Affinage

TRIM63

E3 ubiquitin-protein ligase TRIM63 · UniProt Q969Q1

Length
353 aa
Mass
40.2 kDa
Annotated
2026-04-28
100 papers in source corpus 8 papers cited in narrative 8 extracted findings

Mechanistic narrative

Synthesis pass · prose summary of the discoveries below

TRIM63 (MuRF-1) is a striated muscle-specific RING-finger E3 ubiquitin ligase that anchors to the sarcomere M-line through high-affinity binding of its C-terminal helical domain to titin A168-A170 modules, where it ubiquitinates myofibrillar substrates—including troponin-I, myosin light chain 2, and titin—to drive proteasomal degradation during skeletal muscle atrophy (PMID:15967462, PMID:17215480, PMID:32933049). Beyond proteasomal targeting, TRIM63 promotes selective autophagy of nicotinic acetylcholine receptors at the neuromuscular junction through a pathway involving SQSTM1 and SH3GLB1, and its transcription is synergistically activated by FoxO3 and SMAD3 via a conserved FRE-SBE motif in the proximal promoter (PMID:24220501, PMID:24920680). Biallelic loss-of-function variants in TRIM63 cause autosomal-recessive hypertrophic cardiomyopathy with concentric left ventricular hypertrophy (PMID:32451364).

Mechanistic history

Synthesis pass · year-by-year structured walk · 6 steps
  1. 2001 Medium

    Initial identification of TRIM63 as a striated-muscle-restricted RING finger protein that interacts with SUMO-2 via its RING domain established this gene as a potential signaling node in muscle, though its enzymatic activity was not yet defined.

    Evidence Yeast two-hybrid and RING domain mutagenesis in C2C12 myoblasts

    PMID:11283016

    Open questions at the time
    • SUMO-2 interaction not confirmed by reciprocal pull-down or in vivo assay
    • E3 ligase activity not yet demonstrated
    • Nuclear localization seen only in transiently transfected myoblasts, not endogenous protein
  2. 2005 High

    Systematic mapping of TRIM63 substrates revealed it interacts with and ubiquitinates key myofibrillar proteins (troponin-I, MLC-2) and metabolic enzymes, establishing it as an E3 ligase that targets both structural and metabolic components of the sarcomere.

    Evidence Yeast two-hybrid screen of skeletal muscle cDNA library combined with Western blot analysis of MuRF-1 knockout mice showing reduced substrate ubiquitination

    PMID:15967462

    Open questions at the time
    • In vitro reconstituted ubiquitination assays for each individual substrate not performed in this study
    • Relative contribution of each substrate to atrophy phenotype unknown
  3. 2007 High

    Crystal structure of the titin A168-A170 region and biophysical binding studies revealed how TRIM63 is physically recruited to the sarcomere M-line via a shallow surface groove on titin, providing a structural basis for localized substrate ubiquitination.

    Evidence X-ray crystallography, isothermal calorimetry, and pull-down assays

    PMID:17215480

    Open questions at the time
    • No structure of the TRIM63 C-terminal helical domain itself or the full complex
    • Whether titin binding is required for substrate ubiquitination in vivo not tested
  4. 2013 High

    Discovery that TRIM63 drives selective autophagy of nicotinic acetylcholine receptors at the neuromuscular junction via SQSTM1 and SH3GLB1 expanded its role beyond proteasomal degradation to include autophagic membrane receptor turnover.

    Evidence Trim63 knockout mice with denervation, immunofluorescence colocalization, and comparison with ATG7 knockout

    PMID:24220501

    Open questions at the time
    • Whether TRIM63 directly ubiquitinates CHRN subunits or acts indirectly through SQSTM1 not resolved
    • Mechanism linking TRIM63 RING activity to autophagosome formation not defined
  5. 2014 High

    Identification of synergistic FoxO3-SMAD3 co-regulation of TRIM63 transcription through a conserved FRE-SBE promoter element explained how TGF-β and insulin/Akt pathways converge to control atrophy gene expression.

    Evidence ChIP, promoter-reporter mutagenesis, and SMAD3 DNA-binding mutant analysis in cultured myotubes

    PMID:24920680

    Open questions at the time
    • In vivo validation of SBE requirement for TRIM63 induction during atrophy not performed
    • Other transcription factors contributing to TRIM63 regulation not systematically explored
  6. 2020 Medium

    Large-cohort human genetic studies established that biallelic TRIM63 loss-of-function causes autosomal-recessive hypertrophic cardiomyopathy, revealing a non-redundant cardioprotective role distinct from its skeletal muscle atrophy function.

