Evidence map›Paper›PMID 20489056›Full record

ArticleBlood2010

Hypomorphic Rag mutations can cause destructive midline granulomatous disease.

Suk See De Ravin, Edward W Cowen, Kol A Zarember, Narda L Whiting-Theobald, Douglas B Kuhns, Netanya G Sandler, Daniel C Douek, Stefania Pittaluga, Pietro L Poliani, Yu Nee Lee and 9 more

Registry-linked trialAbstract readCase Reports
In one paragraph

Article in Blood, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00128973 (Screening and Baseline Assessment of Patients With Abnormalities of Immune Function), which is not on this map. Cited by 76 papers.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed
4.3field-weighted citation impact, top 5% 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.

NCT00128973 recruitingnot on this map

Screening and Baseline Assessment of Patients With Abnormalities of Immune Function

TypeobservationalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2005Enrolled3,500ConditionsChronic Granulomatous Disease (CGD), X-Linked Severe Combined Immune Deficiency (XSCID), Leukocyte Adhesion Deficiency 1 (LAD), Graft Versus Host Disease (cGvHD)
3 · Its place in the literature

Who cites it

76 citing papers in PubMed, 127 citations in OpenAlex.

  1. Article
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  5. A sensitive assay for measuring whole-blood responses to type I IFNs.Proceedings of the National Academy of Sciences of the United States of America · 2024
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16 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

19 authors at 10 institutions in 3 countries.

Suk See De RavinLaboratory of Host Defenses, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USA. sderavin@niaid.nih.gov
Edward W Cowen
Kol A Zarember
Narda L Whiting-Theobald
Douglas B Kuhns
Netanya G Sandler
Daniel C Douek
Stefania Pittaluga
Pietro L Poliani
Yu Nee Lee
Luigi D Notarangelo
Lei Wang
Frederick W Alt
Elizabeth M Kang
Joshua D Milner
Julie E Niemela
Mary Fontana-Penn
Sara H Sinal
Harry L Malech
National Institute of Allergy and Infectious Diseases · USBoston Children's Hospital · USInstitut de Recherche Vaccinale · FRWake Forest University · USHarvard University · USNational Cancer Institute · USNational Institutes of Health · USNational Institutes of Health Clinical Center · USScience Applications International Corporation (United States) · USUniversity of Brescia · IT

Funding

Development and conduct of allogeneic stem cell transplant and autologous stem cell gene therapy for inherited immune deficienciesZIAAI000989 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI KANG, ELIZABETH · 2009 to 2025
$12.4M
Development and Clinical Application of Gene and Cell therapies for Patients with Immune DeficienciesZIAAI000645 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI DE RAVIN, SUK SEE · 2009 to 2025
$10.1M
Dermatology Consultation ServiceZIDBC011317 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI COWEN, EDWARD · 2010 to 2021
$6.4M
InflammationZIAAI005031 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI DOUEK, DANIEL CESAR · 2009 to 2024
$5.9M
Gene Therapy Clinical Trials for X-linked Severe Combined ImmunodeficiencyZIAAI000992 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI DE RAVIN, SUK · 2009 to 2019
$4.1M
T-Cell Receptor Repertoires in Immune Regulation and ResponseZIAAI001099 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI MILNER, JOSHUA · 2009 to 2016
$3.4M
Intramural NIH HHSNCI NIH HHS N01 CO012400NCI NIH HHS N01-CO-12400
6 · The paper itself

Abstract

Destructive midline granulomatous disease characterized by necrotizing granulomas of the head and neck is most commonly caused by Wegener granulomatosis, natural killer/T-cell lymphomas, cocaine abuse, or infections. An adolescent patient with myasthenia gravis treated with thymectomy subsequently developed extensive granulomatous destruction of midface structures, palate, nasal septum, airways, and epiglottis. His lymphocyte numbers, total immunoglobulin G level, and T-cell receptor (TCR) repertoire appeared normal. Sequencing of Recombination activating gene-1 (Rag1) showed compound heterozygous Rag1 mutations; a novel deletion with no recombinase activity and a missense mutation resulting in 50% Rag activity. His thymus was dysplastic and, although not depleted of T cells, showed a notable absence of autoimmune regulator (AIRE) and Foxp3(+) regulatory T cells. This distinct Rag-deficient phenotype characterized by immune dysregulation with granulomatous hyperinflammation and autoimmunity, with relatively normal T and B lymphocyte numbers and a diverse TCR repertoire expands the spectrum of presentation in Rag deficiency. This study was registered at www.clinicaltrials.gov as #NCT00128973.

Indexed as

AdolescentAIRE ProteinAnimalsCells, CulturedForkhead Transcription FactorsGene RearrangementGenes, ImmunoglobulinGranulomatous Disease, ChronicHomeodomain ProteinsHumansImmunoglobulin GImmunophenotypingLymphocytesMaleMiceMutation, MissenseAIRE ProteinForkhead Transcription FactorsFOXP3 protein, humanHomeodomain ProteinsImmunoglobulin GRAG-1 proteinRecombinasesTranscription Factors

Identifiers

PMID20489056
PMCPMC2938237
OpenAlexW2097615268

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.