Evidence map›Paper›PMID 22197273›Full record

ArticleThe Journal of allergy and clinical immunology2012

CD27 deficiency is associated with combined immunodeficiency and persistent symptomatic EBV viremia.

Joris M van Montfrans, Andy I M Hoepelman, Sigrid Otto, Marielle van Gijn, Lisette van de Corput, Roel A de Weger, Linda Monaco-Shawver, Pinaki P Banerjee, Elisabeth A M Sanders, Cornelia M Jol-van der Zijde and 4 more

Open access · greenAbstract readCase Reports
In one paragraph

Article in The Journal of allergy and clinical immunology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 112 papers.

0numbers the graph read from it
0cells of the map it votes in
112citing papers in PubMed
5.9field-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

112 citing papers in PubMed, 215 citations in OpenAlex.

  1. Trial
  2. Immunodeficiency and EBV-induced lymphoproliferation caused by 4-1BB deficiency.The Journal of allergy and clinical immunology · 2019
    Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Inborn Errors of Immunity and Cytokine Storm Syndromes.Advances in experimental medicine and biology · 2024
    Review
  9. Cytokine Storm Syndromes Associated with Epstein-Barr Virus.Advances in experimental medicine and biology · 2024
    Review
  10. Genetics of Primary Hemophagocytic Lymphohistiocytosis.Advances in experimental medicine and biology · 2024
    Review
  11. CD27 on human memory B cells-more than just a surface marker.Clinical and experimental immunology · 2023
    Review
  12. When to suspect inborn errors of immunity in Epstein-Barr virus-related lymphoproliferative disorders.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2023
    Review
  13. Article
  14. Review
  15. Hemophagocytic LymphohistiocytosisBalkan medical journal · 2022
    Article
  16. Review
  17. Review
  18. Article
  19. Review
  20. Histiocytic disorders.Nature reviews. Disease primers · 2021
    Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 2 countries.

Joris M van MontfransDepartments of Pediatric Immunology and Infectious Diseases, Wilhelmina Children's Hospital/University Medical Center Utrecht, Utrecht, The Netherlands.
Andy I M Hoepelman
Sigrid Otto
Marielle van Gijn
Lisette van de Corput
Roel A de Weger
Linda Monaco-Shawver
Pinaki P Banerjee
Elisabeth A M Sanders
Cornelia M Jol-van der Zijde
Michael R Betts
Jordan S Orange
Andries C Bloem
Kiki Tesselaar
University Medical Center Utrecht · NLChildren's Hospital of Philadelphia · USUtrecht University · NLLeiden University Medical Center · NLUniversity of Pennsylvania · US

Funding

Directing Function at the Natural Killer Cell Secretory Immunological SynapseR01AI067946 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ORANGE, JORDAN SCOTT · 2007 to 2019
$4.8M
T cell functionality and control of HIV infectionR01AI076066 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI BETTS, MICHAEL R · 2008 to 2017
$4.6M
Directing Function at the Natural Killer Cell Secretory Immunological SynapseR37AI067946 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Jordan Scott Orange · 2024 to 2026
$1.5M
Directing Function at the Natural Killer Cell Secretory Immunological SynapseR56AI067946 · NIAID · CHILDREN'S HOSP OF PHILADELPHIA · PI ORANGE, JORDAN SCOTT · 2011 to 2011
$335k
NIAID NIH HHS AI-067946NIAID NIH HHS R01 AI067946NIAID NIH HHS R01 AI076066NIAID NIH HHS R01AI076066NIAID NIH HHS R37 AI067946NIAID NIH HHS R56 AI067946
6 · The paper itself

Abstract

backgroundCD27 is a lymphocyte costimulatory molecule that regulates T-cell, natural killer (NK) cell, B-cell, and plasma cell function, survival, and differentiation. On the basis of its function and expression pattern, we considered CD27 a candidate gene in patients with hypogammaglobulinemia.

objectiveWe sought to describe the clinical and immunologic phenotypes of patients with genetic CD27 deficiency.

methodsA molecular and extended immunologic analysis was performed on 2 patients lacking CD27 expression.

resultsWe identified 2 brothers with a homozygous mutation in CD27 leading to absence of CD27 expression. Both patients had persistent symptomatic EBV viremia. The index patient was hypogammaglobulinemic, and immunoglobulin replacement therapy was initiated. His brother had aplastic anemia in the course of his EBV infection and died from fulminant gram-positive bacterial sepsis. Immunologically, lack of CD27 expression was associated with impaired T cell-dependent B-cell responses and T-cell dysfunction.

conclusionOur findings identify a role for CD27 in human subjects and suggest that this deficiency can explain particular cases of persistent symptomatic EBV viremia with hypogammaglobulinemia and impaired T cell-dependent antibody generation.

Indexed as

AgammaglobulinemiaAnemia, AplasticB-LymphocytesCells, CulturedConsanguinityEpstein-Barr Virus InfectionsFatal OutcomeGram-Positive Bacterial InfectionsHerpesvirus 4, HumanHumansImmunity, HumoralMaleMutationPedigreeSevere Combined ImmunodeficiencySiblingsTumor Necrosis Factor Receptor Superfamily, Member 7

Identifiers

PMID22197273
PMCPMC3294016
OpenAlexW2165051502

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.