Evidence map›Paper›PMID 25349174›Full record

Trial reportBlood2015

Autoimmunity, hypogammaglobulinemia, lymphoproliferation, and mycobacterial disease in patients with activating mutations in STAT3.

Emma M Haapaniemi, Meri Kaustio, Hanna L M Rajala, Arjan J van Adrichem, Leena Kainulainen, Virpi Glumoff, Rainer Doffinger, Heikki Kuusanmäki, Tarja Heiskanen-Kosma, Luca Trotta and 17 more

Open access · bronzeAbstract readCase ReportsClinical Trial
In one paragraph

Trial report in Blood, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 129 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
129citing papers in PubMed, 2 pooled it
9.6field-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

129 citing papers in PubMed, 2 syntheses or guidelines pooled it, 274 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. International journal of molecular sciences · 2026
    Article
  8. Article
  9. Article
  10. STAT3 SH2 Domain Aspartic Acid 661 Mutations Activate Immune Gene Programs.Journal of cellular and molecular medicine · 2026
    Article
  11. Article
  12. Article
  13. NovelImmune network · 2025
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Helper T cell immunity in humans with inherited CD4 deficiency.The Journal of experimental medicine · 2024
    Article
  19. Review
  20. Review

69 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

27 authors at 13 institutions in 4 countries.

Emma M HaapaniemiFolkhälsan Institute of Genetics and Research Programs Unit, Molecular Neurology, and.
Meri KaustioInstitute for Molecular Medicine Finland, University of Helsinki, Helsinki, Finland;
Hanna L M RajalaHematology Research Unit Helsinki, Department of Hematology, University of Helsinki and Helsinki University Central Hospital Cancer Center, Helsinki, Finland;
Arjan J van AdrichemInstitute for Molecular Medicine Finland, University of Helsinki, Helsinki, Finland;
Leena KainulainenDepartment of Pediatrics and Department of Medicine, Turku University Hospital, Turku, Finland;
Virpi GlumoffDepartment of Medical Microbiology and Immunology, Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland;
Rainer DoffingerDepartment of Clinical Biochemistry and Immunology, Addenbrooke's Hospital and National Institute for Health Research, Cambridge Biomedical Research Center, Cambridge, United Kingdom;
Heikki KuusanmäkiInstitute for Molecular Medicine Finland, University of Helsinki, Helsinki, Finland;
Tarja Heiskanen-KosmaDepartment of Pediatrics, Kuopio University Hospital, Kuopio, Finland;
Luca TrottaInstitute for Molecular Medicine Finland, University of Helsinki, Helsinki, Finland;
Samuel ChiangCenter for Infectious Medicine, Department of Medicine, Karolinska Institutet, Stockholm, Sweden;
Petri KulmalaDepartment of Medical Microbiology and Immunology, Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland; Department of Pediatrics, Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland;
Samuli EldforsInstitute for Molecular Medicine Finland, University of Helsinki, Helsinki, Finland;
Riku KatainenDepartment of Medical Genetics, Genome-Scale Biology Research Program, Institute of Biomedicine, University of Helsinki, Helsinki, Finland;
Sanna SiitonenLaboratory Services (Hospital District of Helsinki and Uusimaa Laboratory).
Marja-Liisa Karjalainen-LindsbergLaboratory Services (Hospital District of Helsinki and Uusimaa Laboratory).
Panu E KovanenDepartment of Pathology, and.
Timo OtonkoskiChildren's Hospital, Helsinki University Central Hospital, Helsinki, Finland; Research Programs Unit, Molecular Neurology, University of Helsinki, Helsinki, Finland;
Kimmo PorkkaHematology Research Unit Helsinki, Department of Hematology, University of Helsinki and Helsinki University Central Hospital Cancer Center, Helsinki, Finland;
Kaarina HeiskanenChildren's Hospital, Helsinki University Central Hospital, Helsinki, Finland.
Arno HänninenDepartment of Medical Microbiology and Immunology, University of Turku, Turku, Finland;
Yenan T BrycesonCenter for Infectious Medicine, Department of Medicine, Karolinska Institutet, Stockholm, Sweden;
Raija Uusitalo-SeppäläDepartment of Infectious Diseases, Satakunta Central Hospital, Pori, Finland;
Janna SaarelaInstitute for Molecular Medicine Finland, University of Helsinki, Helsinki, Finland;
Mikko SeppänenImmunodeficiency Unit, Department of Medicine, Helsinki University Central Hospital, Helsinki, Finland; and.
Satu MustjokiHematology Research Unit Helsinki, Department of Hematology, University of Helsinki and Helsinki University Central Hospital Cancer Center, Helsinki, Finland;
Juha KereFolkhälsan Institute of Genetics and Research Programs Unit, Molecular Neurology, and Department of Biosciences and Nutrition, and Center for Innovative Medicine, Karolinska Institutet, Stockholm, Sweden.
Helsinki University Hospital · FIFinland University · FIInstitute for Molecular Medicine Finland · FIKarolinska Institutet · SEUniversity of Helsinki · FIAddenbrooke's Hospital · GBInstitute of Genetics · HUKuopio University Hospital · FIOulu University Hospital · FISatakunta Central Hospital · FITurku University Hospital · FIUniversity of Oulu · FIUniversity of Turku · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The signal transducer and activator of transcription (STAT) family of transcription factors orchestrate hematopoietic cell differentiation. Recently, mutations in STAT1, STAT5B, and STAT3 have been linked to development of immunodysregulation polyendocrinopathy enteropathy X-linked-like syndrome. Here, we immunologically characterized 3 patients with de novo activating mutations in the DNA binding or dimerization domains of STAT3 (p.K392R, p.M394T, and p.K658N, respectively). The patients displayed multiorgan autoimmunity, lymphoproliferation, and delayed-onset mycobacterial disease. Immunologically, we noted hypogammaglobulinemia with terminal B-cell maturation arrest, dendritic cell deficiency, peripheral eosinopenia, increased double-negative (CD4(-)CD8(-)) T cells, and decreased natural killer, T helper 17, and regulatory T-cell numbers. Notably, the patient harboring the K392R mutation developed T-cell large granular lymphocytic leukemia at age 14 years. Our results broaden the spectrum of phenotypes caused by activating STAT3 mutations, highlight the role of STAT3 in the development and differentiation of multiple immune cell lineages, and strengthen the link between the STAT family of transcription factors and autoimmunity.

Indexed as

AgammaglobulinemiaAutoimmune DiseasesGenetic Diseases, InbornLeukemia, Large Granular LymphocyticMutation, MissenseMycobacterium InfectionsSTAT3 Transcription FactorAdolescentAdultAmino Acid SubstitutionB-LymphocytesCell DifferentiationDendritic CellsFemaleHumansKiller Cells, NaturalSTAT3 protein, humanSTAT3 Transcription Factor

Identifiers

PMID25349174
PMCPMC4304109
OpenAlexW1999234197

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.