Article
Pyoderma gangrenosum caused by the molecular uncoupling of OTULIN catalytic activity and LUBAC binding.
Nature immunology - 1 Aug 2026
Swaminathan Barathram, Gil Hwi M, Bhattad Sagar, Janardhanan Jyothi, Mejía Baltodano Gerardo, Mariskanish Christine, Basaria Shamel, Choi Joseph M, Liu Qi, Scheepmaker Lisette M, Mohamed Mohamud, Boisson Bertrand, Casanova Jean-Laurent, Aksentijevich Ivona, Spaan András N, Markle Janet G
Abstract excerpt
The pathogenic mechanisms underlying pyoderma gangrenosum (PG) remain unclear. Here we report three patients with PG from two unrelated kindreds with homozygous R57C mutation of the linear deubiquitinase OTULIN. The patients have isolated, pediatric-onset, OTULIN-related PG (ORP). In contrast to OTULIN-related autoinflammatory syndrome (ORAS), caused by mutations affecting the catalytic domain, R57C affects the...
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