    Evidence Next-generation sequencing of 4867 HCM index cases with familial segregation analysis

    PMID:32451364

    Open questions at the time
    • No functional rescue or in vitro mechanistic follow-up of identified variants
    • Cardiac-specific substrates whose accumulation drives HCM not identified
    • Relationship between heterozygous carrier status and subclinical phenotypes not explored

Open questions

Synthesis pass · forward-looking unresolved questions
  • The mechanism by which TRIM63 loss leads to hypertrophic cardiomyopathy—specifically which cardiac substrates accumulate and whether proteasomal or autophagic pathways are impaired—remains undefined.
  • No cardiac-specific substrate identification for TRIM63
  • No structural model of full-length TRIM63 or TRIM63-substrate complexes
  • Whether TRIM63 autophagic and proteasomal functions are independently regulated is unknown

Mechanism profile

Synthesis pass · controlled-vocabulary classification · explore literature graph →
Molecular activity
GO:0140096 catalytic activity, acting on a protein 3 GO:0016874 ligase activity 2
Localization
GO:0005634 nucleus 2 GO:0008092 cytoskeletal protein binding 2 GO:0005829 cytosol 1
Pathway
R-HSA-397014 Muscle contraction 3 R-HSA-392499 Metabolism of proteins 2 R-HSA-9612973 Autophagy 1

Evidence

Reading pass · 8 per-paper findings extracted from the source corpus
Year Finding Method Journal Conf PMIDs
2005 TRIM63 (MuRF-1) physically interacts with a specific subset of myofibrillar proteins including titin, nebulin, NRAP, troponin-I (TnI), troponin-T (TnT), myosin light chain 2 (MLC-2), myotilin, and T-cap, as identified by yeast two-hybrid screens of skeletal muscle cDNA libraries. Western blot studies in MURF-1-deficient mice showed reduced ubiquitination of MLC-2 and TnI, consistent with TRIM63 functioning as an E3 ubiquitin ligase targeting these myofibrillar substrates. TRIM63 also interacts with 11 enzymes involved in ATP/energy production including mitochondrial ATP synthase and creatine kinase. Yeast two-hybrid screen, Western blot on MURF-1 KO mice, SPOTS blot peptide mapping Journal of molecular biology High 15967462
2007 TRIM63 (MuRF-1) is recruited to M-line titin via its C-terminal helical domain, which binds with high affinity to a surface groove spanning the A168-A170 Ig/FnIII module region of titin. Crystal structure of titin A168-A170 revealed an extended rigid architecture with a shallow surface groove and a loop protrusion that is a key mediator of MuRF-1 recognition. This interaction is thought to regulate myofibril turnover. Crystal structure determination, isothermal calorimetry, SPOTS blot, pull-down assays, circular dichroism, SEC-MALS FASEB journal High 17215480
2013 TRIM63 regulates fasting-induced turnover of nicotinic acetylcholine receptors (CHRN) at the neuromuscular junction via selective autophagy. TRIM63 co-localizes with endo/lysosomal vesicles containing CHRN, the membrane remodeler SH3GLB1, and the selective autophagy receptor SQSTM1. In trim63(-/-) mice, denervation-induced upregulation of SQSTM1 and LC3-II was abolished, and SQSTM1 did not colocalize with CHRN vesicles. Denervation-induced increase in autophagic CHRN vesicles was completely blunted in the absence of TRIM63. Trim63 knockout mouse model, immunofluorescence colocalization, Western blot, ATG7 knockout comparison, co-precipitation Autophagy High 24220501
