Evidence map›Paper›PMID 21497890›Full record

ArticleThe Journal of allergy and clinical immunology2011

Genome-wide association identifies diverse causes of common variable immunodeficiency.

Jordan S Orange, Joseph T Glessner, Elena Resnick, Kathleen E Sullivan, Mary Lucas, Berne Ferry, Cecilia E Kim, Cuiping Hou, Fengxiang Wang, Rosetta Chiavacci and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 96 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
96citing papers in PubMed, 2 pooled it
7.3field-weighted citation impact, top 2% 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

96 citing papers in PubMed, 2 syntheses or guidelines pooled it, 190 citations in OpenAlex.

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  20. Innate Mechanisms in Selective IgA Deficiency.Frontiers in immunology · 2021
    Review

36 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

17 authors at 8 institutions in 3 countries.

Jordan S OrangeDivision of Allergy and Immunology, Children's Hospital of Philadelphia Research Institute, Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Joseph T Glessner
Elena Resnick
Kathleen E Sullivan
Mary Lucas
Berne Ferry
Cecilia E Kim
Cuiping Hou
Fengxiang Wang
Rosetta Chiavacci
Subra Kugathasan
John W Sleasman
Robert Baldassano
Elena E Perez
Helen Chapel
Charlotte Cunningham-Rundles
Hakon Hakonarson
Children's Hospital of Philadelphia · USIcahn School of Medicine at Mount Sinai · USJohn Radcliffe Hospital · GBUniversity of South Florida St. Petersburg · USEmory University · USPhiladelphia University · USUniversity of Oxford · GBUniversity of Pennsylvania · US

Funding

Regulation of IgA class switching in the intestinal mucosaP01AI061093 · NIAID · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI CUNNINGHAM-RUNDLES, CHARLOTTE · 2004 to 2021
$29.8M
TARGETING PRIMARY IMMUNODEFICIENCY AMONG MINORITIESR18AI048693 · NIAID · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI CUNNINGHAM-RUNDLES, CHARLOTTE · 2000 to 2016
$6.2M
The mechanism of NK cell defects in human NEMO deficiencyR21AI079731 · NIAID · CHILDREN'S HOSP OF PHILADELPHIA · PI ORANGE, JORDAN SCOTT · 2008 to 2009
$439k
Exposporium determinants of Bacillus anthracisR21AI101093 · NIAID · UNIVERSITY OF MISSOURI-COLUMBIA · PI STEWART, GEORGE C. · 2012 to 2013
$390k
Uncovering co-stimulatory T cell help defects in common variable immunodeficiencyR03AI083904 · NIAID · UNIVERSITY OF SOUTH FLORIDA · PI PEREZ, ELENA E · 2009 to 2010
$146k
NIAID NIH HHS 5R03AI083904NIAID NIH HHS AI-079731NIAID NIH HHS AI-101093NIAID NIH HHS AI-467320NIAID NIH HHS AI-48693NIAID NIH HHS P01 AI061093NIAID NIH HHS R03 AI083904NIAID NIH HHS R18 AI048693NIAID NIH HHS R21 AI079731NIAID NIH HHS R21 AI101093
6 · The paper itself

Abstract

backgroundCommon variable immunodeficiency (CVID) is a heterogeneous immune defect characterized by hypogammaglobulinemia, failure of specific antibody production, susceptibility to infections, and an array of comorbidities.

objectiveTo address the underlying immunopathogenesis of CVID and comorbidities, we conducted the first genome-wide association and gene copy number variation (CNV) study in patients with CVID.

methodsThree hundred sixty-three patients with CVID from 4 study sites were genotyped with 610,000 single nucleotide polymorphisms (SNPs). Patients were divided into a discovery cohort of 179 cases in comparison with 1,917 control subjects and a replication cohort of 109 cases and 1,114 control subjects.

resultsOur analyses detected strong association with the MHC region and association with a disintegrin and metalloproteinase (ADAM) genes (P combined = 1.96 × 10(-7)) replicated in the independent cohort. CNV analysis defined 16 disease-associated deletions and duplications, including duplication of origin recognition complex 4L (ORC4L) that was unique to 15 cases (P = 8.66 × 10(-16)), as well as numerous unique rare intraexonic deletions and duplications suggesting multiple novel genetic causes of CVID. Furthermore, the 1,000 most significant SNPs were strongly predictive of the CVID phenotype by using a Support Vector Machine algorithm with positive and negative predictive values of 1.0 and 0.957, respectively.

conclusionOur integrative genome-wide analysis of SNP genotypes and CNVs has uncovered multiple novel susceptibility loci for CVID, both common and rare, which is consistent with the highly heterogeneous nature of CVID. These results provide new mechanistic insights into immunopathogenesis based on these unique genetic variations and might allow for improved diagnosis of CVID based on accurate prediction of the CVID clinical phenotypes by using our Support Vector Machine model.

Indexed as

AlgorithmsArtificial IntelligenceCase-Control StudiesCohort StudiesCommon Variable ImmunodeficiencyDNA Copy Number VariationsGene FrequencyGenetic Predisposition to DiseaseGenome-Wide Association StudyHumansPolymorphism, Single Nucleotide

Identifiers

PMID21497890
PMCPMC3646656
OpenAlexW2055413966

What OpenQuestion holds

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Registered trials

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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.