Evidence map›Paper›PMID 24519095›Full record

ArticleJournal of clinical immunology2014

Very early onset inflammatory bowel disease associated with aberrant trafficking of IL-10R1 and cure by T cell replete haploidentical bone marrow transplantation.

Dhaarini Murugan, Michael H Albert, Jörg Langemeier, Jens Bohne, Jacek Puchalka, Päivi M Järvinen, Fabian Hauck, Anne K Klenk, Christine Prell, Stephanie Schatz and 13 more

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Journal of clinical immunology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 7% 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

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. A Systematic Review of Monogenic Inflammatory Bowel Disease.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2022
    Pooled it
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  10. Hematopoietic stem cell Transplantation in Children with very Early Onset Inflammatory Bowel Disease Secondary to Monogenic Disorders of immune-dysregulation.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2023
    Article
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  20. Interleukin-22 promotes phagolysosomal fusion to induce protection againstProceedings of the National Academy of Sciences of the United States of America · 2018
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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

23 authors at 5 institutions in 3 countries.

Dhaarini MuruganDr. von Hauner Children's Hospital, Ludwig Maximilians University, Munich, Germany.
Michael H Albert
Jörg Langemeier
Jens Bohne
Jacek Puchalka
Päivi M Järvinen
Fabian Hauck
Anne K Klenk
Christine Prell
Stephanie Schatz
Jana Diestelhorst
Barbara Sciskala
Naschla Kohistani
Bernd H Belohradsky
Susanna Müller
Thomas Kirchner
Mark R Walter
Philip Bufler
Aleixo M Muise
Scott B Snapper
Sibylle Koletzko
Christoph Klein
Daniel Kotlarz
Ludwig-Maximilians-Universität München · DEMedizinische Hochschule Hannover · DEBoston Children's Hospital · USSickKids Foundation · CAUniversity of Alabama at Birmingham · US

Funding

STRUCTURE STUDIES ON PROTEINS THAT MODULATE IL-10 ACTIONR01AI047300 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WALTER, MARK R · 2001 to 2011
$3.4M
NIAID NIH HHS R01 AI047300
6 · The paper itself

Abstract

purposeLoss-of-function mutations in IL10 and IL10R cause very early onset inflammatory bowel disease (VEO-IBD). Here, we investigated the molecular pathomechanism of a novel intronic IL10RA mutation and describe a new therapeutic approach of T cell replete haploidentical hematopoietic stem cell transplantation (HSCT).

methodsClinical data were collected by chart review. Genotypes of IL10 and IL10R genes were determined by Sanger sequencing. Expression and function of mutated IL-10R1 were assessed by quantitative PCR, Western blot analysis, enzyme-linked immunosorbent assays, confocal microscopy, and flow cytometry.

resultsWe identified a novel homozygous point mutation in intron 3 of the IL10RA (c.368-10C > G) in three related children with VEO-IBD. Bioinformatical analysis predicted an additional 3' splice site created by the mutation. Quantitative PCR analysis showed normal mRNA expression of mutated IL10RA. Sequencing of the patient's cDNA revealed an insertion of the last nine nucleotides of intron 3 as a result of aberrant splicing. Structure-based modeling suggested misfolding of mutated IL-10R1. Western blot analysis demonstrated a different N-linked glycosylation pattern of mutated protein. Immunofluorescence and FACS analysis revealed impaired expression of mutated IL-10R1 at the plasma membrane. In the absence of HLA-identical donors, T cell replete haploidentical HSCT was successfully performed in two patients.

conclusionsOur findings expand the spectrum of IL10R mutations in VEO-IBD and emphasize the need for genetic diagnosis of mutations in conserved non-coding sequences of candidate genes. Transplantation of haploidentical stem cells represents a curative therapy in IL-10R-deficient patients, but may be complicated by non-engraftment.

Indexed as

Bone Marrow TransplantationAge of OnsetAlternative SplicingAmino Acid SequenceCell LineCell MembraneChildChild, PreschoolConsanguinityDNA Mutational AnalysisFemaleGenotypeGlycosylationHematopoietic Stem Cell TransplantationHumansInflammatory Bowel DiseasesInterleukin-10 Receptor alpha Subunit

Identifiers

PMID24519095
OpenAlexW2003891352

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.