2014 SMAD3 augments FoxO3-induced MuRF-1 (TRIM63) promoter activity in a DNA-binding-dependent manner. FoxO3 and SMAD3 coexpression synergistically increased MuRF-1 mRNA and promoter activity in cultured myotubes. Mutation of the SMAD-binding element (SBE) in the proximal MuRF-1 promoter or use of a SMAD3 DNA-binding mutant attenuated FoxO3-dependent MuRF-1 promoter activation. Chromatin immunoprecipitation showed SMAD3 DNA binding increased FoxO3 abundance at the MuRF-1 promoter. Promoter reporter assay, ChIP, site-directed mutagenesis of SBE, overexpression in myotubes and HEK293 cells American journal of physiology. Cell physiology High 24920680
2001 A novel striated muscle RING zinc finger protein (SMRZ, later identified as TRIM63/MuRF-1) interacts with SMT3b (SUMO-2) via its N-terminal RING domain. Mutagenesis of conserved RING domain residues abolished this interaction. Transient transfection into C2C12 myoblasts showed nuclear localization of SMRZ. The gene is expressed exclusively in striated muscle and is developmentally regulated (higher in fetal than adult heart). Yeast two-hybrid, RING domain mutagenesis, Northern blot, FISH, transient transfection with subcellular localization The Journal of biological chemistry Medium 11283016
2020 TRIM63 (MuRF-1) functions as a RING-finger E3 ubiquitin ligase in striated muscle with dual roles: it promotes skeletal muscle atrophy by ubiquitinating myofibrillar substrates for proteasomal degradation, while playing a cardioprotective role in the heart. Its substrates include titin, troponin I, myosin heavy chain, and other sarcomeric proteins. TRIM63 localization includes the sarcomere M-line (via titin binding), the cytoplasm, and the nucleus. Review synthesizing in vitro ubiquitination assays, KO mouse studies, and biochemical fractionation/localization experiments from multiple studies International journal of molecular sciences High 32933049
2020 Biallelic (homozygous or compound heterozygous) loss-of-function variants in TRIM63 cause an autosomal-recessive form of hypertrophic cardiomyopathy (HCM) with concentric left ventricular hypertrophy. Heterozygous carriers were unaffected, establishing recessive inheritance. Clinical features included high rates of late gadolinium enhancement and ventricular tachycardia. Next-generation sequencing of 4867 HCM index cases, familial segregation analysis Heart (British Cardiac Society) Medium 32451364
2021 TRIM63 mRNA is highly and specifically expressed in MiT family aberration-associated renal cell carcinoma (MiTF-RCC) harboring TFE3 or TFEB gene rearrangements, compared to other RCC subtypes. RNA-ISH confirmed this expression pattern in 177 RCC cases, including TFE3 FISH false-negative cases with RBM10-TFE3 inversions. This establishes TRIM63 as a transcriptional target downstream of TFE3/TFEB fusion oncoproteins. RNAseq, RNA in situ hybridization (RNA-ISH), FISH validation in 177 clinical cases Modern pathology Medium 33854184

