OBJECTIVES: To evaluate the functional impact of a novel METHODS: Whole-exome sequencing was performed on affected patients and findings were confirmed using Sanger sequencing in family members. DNASE1L3 protein expression, secretion and enzymatic activity were assessed in HEK293 cell lines. Plasma smear assay for neutrophil extracellular traps (NETs) was evaluated in patients, family members and healthy control. RESULTS: A total of seven patients diagnosed with both SLE and HUV were identified from three unrelated families. All affected individuals were found to carry a homozygous c.572A>
G, p.Asn191Ser (191S) variant in CONCLUSIONS: We functionally evaluated the effect of a novel