Evidence map›Paper›PMID 24916509›Full record

Trial reportBlood2014

Synergistic defects of different molecules in the cytotoxic pathway lead to clinical familial hemophagocytic lymphohistiocytosis.

Kejian Zhang, Shanmuganathan Chandrakasan, Heather Chapman, C Alexander Valencia, Ammar Husami, Diane Kissell, Judith A Johnson, Alexandra H Filipovich

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Blood, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed
9.7field-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

78 citing papers in PubMed, 144 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Deep insight into cytokine storm: from pathogenesis to treatment.Signal transduction and targeted therapy · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. History of Hemophagocytic Lymphohistiocytosis.Advances in experimental medicine and biology · 2024
    Review
  14. Murine Models of Secondary Cytokine Storm Syndromes.Advances in experimental medicine and biology · 2024
    Review
  15. Review
  16. Review
  17. The Multifaceted Immunology of Cytokine Storm Syndrome.Journal of immunology (Baltimore, Md. : 1950) · 2023
    Review
  18. Article
  19. Article
  20. Article

18 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Kejian ZhangDivision of Human Genetics.
Shanmuganathan ChandrakasanDivision of Bone Marrow Transplantation and Immune Deficiency, Cancer and Blood Diseases Institute, and.
Heather ChapmanDivision of Developmental Biology, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.
C Alexander ValenciaDivision of Human Genetics.
Ammar HusamiDivision of Human Genetics.
Diane KissellDivision of Human Genetics.
Judith A JohnsonDivision of Human Genetics.
Alexandra H FilipovichDivision of Bone Marrow Transplantation and Immune Deficiency, Cancer and Blood Diseases Institute, and.
Cincinnati Children's Hospital Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several molecules (LYST, AP3, RAB27A, STX11, STXBP2, MUNC13-4, and PRF1) have been associated with the function of cytotoxic lymphocytes. Biallelic defects in all of these molecules have been associated with familial hemophagocytic lymphohistiocytosis (FHL). We retrospectively reviewed the genetic and immunology test results from 2701 patients with a clinically suspected diagnosis of hemophagocytic lymphohistiocytosis and found 28 patients with single heterozygous mutations in 2 FHL-associated genes. Of these patients, 21 had mutations within PRF1 and a degranulation gene, and 7 were found to have mutations within 2 genes involved in the degranulation pathway. In patients with combination defects involving 2 genes in the degranulation pathway, CD107a degranulation was decreased, comparable to patients with biallelic mutations in one of the genes in the degranulation pathway. This suggests a potential digenic mode of inheritance of FHL as a result of a synergistic function effect within genes involved in cytotoxic lymphocyte degranulation.

Indexed as

Cell DegranulationEpistasis, GeneticLymphohistiocytosis, HemophagocyticLysosomal-Associated Membrane Protein 1Models, GeneticMutationPore Forming Cytotoxic ProteinsAdolescentAdultChildChild, PreschoolFemaleHumansInfantLymphocytesMaleLysosomal-Associated Membrane Protein 1PerforinPore Forming Cytotoxic ProteinsPRF1 protein, human

Identifiers

PMID24916509
PMCPMC4141517
OpenAlexW1988993642

What OpenQuestion holds

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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.