Source papers

Stage 0 corpus · 100 papers · ranked by NIH iCite citations
Year Title Journal Citations PMID
2005 Identification and characterization of MAVS, a mitochondrial antiviral signaling protein that activates NF-kappaB and IRF 3. Cell 2748 16125763
2001 IRF family of transcription factors as regulators of host defense. Annual review of immunology 1352 11244049
2008 The IRF family transcription factors in immunity and oncogenesis. Annual review of immunology 1038 18303999
2003 LPS-TLR4 signaling to IRF-3/7 and NF-kappaB involves the toll adapters TRAM and TRIF. The Journal of experimental medicine 929 14517278
2005 Integral role of IRF-5 in the gene induction programme activated by Toll-like receptors. Nature 804 15665823
1994 Requirement for transcription factor IRF-1 in NO synthase induction in macrophages. Science (New York, N.Y.) 754 7510419
1994 Cellular commitment to oncogene-induced transformation or apoptosis is dependent on the transcription factor IRF-1. Cell 476 8004672
1995 Pip, a novel IRF family member, is a lymphoid-specific, PU.1-dependent transcriptional activator. Genes & development 408 7797077
2007 Triggering the innate antiviral response through IRF-3 activation. The Journal of biological chemistry 384 17395583
2012 DNA-PK is a DNA sensor for IRF-3-dependent innate immunity. eLife 345 23251783
2012 Compensatory dendritic cell development mediated by BATF-IRF interactions. Nature 336 22992524
1998 Structure of IRF-1 with bound DNA reveals determinants of interferon regulation. Nature 335 9422515
2005 Negative regulation of Toll-like-receptor signaling by IRF-4. Proceedings of the National Academy of Sciences of the United States of America 331 16236719
2013 Specificity through cooperation: BATF-IRF interactions control immune-regulatory networks. Nature reviews. Immunology 308 23787991
2012 A genomic regulatory element that directs assembly and function of immune-specific AP-1-IRF complexes. Science (New York, N.Y.) 304 22983707
2012 Atrogin-1, MuRF-1, and sarcopenia. Endocrine 297 22815045
2002 On the role of IRF in host defense. Journal of interferon & cytokine research : the official journal of the International Society for Interferon and Cytokine Research 280 11846976
1998 Requirement for IRF-1 in the microenvironment supporting development of natural killer cells. Nature 276 9490414
1994 Involvement of the IRF-1 transcription factor in antiviral responses to interferons. Science (New York, N.Y.) 274 8009222
2005 MURF-1 and MURF-2 target a specific subset of myofibrillar proteins redundantly: towards understanding MURF-dependent muscle ubiquitination. Journal of molecular biology 252 15967462
2010 Viral apoptosis is induced by IRF-3-mediated activation of Bax. The EMBO journal 232 20360684
2002 Activities of IRF-1. Journal of interferon & cytokine research : the official journal of the International Society for Interferon and Cytokine Research 231 11846971
1998 Involvement of the IRF family transcription factor IRF-3 in virus-induced activation of the IFN-beta gene. FEBS letters 217 9541017
2007 Convergence of the NF-kappaB and IRF pathways in the regulation of the innate antiviral response. Cytokine & growth factor reviews 212 17706453
2000 Multiple regulatory domains control IRF-7 activity in response to virus infection. The Journal of biological chemistry 208 10893229
1999 Triggering the interferon response: the role of IRF-3 transcription factor. Journal of interferon & cytokine research : the official journal of the International Society for Interferon and Cytokine Research 204 10048763
2015 The role of E3 ubiquitin-ligases MuRF-1 and MAFbx in loss of skeletal muscle mass. Free radical biology & medicine 200 26738803
2003 Crystal structure of IRF-3 reveals mechanism of autoinhibition and virus-induced phosphoactivation. Nature structural biology 184 14555996
1998 Human herpesvirus 8 encodes an interferon regulatory factor (IRF) homolog that represses IRF-1-mediated transcription. Journal of virology 173 9420276
1999 Assembly requirements of PU.1-Pip (IRF-4) activator complexes: inhibiting function in vivo using fused dimers. The EMBO journal 160 10022840
2016 Structural basis for concerted recruitment and activation of IRF-3 by innate immune adaptor proteins. Proceedings of the National Academy of Sciences of the United States of America 154 27302953
2006 IRF family proteins and type I interferon induction in dendritic cells. Cell research 152 16474425
2003 X-ray crystal structure of IRF-3 and its functional implications. Nature structural biology 144 14555995
2004 Crystal structure of ATF-2/c-Jun and IRF-3 bound to the interferon-beta enhancer. The EMBO journal 142 15510218
