Evidence map›Paper›PMID 10337025›Full record

ArticleClinical and experimental immunology1999

Treatment of idiopathic CD4 T lymphocytopenia with IL-2.

C Cunningham-Rundles, H W Murray, J P Smith

Registry-linked trialOpen access · bronzeAbstract readCase Reports
In one paragraph

Article in Clinical and experimental immunology, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00001319 (Evaluation of the Epidemiology, Clinical Manifestations, Etiologies, and Immunology of Human Immunodeficiency Virus), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.4field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00001319 completednot on this map

Evaluation of the Epidemiology, Clinical Manifestations, Etiologies, and Immunology of Human Immunodeficiency Virus (HIV) Negative CD4 T Lymphocyte Deficient Patients

TypeobservationalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran1992 to 2003Enrolled100ConditionsCD4 Lymphocytopenia, Idiopathic CD4 Positive T Lymphocytopenia
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 64 citations in OpenAlex.

  1. Article
  2. Article
  3. Idiopathic CD4 lymphocytopenia: Pathogenesis, etiologies, clinical presentations and treatment strategies.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2017
    Article
  4. Article
  5. A rare case of idiopathic cluster of differentiation 4(+) T-cell lymphocytopenia presenting with disseminated tubercular infection.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2015
    Article
  6. Article
  7. PCP: thinking beyond HIV.BMJ case reports · 2013
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Use of cytokine therapy in primary immunodeficiency.Clinical reviews in allergy & immunology · 2010
    Review
  14. Article
  15. Idiopathic CD4+ T-cell lymphocytopenia.Indian journal of pediatrics · 2009
    Article
  16. Article
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

C Cunningham-RundlesDepartment of Medicine, Mount Sinai School of Medicine, Division of Clinical Immunology, New York City, NY 10029, USA. ccunnin@smtplink.mssm.edu
H W Murray
J P Smith
Cornell University · USIcahn School of Medicine at Mount Sinai · US

Funding

EFFECTS OF PEG-IL-2 IN PRIMARY IMMUNODEFICIENCY DISEASER03CA053341 · NCI · MOUNT SINAI SCHOOL OF MEDICINE OF CUNY · PI CUNNINGHAM-RUNDLES, CHARLOTTE · 1990 to 1991
–
NCI NIH HHS CA 53341
6 · The paper itself

Abstract

Idiopathic CD4 T lymphocytopenia (ICL) is an unusual immune defect in which there is an unexplained deficit of CD4 T cells, leading to fungal, parasitic or other serious opportunistic infections. Current treatment efforts are directed at eliminating infections. Here we describe the use of a novel treatment, subcutaneous polyethylene glycol (PEG)-IL-2 injections, in a woman with this disorder, who had chronic severe mycobacterial disease which led to repeated hospitalizations, and advancing respiratory insufficiency. For this patient, PEG-IL-2, 50 000 U/m2, has been given by weekly subcutaneous injections for 5.5 years. This treatment has resulted in marked (and still continuing) long-term immunological improvement with normalized T cell functions and increased CD4 cell numbers. She has had substantial clinical improvement with clearing of mycobacterial disease, reducing hospitalizations and improved lung functions. The improvement seen in this patient suggests that low-dose IL-2 is a safe and practical therapy, which might be useful in other subjects with this potentially serious immune defect.

Indexed as

AgedCD4-Positive T-LymphocytesFemaleHumansInterleukin-2Lymphocyte ActivationLymphopeniaPolyethylene GlycolsInterleukin-2interleukin-2, polyethylene glycol-modifiedPolyethylene Glycols

Identifiers

PMID10337025
PMCPMC1905283
OpenAlexW2069986274

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.