Evidence map›Paper›PMID 23440042›Full record

ArticleThe Journal of experimental medicine2013

Loss-of-function mutations in the IL-21 receptor gene cause a primary immunodeficiency syndrome.

Daniel Kotlarz, Natalia Ziętara, Gulbu Uzel, Thomas Weidemann, Christian J Braun, Jana Diestelhorst, Peter M Krawitz, Peter N Robinson, Jochen Hecht, Jacek Puchałka and 16 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of experimental medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 104 papers.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed
13.1field-weighted citation impact, top 1% 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

104 citing papers in PubMed, 214 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. The Th17/IL-17 Axis and Host Defense Against Fungal Infections.The journal of allergy and clinical immunology. In practice · 2023
    Review
  17. Inherited human ZNF341 deficiency.Current opinion in immunology · 2023
    Review
  18. Review
  19. Article
  20. Article

44 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

26 authors at 14 institutions in 3 countries.

Daniel KotlarzDepartment of Pediatric Hematology/Oncology, Hannover Medical School, 30625 Hannover, Germany.
Natalia Ziętara
Gulbu Uzel
Thomas Weidemann
Christian J Braun
Jana Diestelhorst
Peter M Krawitz
Peter N Robinson
Jochen Hecht
Jacek Puchałka
E Michael Gertz
Alejandro A Schäffer
Monica G Lawrence
Lela Kardava
Dietmar Pfeifer
Ulrich Baumann
Eva-Doreen Pfister
Eric P Hanson
Axel Schambach
Roland Jacobs
Hans Kreipe
Susan Moir
Joshua D Milner
Petra Schwille
Stefan Mundlos
Christoph Klein
Center for Rheumatology · USOrganogenesis (United States) · USMedizinische Hochschule Hannover · DECharité - Universitätsmedizin Berlin · DELudwig-Maximilians-Universität München · DETU Dresden · DEBerlin-Brandenburger Centrum für Regenerative Therapien · DEMaryland Oncology Hematology · USMax Planck Institute for Molecular Genetics · DENational Center for Biotechnology Information · USNational Institute of Allergy and Infectious Diseases · USNational Institute of Arthritis and Musculoskeletal and Skin Diseases · USUniversity Clinic of Pulmonary and Allergic Diseases Golnik · SIUniversity Medical Center Freiburg · DE

Funding

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
Genetic and Pathophysiologic Study of Atopic DiseaseZIAAI001183 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI MILNER, JOSHUA · 2013 to 2019
$8.7M
Genetic disorders of immunodeficiency and inflammatory diseaseZIAAR041187 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI HANSON, ERIC · 2010 to 2018
$5.3M
Case Studies In GeneticsZIALM000097 · NLM · NATIONAL LIBRARY OF MEDICINE · PI SCHAFFER, ALEJANDRO A · 2009 to 2019
$4.6M
Intramural NIH HHS
6 · The paper itself

Abstract

Primary immunodeficiencies (PIDs) represent exquisite models for studying mechanisms of human host defense. In this study, we report on two unrelated kindreds, with two patients each, who had cryptosporidial infections associated with chronic cholangitis and liver disease. Using exome and candidate gene sequencing, we identified two distinct homozygous loss-of-function mutations in the interleukin-21 receptor gene (IL21R; c.G602T, p.Arg201Leu and c.240_245delCTGCCA, p.C81_H82del). The IL-21R(Arg201Leu) mutation causes aberrant trafficking of the IL-21R to the plasma membrane, abrogates IL-21 ligand binding, and leads to defective phosphorylation of signal transducer and activator of transcription 1 (STAT1), STAT3, and STAT5. We observed impaired IL-21-induced proliferation and immunoglobulin class-switching in B cells, cytokine production in T cells, and NK cell cytotoxicity. Our study indicates that human IL-21R deficiency causes an immunodeficiency and highlights the need for early diagnosis and allogeneic hematopoietic stem cell transplantation in affected children.

Indexed as

MutationChildChild, PreschoolFemaleHumansImmunologic Deficiency SyndromesInterleukin-21 Receptor alpha SubunitKiller Cells, NaturalMalePhosphorylationSignal TransductionSTAT3 Transcription FactorIL21R protein, humanInterleukin-21 Receptor alpha SubunitSTAT3 protein, humanSTAT3 Transcription Factor

Identifiers

PMID23440042
PMCPMC3600901
OpenAlexW2149285092

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.