Evidence map›Paper›PMID 17761833›Full record

ArticleBlood2007

Mutations of the ELA2 gene found in patients with severe congenital neutropenia induce the unfolded protein response and cellular apoptosis.

David S Grenda, Mark Murakami, Jhuma Ghatak, Jun Xia, Laurence A Boxer, David Dale, Mary C Dinauer, Daniel C Link

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 90 papers.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed
6.9field-weighted citation impact, top 3% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

90 citing papers in PubMed, 204 citations in OpenAlex.

  1. Trial
  2. Genetic influences on haematopoiesis.Nature reviews. Genetics · 2026
    Review
  3. Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Cyclic neutropenia: a case report and literature review.American journal of translational research · 2025
    Article
  10. Article
  11. Article
  12. CRISPR-Cas9n-mediated ELANE promoter editing for gene therapy of severe congenital neutropenia.Molecular therapy : the journal of the American Society of Gene Therapy · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

30 more citing papers are in PubMed but not listed here.

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

8 authors at 4 institutions in 1 country.

David S GrendaDivision of Oncology, Washington University School of Medicine, St Louis, MO 63110, USA.
Mark Murakami
Jhuma Ghatak
Jun Xia
Laurence A Boxer
David Dale
Mary C Dinauer
Daniel C Link
Washington University in St. Louis · USC. S. Mott Children's Hospital · USIndiana University School of MedicineUniversity of Washington · US

Funding

Specimen Acquistition and Expression ProfilingP01CA101937 · NCI · WASHINGTON UNIVERSITY · PI LEY, TIMOTHY J. · 2003 to 2023
$58.8M
PRE-AND POSTGRADUATE TRAINING IN MOLECULAR HEMATOLOGYT32HL007088 · NHLBI · WASHINGTON UNIVERSITY · PI Grant Anthony Challen, Stephen Oh · 1985 to 2026
$14.1M
Molecular Pathogenesis of Severe Congential NeutropeniaR01HL079562 · NHLBI · WASHINGTON UNIVERSITY · PI LINK, DANIEL C · 2004 to 2008
$1.7M
NCI NIH HHS P01 CA101937NHLBI NIH HHS R01 HL079562NHLBI NIH HHS T32 HL007088NHLBI NIH HHS T32 HL07088-23
6 · The paper itself

Abstract

Severe congenital neutropenia (SCN) is an inborn disorder of granulopoiesis. Mutations of the ELA2 gene encoding neutrophil elastase (NE) are responsible for most cases of SCN and cyclic neutropenia (CN), a related but milder disorder of granulopoiesis. However, the mechanisms by which these mutations disrupt granulopoiesis are unclear. We hypothesize that the ELA2 mutations result in the production of misfolded NE protein, activation of the unfolded protein response (UPR), and ultimately apoptosis of granulocytic precursors. Expression of mutant NE but not wild-type NE strongly induced BiP/GRP78 mRNA expression and XBP1 mRNA splicing, 2 classic markers of the UPR. The magnitude of UPR activation by a specific ELA2 mutation correlated with its associated clinical phenotype. Consistent with the UPR model, expression of mutant NE in primary human granulocytic precursors increased expression of CHOP (DDITS) and induced apoptosis in a protease-independent fashion. Most strikingly, UPR activation and decreased NE protein expression were detected in primary granulocytic precursors from SCN patients. Collectively, these data provide strong support for a UPR model of SCN disease pathogenesis and place SCN in a growing list of human diseases caused by misfolded proteins.

Indexed as

ApoptosisMutationEndoplasmic Reticulum Chaperone BiPGranulocyte Precursor CellsHumansLeukocyte ElastaseMyelopoiesisNeutropeniaProtein DenaturationProtein FoldingEndoplasmic Reticulum Chaperone BiPHSPA5 protein, humanLeukocyte Elastase

Identifiers

PMID17761833
PMCPMC2234798
OpenAlexW2013747965

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.