Evidence map›Paper›PMID 23380217›Full record

ArticleThe Journal of allergy and clinical immunology2013

Defective actin accumulation impairs human natural killer cell function in patients with dedicator of cytokinesis 8 deficiency.

Melissa C Mizesko, Pinaki P Banerjee, Linda Monaco-Shawver, Emily M Mace, William E Bernal, Julie Sawalle-Belohradsky, Bernd H Belohradsky, Valerie Heinz, Alexandra F Freeman, Kathleen E Sullivan and 9 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 1 pooled it
7.6field-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

82 citing papers in PubMed, 1 synthesis or guideline pooled it, 130 citations in OpenAlex.

  1. Monogenic etiologies of persistent human papillomavirus infections: A comprehensive systematic review.Genetics in medicine : official journal of the American College of Medical Genetics · 2024
    Pooled it
  2. Article
  3. Article
  4. Review
  5. DOCK8 in immune cells: roles and mechanisms.Frontiers in immunology · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Role of DOCK8 in cytokine storm syndromes.The Journal of allergy and clinical immunology · 2025
    Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article

22 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

19 authors at 7 institutions in 3 countries.

Melissa C MizeskoBaylor College of Medicine, Houston, TX 77030-2399, USA.
Pinaki P Banerjee
Linda Monaco-Shawver
Emily M Mace
William E Bernal
Julie Sawalle-Belohradsky
Bernd H Belohradsky
Valerie Heinz
Alexandra F Freeman
Kathleen E Sullivan
Steven M Holland
Troy R Torgerson
Waleed Al-Herz
Janet Chou
Imelda C Hanson
Michael H Albert
Raif S Geha
Ellen D Renner
Jordan S Orange
Baylor College of Medicine · USLudwig-Maximilians-Universität München · DEChildren's Hospital of Philadelphia · USBoston Children's Hospital · USNational Institutes of Health · USKuwait University · KWSeattle Children's Hospital · US

Funding

Role of TACI mutations in CVIDP01AI076210 · NIAID · BETH ISRAEL DEACONESS MEDICAL CENTER · PI TERHORST, CORNELIS P · 2009 to 2013
$9.0M
Directing Function at the Natural Killer Cell Secretory Immunological SynapseR01AI067946 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ORANGE, JORDAN SCOTT · 2007 to 2019
$4.8M
Role of DOCK8 in B Cell FunctionR01AI100315 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI GEHA, RAIF SALIM · 2013 to 2017
$2.2M
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
Combined SNP analysis and whole genome sequencing to discover immunodeficiency geR03AI094017 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI GEHA, RAIF SALIM · 2011 to 2012
$174k
NIAID NIH HHS 5P01AI076210-04NIAID NIH HHS 5R03AI094017-02NIAID NIH HHS P01 AI076210NIAID NIH HHS R01 AI067946NIAID NIH HHS R01 AI100315NIAID NIH HHS R03 AI094017NIAID NIH HHS R37 AI067946NIAID NIH HHS R56 AI067946PHS HHS R01067946
6 · The paper itself

Abstract

backgroundDedicator of cytokinesis 8 (DOCK8) mutations are responsible for a rare primary combined immunodeficiency syndrome associated with severe cutaneous viral infections, increased IgE levels, autoimmunity, and malignancy. Natural killer (NK) cells are essential for tumor surveillance and defense against virally infected cells. NK cell function relies on Wiskott-Aldrich syndrome protein for filamentous actin (F-actin) accumulation at the lytic NK cell immunologic synapse. DOCK8 activates cell division cycle 42, which, together with Wiskott-Aldrich syndrome protein, coordinates F-actin reorganization. Although abnormalities in T- and B-cell function have been described in DOCK8-deficient patients, the role of NK cells in this disease is unclear.

objectivesWe sought to understand the role of DOCK8 in NK cell function to determine whether NK cell abnormalities explain the pathogenesis of the clinical syndrome of DOCK8 deficiency.

methodsA cohort of DOCK8-deficient patients was assembled, and patients' NK cells, as well as NK cell lines with stably reduced DOCK8 expression, were studied. NK cell cytotoxicity, F-actin content, and lytic immunologic synapse formation were measured.

resultsDOCK8-deficient patients' NK cells and DOCK8 knockdown cell lines all had decreased NK cell cytotoxicity, which could not be restored after IL-2 stimulation. Importantly, DOCK8 deficiency impaired F-actin accumulation at the lytic immunologic synapse without affecting overall NK cell F-actin content.

conclusionsDOCK8 deficiency results in severely impaired NK cell function because of an inability to form a mature lytic immunologic synapse through targeted synaptic F-actin accumulation. This defect might underlie and explain important attributes of the DOCK8 deficiency clinical syndrome, including the unusual susceptibility to viral infection and malignancy.

Indexed as

ActinsAdolescentAdultChildChild, PreschoolFemaleGuanine Nucleotide Exchange FactorsHumansImmunologic Deficiency SyndromesInfantK562 CellsKiller Cells, NaturalMaleActinsDOCK8 protein, humanGuanine Nucleotide Exchange Factors

Identifiers

PMID23380217
PMCPMC3646579
OpenAlexW2158792709

What OpenQuestion holds

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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.