2002 Enhancement and diversification of IFN induction by IRF-7-mediated positive feedback. Journal of interferon & cytokine research : the official journal of the International Society for Interferon and Cytokine Research 133 11846979
2002 Crystal structure of PU.1/IRF-4/DNA ternary complex. Molecular cell 132 12453417
2004 Tumor suppressor IRF-1 mediates retinoid and interferon anticancer signaling to death ligand TRAIL. The EMBO journal 122 15241475
2019 Direct Inhibition of IRF-Dependent Transcriptional Regulatory Mechanisms Associated With Disease. Frontiers in immunology 119 31178872
2015 NF-κB and IRF pathways: cross-regulation on target genes promoter level. BMC genomics 117 25888367
1995 Regulation of the interferon system and cell growth by the IRF transcription factors. Journal of cancer research and clinical oncology 114 7559730
2002 IRF-1 as a negative regulator of cell proliferation. Journal of interferon & cytokine research : the official journal of the International Society for Interferon and Cytokine Research 110 11846974
2020 MuRF1/TRIM63, Master Regulator of Muscle Mass. International journal of molecular sciences 109 32933049
2005 Immune cell-specific amplification of interferon signaling by the IRF-4/8-PU.1 complex. Journal of interferon & cytokine research : the official journal of the International Society for Interferon and Cytokine Research 107 16375605
2002 Abrogation of IRF-1 response by high-risk HPV E7 protein in vivo. Cancer letters 98 11888675
2002 ICSBP/IRF-8 retrovirus transduction rescues dendritic cell development in vitro. Blood 93 12393459
2007 IRF-3-dependent and augmented target genes during viral infection. Genes and immunity 92 18094709
2002 Structure and function of IRF-7. Journal of interferon & cytokine research : the official journal of the International Society for Interferon and Cytokine Research 91 11846980
2019 The Molecular Basis of Viral Inhibition of IRF- and STAT-Dependent Immune Responses. Frontiers in immunology 86 30671058
2017 Novel GM-CSF signals via IFN-γR/IRF-1 and AKT/mTOR license monocytes for suppressor function. Blood advances 85 29296736
2013 Role of autophagy, SQSTM1, SH3GLB1, and TRIM63 in the turnover of nicotinic acetylcholine receptors. Autophagy 84 24220501
2014 Does p.Q247X in TRIM63 cause human hypertrophic cardiomyopathy? Circulation research 83 24436435
2007 Molecular determinants for the recruitment of the ubiquitin-ligase MuRF-1 onto M-line titin. FASEB journal : official publication of the Federation of American Societies for Experimental Biology 83 17215480
2018 Cell fate in antiviral response arises in the crosstalk of IRF, NF-κB and JAK/STAT pathways. Nature communications 81 29402958
2002 Regulation of the IRF-1 tumour modifier during the response to genotoxic stress involves an ATM-dependent signalling pathway. Oncogene 81 12420214
2015 The Expression of BAFF Is Controlled by IRF Transcription Factors. Journal of immunology (Baltimore, Md. : 1950) 80 26590315
1998 Functional domains of interferon regulatory factor I (IRF-1). The Biochemical journal 79 9742224
1998 Cell cycle regulation of histone H4 gene transcription requires the oncogenic factor IRF-2. The Journal of biological chemistry 77 9417064
2000 Posttranslational regulation of IRF-4 activity by the immunophilin FKBP52. Immunity 75 10714679
2003 Kaposi's sarcoma-associated herpesvirus-encoded vIRF-3 stimulates the transcriptional activity of cellular IRF-3 and IRF-7. The Journal of biological chemistry 74 14668346
1999 A role for casein kinase II phosphorylation in the regulation of IRF-1 transcriptional activity. Molecular and cellular biochemistry 73 10094406
2008 IRF-5 is a mediator of the death receptor-induced apoptotic signaling pathway. The Journal of biological chemistry 70 19028697
2013 The roles of IRF-3 and IRF-7 in innate antiviral immunity against dengue virus. Journal of immunology (Baltimore, Md. : 1950) 69 24043884
2002 ICSBP/IRF-8 transactivation: a tale of protein-protein interaction. Journal of interferon & cytokine research : the official journal of the International Society for Interferon and Cytokine Research 66 11846986
2007 The role of the interferon regulatory factor (IRF) family in dendritic cell development and function. Cytokine & growth factor reviews 64 17702640
2006 Differential activation of IFN regulatory factor (IRF)-3 and IRF-5 transcription factors during viral infection. Journal of immunology (Baltimore, Md. : 1950) 63 16751392
2018 XAF1 forms a positive feedback loop with IRF-1 to drive apoptotic stress response and suppress tumorigenesis. Cell death & disease 62 30042418
2008 FOXA1 and IRF-1 intermediary transcriptional regulators of PPARgamma-induced urothelial cytodifferentiation. Cell death and differentiation 61 18688264
2002 The role of IRF-4 in transcriptional regulation. Journal of interferon & cytokine research : the official journal of the International Society for Interferon and Cytokine Research 61 11846983
