Evidence map›Paper›PMID 23129749›Full record

ArticleThe Journal of experimental medicine2012

Congenital B cell lymphocytosis explained by novel germline CARD11 mutations.

Andrew L Snow, Wenming Xiao, Jeffrey R Stinson, Wei Lu, Benjamin Chaigne-Delalande, Lixin Zheng, Stefania Pittaluga, Helen F Matthews, Roland Schmitz, Sameer Jhavar and 11 more

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in The Journal of experimental medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 110 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
110citing papers in PubMed, 1 pooled it
4.0field-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

110 citing papers in PubMed, 1 synthesis or guideline pooled it, 184 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. B-cell lymphocytosis and reprogramming due to biallelic CARD11 mutations.The Journal of allergy and clinical immunology · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. CARD11 signaling regulates CD8Nature immunology · 2025
    Article
  10. Review
  11. Article
  12. Identifying genetic errors of immunity due to mosaicism.The Journal of experimental medicine · 2025
    Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Understanding and Managing Hyper IgE Syndromes.ImmunoTargets and therapy · 2025
    Review
  18. Enforced CARD11/MALT1 signaling in dendritic cells triggers hemophagocytic lymphohistiocytosis.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  19. Article
  20. Article

50 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

21 authors at 9 institutions in 2 countries.

Andrew L SnowLymphocyte Molecular Genetics Unit, Laboratory of Immunology, National Institute of Allergy and Infectious Diseases, National Institutes of Health (NIH), Bethesda, MD 20892, USA. andrew.snow@usuhs.edu
Wenming Xiao
Jeffrey R Stinson
Wei Lu
Benjamin Chaigne-Delalande
Lixin Zheng
Stefania Pittaluga
Helen F Matthews
Roland Schmitz
Sameer Jhavar
Stefan Kuchen
Lela Kardava
Wei Wang
Ian T Lamborn
Huie Jing
Mark Raffeld
Susan Moir
Thomas A Fleisher
Louis M Staudt
Helen C Su
Michael J Lenardo
Laboratory of Molecular Genetics · PLNational Institutes of Health · USNational Cancer Institute · USCenter for Cancer Research · USNational Institute of Allergy and Infectious Diseases · USCenter for Information Technology · USNational Institute of Arthritis and Musculoskeletal and Skin Diseases · USNational Institutes of Health Clinical Center · USUniformed Services University of the Health Sciences · US

Funding

Molecular Diagnostics Core LaboratoryZICBC011079 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI XI, LIQIANG · 2009 to 2025
$33.8M
Role of B Lymphocytes In HIV Infection And PathogenesisZIAAI000825 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI MOIR, SUSAN · 2009 to 2025
$24.5M
Defining New Human Immunodeficiency and Immunodysregulation DisordersZIAAI001059 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI SU, HELEN CHUN-HUI · 2009 to 2025
$20.5M
Molecular Mechanisms Of The Autoimmune Lymphoproliferative Syndrome And Other Immunoregulatory DisordersZIAAI000769 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI SU, HELEN · 2009 to 2024
$16.7M
Molecular Mechanisms and Treatment Of Autoimmunity In Man And Animal ModelsZIAAI000717 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI SU, HELEN CHUN-HUI · 2009 to 2025
$13.2M
GENE REGULATORY EVENTS IN ESTABLISHING MATURE T CELL TOLERANCEZIAAI000566 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI SU, HELEN CHUN-HUI · 2009 to 2025
$11.4M
New Roles of Magnesium as a Regulatory Ion in Immune Responses and Cell Behavior ZIAAI001187 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI SU, HELEN · 2013 to 2024
$5.8M
Computational Tools For Bioinformatics And Genome AnalysisZIACT000260 · CIT · CENTER FOR INFORMATION TECHNOLOGY · PI POWELL, JOHN I · 2009 to 2015
$5.6M
Regulation of SIGNALLING PATHWAYS INVOLVING NUCLEAR FACTOR KAPPA BZIAAI000565 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI LENARDO, MICHAEL J · 2009 to 2022
$5.2M
Molecular Pathways of Programmed Cell Death And Viral CytopathicityZIAAI000718 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI SU, HELEN · 2009 to 2024
$4.5M
Mutation Analysis Of Selected Lymphoid Immune DisordersZIACL010304 · CLC · CLINICAL CENTER · PI ROSENZWEIG, SERGIO · 2009 to 2025
$0k
Intramural NIH HHS
6 · The paper itself

Abstract

Nuclear factor-κB (NF-κB) controls genes involved in normal lymphocyte functions, but constitutive NF-κB activation is often associated with B cell malignancy. Using high-throughput whole transcriptome sequencing, we investigated a unique family with hereditary polyclonal B cell lymphocytosis. We found a novel germline heterozygous missense mutation (E127G) in affected patients in the gene encoding CARD11, a scaffolding protein required for antigen receptor (AgR)-induced NF-κB activation in both B and T lymphocytes. We subsequently identified a second germline mutation (G116S) in an unrelated, phenotypically similar patient, confirming mutations in CARD11 drive disease. Like somatic, gain-of-function CARD11 mutations described in B cell lymphoma, these germline CARD11 mutants spontaneously aggregate and drive constitutive NF-κB activation. However, these CARD11 mutants rendered patient T cells less responsive to AgR-induced activation. By reexamining this rare genetic disorder first reported four decades ago, our findings provide new insight into why activating CARD11 mutations may induce B cell expansion and preferentially predispose to B cell malignancy without dramatically perturbing T cell homeostasis.

Indexed as

Base SequenceB-LymphocytesCARD Signaling Adaptor ProteinsCluster AnalysisEnzyme-Linked Immunosorbent AssayFlow CytometryGene Expression ProfilingGenetic Predisposition to DiseaseGerm-Line MutationGuanylate CyclaseHigh-Throughput Nucleotide SequencingHumansImmunoblottingLymphocytosisMicroscopy, ConfocalMolecular Sequence DataCARD11 protein, humanCARD Signaling Adaptor ProteinsGuanylate CyclaseNF-kappa B

Identifiers

PMID23129749
PMCPMC3501355
OpenAlexW2170852908

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.