Evidence map›Paper›PMID 22228567›Full record

ArticleJournal of clinical immunology2012

Clinical and genetic characteristics of XIAP deficiency in Japan.

Xi Yang, Hirokazu Kanegane, Naonori Nishida, Toshihiko Imamura, Kazuko Hamamoto, Ritsuko Miyashita, Kohsuke Imai, Shigeaki Nonoyama, Kazunori Sanayama, Akiko Yamaide and 7 more

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In one paragraph

Article in Journal of clinical immunology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% 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

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 96 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Monogenic disorders of the TNF signalling pathway.Nature reviews. Rheumatology · 2026
    Review
  4. Rapid flow cytometric diagnosis of XIAP deficiency.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Article
  5. Comprehensive flow cytometry-based diagnosis of XIAP deficiency.Clinical and experimental immunology · 2025
    Article
  6. Article
  7. Review
  8. Maternal Gonosomal Mosaicism Causes XIAP Deficiency.Journal of clinical immunology · 2023
    Article
  9. Article
  10. Review
  11. Article
  12. Regulation of Cell Death and Immunity by XIAP.Cold Spring Harbor perspectives in biology · 2020
    Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
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 13 institutions in 5 countries.

Xi YangDepartment of Pediatrics, Graduate School of Medicine, University of Toyama, 2630 Sugitani, Toyama, 930-0194, Japan.
Hirokazu Kanegane
Naonori Nishida
Toshihiko Imamura
Kazuko Hamamoto
Ritsuko Miyashita
Kohsuke Imai
Shigeaki Nonoyama
Kazunori Sanayama
Akiko Yamaide
Fumiyo Kato
Kozo Nagai
Eiichi Ishii
Menno C van Zelm
Sylvain Latour
Xiao-Dong Zhao
Toshio Miyawaki
University of Toyama · JPEhime University · JPNational Defense Medical College · JPChiba Hospital · JPChildren's Hospital of Chongqing Medical University · CNChongqing Medical University · CNErasmus University Rotterdam · NLHôpital Necker-Enfants Malades · FRJapanese Red Cross Hiroshima College of Nursing · JPJapanese Red Cross Narita Hospital · JPKyoto Prefectural University of Medicine · JPOtsu Municipal Hospital · JPTokyo Women's Medical University Adachi Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Deficiency of X-linked inhibitor of apoptosis (XIAP) caused by XIAP/BIRC4 gene mutations is an inherited immune defect recognized as X-linked lymphoproliferative syndrome type 2. This disease is mainly observed in patients with hemophagocytic lymphohistiocytosis (HLH) often associated with Epstein-Barr virus infection. We described nine Japanese patients from six unrelated families with XIAP deficiency and studied XIAP protein expression, XIAP gene analysis, invariant natural killer T (iNKT) cell counts, and the cytotoxic activity of CD8(+) alloantigen-specific cytotoxic T lymphocytes. Of the nine patients, eight patients presented with symptoms in infancy or early childhood. Five patients presented with recurrent HLH, one of whom had severe HLH and died after cord blood transplantation. One patient presented with colitis, as did another patient's maternal uncle, who died of colitis at 4 years of age prior to diagnosis with XIAP deficiency. Interestingly, a 17-year-old patient was asymptomatic, while his younger brother suffered from recurrent HLH and EBV infection. Seven out of eight patients showed decreased XIAP protein expression. iNKT cells from patients with XIAP deficiency were significantly decreased as compared with age-matched healthy controls. These results in our Japanese cohort are compatible with previous studies, confirming the clinical characteristics of XIAP deficiency.

Indexed as

AdolescentChildChild, PreschoolHumansInfantJapanLeukocytes, MononuclearLymphocyte CountLymphohistiocytosis, HemophagocyticLymphoproliferative DisordersMaleMutationNatural Killer T-CellsT-Lymphocytes, CytotoxicX-Linked Inhibitor of Apoptosis ProteinXIAP protein, humanX-Linked Inhibitor of Apoptosis Protein

Identifiers

PMID22228567
OpenAlexW2051989832

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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.