2009 IRF-9/STAT2 [corrected] functional interaction drives retinoic acid-induced gene G expression independently of STAT1. Cancer research 59 19351818
2013 Phytoestrogens mediated anti-inflammatory effect through suppression of IRF-1 and pSTAT1 expressions in lipopolysaccharide-activated microglia. International immunopharmacology 58 23938252
2013 AP-1/IRF-3 Targeted Anti-Inflammatory Activity of Andrographolide Isolated from Andrographis paniculata. Evidence-based complementary and alternative medicine : eCAM 55 23840248
2006 Toll-like receptor signaling and IRF transcription factors. IUBMB life 54 16754320
2004 IFN-gamma enhances TRAIL-induced apoptosis through IRF-1. European journal of biochemistry 53 15511228
2014 SMAD3 augments FoxO3-induced MuRF-1 promoter activity in a DNA-binding-dependent manner. American journal of physiology. Cell physiology 50 24920680
2006 IRF-1 deficiency skews the differentiation of dendritic cells toward plasmacytoid and tolerogenic features. Journal of leukocyte biology 48 16966383
2003 IRF-1 reverts the transformed phenotype of oncogenically transformed cells in vitro and in vivo. Oncogene 48 12592391
1992 Distinct activation of murine interferon-alpha promoter region by IRF-1/ISFG-2 and virus infection. Nucleic acids research 48 1614874
2012 Unique contribution of IRF-5-Ikaros axis to the B-cell IgG2a response. Genes and immunity 46 22535200
2010 STAT1/IRF-1 signaling pathway mediates the injurious effect of interferon-gamma on oligodendrocyte progenitor cells. Glia 45 19606498
2022 Lipoxin A4 regulates M1/M2 macrophage polarization via FPR2-IRF pathway. Inflammopharmacology 44 35235107
2021 TRIM63 is a sensitive and specific biomarker for MiT family aberration-associated renal cell carcinoma. Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc 44 33854184
2018 Thymoquinone Suppresses IRF-3-Mediated Expression of Type I Interferons via Suppression of TBK1. International journal of molecular sciences 43 29751576
2002 IRF regulation of HIV-1 long terminal repeat activity. Journal of interferon & cytokine research : the official journal of the International Society for Interferon and Cytokine Research 42 11846973
2009 Structural and functional studies of an IRF-7-like gene from Atlantic salmon. Developmental and comparative immunology 41 18778729
2008 IRF-4 functions as a tumor suppressor in early B-cell development. Blood 41 18713947
2018 Zinc finger-IRF composite elements bound by Ikaros/IRF4 complexes function as gene repression in plasma cell. Blood advances 40 29669755
2018 IRF-1, RIG-I and MDA5 display potent antiviral activities against norovirus coordinately induced by different types of interferons. Antiviral research 40 29753657
2015 CCL7 and IRF-7 Mediate Hallmark Inflammatory and IFN Responses following Rhinovirus 1B Infection. Journal of immunology (Baltimore, Md. : 1950) 38 25847975
2000 A novel role for IRF-1 as a suppressor of apoptosis. Oncogene 38 11175354
1997 Expression of interferon regulatory factor (IRF) genes and response to interferon-alpha in chronic myeloid leukaemia. Leukemia 38 9204971
2020 Mutations in TRIM63 cause an autosomal-recessive form of hypertrophic cardiomyopathy. Heart (British Cardiac Society) 37 32451364
2025 Ionizable lipid nanoparticles of mRNA vaccines elicit NF-κB and IRF responses through toll-like receptor 4. NPJ vaccines 36 40246950
2006 Alternative splicing variants of IRF-1 lacking exons 7, 8, and 9 in cervical cancer. Biochemical and biophysical research communications 36 16857162
2001 A novel human striated muscle RING zinc finger protein, SMRZ, interacts with SMT3b via its RING domain. The Journal of biological chemistry 36 11283016
1999 Psoriatic keratinocytes show reduced IRF-1 and STAT-1alpha activation in response to gamma-IFN. FASEB journal : official publication of the Federation of American Societies for Experimental Biology 35 10064616
2022 Non-canonical NF-κB contributes to endothelial pyroptosis and atherogenesis dependent on IRF-1. Translational research : the journal of laboratory and clinical medicine 34 36384204
2014 Differentiation of neurons restricts Arbovirus replication and increases expression of the alpha isoform of IRF-7. Journal of virology 34 25320290
2009 IKKalpha negatively regulates IRF-5 function in a MyD88-TRAF6 pathway. Cellular signalling 33 19786094
2011 Interferon regulatory factor 4 (IRF-4) targets IRF-5 to regulate Epstein-Barr virus transformation. The Journal of biological chemistry 32 21454650
2016 Specificity and Function of IRF Family Transcription Factors: Insights from Genomics. Journal of interferon & cytokine research : the official journal of the International Society for Interferon and Cytokine Research 31 27379868