-6 (I) levels in tissue homogenates from the autopods of NLRP3-mutant mouse lines. The number of samples (n) for groups is indicated below the genotype in each panel. Bars represent the mean ± SEM. Asterisks indicate significance for comparison of each CAPS line with the hNLRP3 cohort by 2-tailed unpaired t test (*P < 0.05, **P < 0.01, ***P < 0.001, ****P < 0.0001). Red daggers indicate P values from identical comparisons analyzed by 1-way ANOVA followed by Dunnett’s post-test. Linear trend in phenotype or outcome was assessed for phenotypes with 1-way ANOVA P < 0.05 by post hoc test for linear trend (GraphPad Prism): B (spleen weight), P = 0.0001; D (IL-1Ra), P = 0.0001; E (SAP), P = 0.001; F (IL-1β), P = 0.0001; G (IL-18), P = 0.0004; I (IL-6), P = 0.0001. Additional statistical evaluation of variation between individual lines is provided in Supplemental Table 2.

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