Evidence map›Paper›PMID 24184683›Full record

ArticleBlood2014

Neutropenia-associated ELANE mutations disrupting translation initiation produce novel neutrophil elastase isoforms.

Timothy Tidwell, Jeremy Wechsler, Ramesh C Nayak, Lisa Trump, Stephen J Salipante, Jerry C Cheng, Jean Donadieu, Taly Glaubach, Seth J Corey, H Leighton Grimes and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

32 citing papers in PubMed, 49 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Innate immunity: current understandings and future perspectives.Signal transduction and targeted therapy · 2026
    Review
  4. Review
  5. Article
  6. Review
  7. Cyclic neutropenia: a case report and literature review.American journal of translational research · 2025
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Getting Back to Normal: Correcting SCN by Universal or Precision Strikes.Molecular therapy : the journal of the American Society of Gene Therapy · 2020
    Article
  17. Article
  18. NovelJournal of pediatric genetics · 2020
    Article
  19. CRISPR/Cas9-mediatedHaematologica · 2020
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 2 countries.

Timothy TidwellDepartment of Pathology, University of Washington School of Medicine, Seattle, WA;
Jeremy Wechsler
Ramesh C Nayak
Lisa Trump
Stephen J Salipante
Jerry C Cheng
Jean Donadieu
Taly Glaubach
Seth J Corey
H Leighton Grimes
Carolyn Lutzko
Jose A Cancelas
Marshall S Horwitz
Cincinnati Children's Hospital Medical Center · USUniversity of Washington · USNorthwestern University · USLos Angeles Medical Center · USSorbonne Université · FRUniversity of Cincinnati Medical Center · US

Funding

University of Washington Medical Scientist Training Program: MD/PhDT32GM007266 · NIGMS · UNIVERSITY OF WASHINGTON · PI HORWITZ, MARSHALL S. · 1985 to 2023
$30.4M
MOLECULAR GENETIC BASIS OF CYCLIC HEMATOPOIESISR01DK058161 · NIDDK · UNIVERSITY OF WASHINGTON · PI HORWITZ, MARSHALL S. · 2000 to 2011
$3.8M
NIDDK NIH HHS R01 DK058161NIDDK NIH HHS R01DK58161NIGMS NIH HHS T32 GM007266
6 · The paper itself

Abstract

Hereditary neutropenia is usually caused by heterozygous germline mutations in the ELANE gene encoding neutrophil elastase (NE). How mutations cause disease remains uncertain, but two hypotheses have been proposed. In one, ELANE mutations lead to mislocalization of NE. In the other, ELANE mutations disturb protein folding, inducing an unfolded protein response in the endoplasmic reticulum (ER). In this study, we describe new types of mutations that disrupt the translational start site. At first glance, they should block translation and are incompatible with either the mislocalization or misfolding hypotheses, which require mutant protein for pathogenicity. We find that start-site mutations, instead, force translation from downstream in-frame initiation codons, yielding amino-terminally truncated isoforms lacking ER-localizing (pre) and zymogen-maintaining (pro) sequences, yet retain essential catalytic residues. Patient-derived induced pluripotent stem cells recapitulate hematopoietic and molecular phenotypes. Expression of the amino-terminally deleted isoforms in vitro reduces myeloid cell clonogenic capacity. We define an internal ribosome entry site (IRES) within ELANE and demonstrate that adjacent mutations modulate IRES activity, independently of protein-coding sequence alterations. Some ELANE mutations, therefore, appear to cause neutropenia via the production of amino-terminally deleted NE isoforms rather than by altering the coding sequence of the full-length protein.

Indexed as

MutationProtein BiosynthesisApoptosisCodonDNA Mutational AnalysisEndoplasmic ReticulumHL-60 CellsHumansInduced Pluripotent Stem CellsLeukocyte ElastaseNeutropeniaNeutrophilsPhenotypeProtein DenaturationProtein FoldingProtein IsoformsCodonLeukocyte ElastaseProtein Isoforms

Identifiers

PMID24184683
PMCPMC3901069
OpenAlexW2051238260

What OpenQuestion holds

Textmetadata
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.