March 19, 2026 · Arthritis & rheumatology (Hoboken, N.J.) · DOI: 10.1002/art.70146

A Rare RIPK3 Variant Enhances Necroptosis and Promotes Inflammation in a Still's Disease-like Autoinflammatory Syndrome

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This study investigates the genetic basis of a familial Still's disease-like autoinflammatory syndrome, identifying a novel heterozygous RIPK3 p.Q134K variant that enhances necroptosis and inflammation. The authors demonstrate that this variant leads to increased RIPK3 kinase activity and promotes pro-inflammatory signaling pathways, establishing aberrant RIPK3 activation as a key driver of autoinflammation. These findings expand the understanding of RIPK3-associated diseases and their role in systemic autoinflammatory conditions.

Longfang Chen, Qihua Dai, Yu Xiao, Jialin Dai, Mengyan Wang, Yuning Ma, Yujie Shen, Zhimo Xu, Jianfen Meng, Xia Chen, Da Yi, Yue Sun, Hui Shi, Honglei Liu, Xiaobing Cheng, Yutong Su, Junna Ye, Huihui Chi, Zhuochao Zhou, Tingting Liu, Jialin Teng, Chengde Yang, Jinchao Jia, Qiongyi Hu

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