Evidence map›Paper›PMID 21490157›Full record

ArticleJournal of immunology (Baltimore, Md. : 1950)2011

FAS haploinsufficiency is a common disease mechanism in the human autoimmune lymphoproliferative syndrome.

Hye Sun Kuehn, Iusta Caminha, Julie E Niemela, V Koneti Rao, Joie Davis, Thomas A Fleisher, João B Oliveira

Open access · bronzeAbstract read
In one paragraph

Article in Journal of immunology (Baltimore, Md. : 1950), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

33 citing papers in PubMed, 70 citations in OpenAlex.

  1. Trial
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  9. Nature and nurture: understanding phenotypic variation in inborn errors of immunity.Frontiers in cellular and infection microbiology · 2023
    Review
  10. Article
  11. Article
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  14. Case report: Effectiveness of sirolimus in aFrontiers in pediatrics · 2022
    Article
  15. Article
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  17. Review
  18. A novelBlood advances · 2018
    Article
  19. Distinct subtypes of genomicMolecular cytogenetics · 2018
    Article
  20. Review
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

7 authors at 2 institutions in 1 country.

Hye Sun KuehnDepartment of Laboratory Medicine, Clinical Center, National Institutes of Health, Bethesda, MD 20814, USA.
Iusta Caminha
Julie E Niemela
V Koneti Rao
Joie Davis
Thomas A Fleisher
João B Oliveira
National Institutes of Health Clinical Center · USNational Institute of Allergy and Infectious Diseases · US

Funding

Clinical, Immunological and Genetic Analyses of ALPS and Related Immunedysregulatory DisordersZIAAI000732 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI RAO, V KONETI · 2009 to 2025
$10.5M
Immune Evaluation in Patients with Autoimmune Lymphoproliferative SyndromeZIACL010287 · CLC · CLINICAL CENTER · PI FLEISHER, THOMAS A · 2009 to 2015
$0k
Intramural NIH HHS Z99 CL999999
6 · The paper itself

Abstract

The autoimmune lymphoproliferative syndrome (ALPS) is characterized by early-onset lymphadenopathy, splenomegaly, immune cytopenias, and an increased risk for B cell lymphomas. Most ALPS patients harbor mutations in the FAS gene, which regulates lymphocyte apoptosis. These are commonly missense mutations affecting the intracellular region of the protein and have a dominant-negative effect on the signaling pathway. However, analysis of a large cohort of ALPS patients revealed that ∼30% have mutations affecting the extracellular region of FAS, and among these, 70% are nonsense, splice site, or insertions/deletions with frameshift for which no dominant-negative effect would be expected. We evaluated the latter patients to understand the mechanism(s) by which these mutations disrupted the FAS pathway and resulted in clinical disease. We demonstrated that most extracellular-region FAS mutations induce low FAS expression due to nonsense-mediated RNA decay or protein instability, resulting in defective death-inducing signaling complex formation and impaired apoptosis, although to a lesser extent as compared with intracellular mutations. The apoptosis defect could be corrected by FAS overexpression in vitro. Our findings define haploinsufficiency as a common disease mechanism in ALPS patients with extracellular FAS mutations.

Indexed as

ApoptosisHaploinsufficiencySignal TransductionAutoimmune Lymphoproliferative SyndromeB-LymphocytesCells, Culturedfas ReceptorFrameshift MutationHumansMutation, MissensePolymerase Chain ReactionRNA StabilityFAS protein, humanfas Receptor

Identifiers

PMID21490157
PMCPMC3725553
OpenAlexW2160688015

What OpenQuestion holds

Textmetadata
LicenceTDM
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.