Tumour necrosis factor receptor-1 associated periodic syndrome (TRAPS)-related AA amyloidosis: a national case series and systematic review

Author:

Delaleu Jérémie12ORCID,Deshayes Samuel3ORCID,Rodrigues Francois12,Savey Lea12,Rivière Etienne4,Silva Nicolas Martin3,Aouba Achille3,Amselem Serge25,Rabant Marion6,Grateau Gilles12,Giurgea Irina25,Georgin-Lavialle Sophie12ORCID

Affiliation:

1. Department of Internal Medicine, APHP, Tenon Hospital, Sorbonne University, GRC GRAASU, Paris, France

2. National Reference Center for Autoinflammatory Diseases and Inflammatory Amyloidosis (CeRéMAIA)

3. Department of Internal Medicine, Normandie University, CHU de Caen Normandie, Caen

4. Department of Internal Medicine, CHU de Bordeaux, Haut-Lévêque Hospital, Pessac

5. Genetic Laboratory, Sorbonne University, APHP, Trousseau Hospital

6. Department of Pathology, APHP, Necker Hospital, Paris, France

Abstract

Abstract Objectives TNF receptor-1-associated periodic syndrome (TRAPS) is a rare autosomal dominant autoinflammatory disorder associated with mutations in the TNF receptor super family 1 A (TNFRSF1A) gene. AA amyloidosis (AA) is the most severe complication of TRAPS. To study the occurrence and prognosis of AA in TRAPS, we conducted a retrospective study of all French cases and a systematic literature review. Methods This case series includes TRAPS patients followed by our centre from 2000 to 2020 presenting with histologically confirmed AA. We conducted a systematic literature review on the PubMed and EMBASE databases for articles published up to February 2021 following the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines and using the keywords: amyloidoisis, amyloid, TNF receptor-associated periodic syndrome, TNF receptor-associated periodic syndrome, tumor necrosis factor receptor-associated periodic syndrome, TRAPS, TNFRSF1A, familial hibernian fever and hibernian familial fever. Results A total of 41 TRAPS with AA were studied: three new patients and 38 cases from the literature. AA diagnosis preceded that of TRAPS in 96% of cases, and 17/36 (47%) required renal replacement therapy. Death occurred in 5/36 (14%) with a median follow-up of 23 months. Effect of biologics on AA were available for 21 regimens in 19 patients: 10 improved renal function, seven stabilized and four worsened. Four patients (36% of transplanted patients) relapse AA on kidney graft (only one under etanercept). Conclusion TRAPS is revealed by AA in most cases. Therefore, clinical features of TRAPS should be screened for in AA patients. IL-1 antagonist can help to normalize inflammation and to preserve renal function.

Publisher

Oxford University Press (OUP)

Subject

Pharmacology (medical),Rheumatology

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