Evidence map›Paper›PMID 25425184›Full record

ArticleOrphanet journal of rare diseases2014

Characterization of CSF2RA mutation related juvenile pulmonary alveolar proteinosis.

Jenna Hildebrandt, Ebru Yalcin, Hans-Georg Bresser, Guzin Cinel, Monika Gappa, Alireza Haghighi, Nural Kiper, Soheila Khalilzadeh, Karl Reiter, John Sayer and 6 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Orphanet journal of rare diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 5% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. The dark side of pulmonary alveolar proteinosis.Multidisciplinary respiratory medicine · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. ERJ open research · 2023
    Article
  9. Diagnostic workup of childhood interstitial lung disease.European respiratory review : an official journal of the European Respiratory Society · 2023
    Review
  10. Review
  11. Interstitial Lung Disease in Immunocompromised Children.Diagnostics (Basel, Switzerland) · 2022
    Article
  12. Article
  13. Autoimmune Pulmonary Alveolar Proteinosis.American journal of respiratory and critical care medicine · 2022
    Article
  14. Article
  15. Article
  16. Bilateral Whole Lung Lavage in Hereditary Pulmonary Alveolar Proteinosis in a 4-year-old Child Using Extracorporeal Membrane Oxygenation.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2021
    Article
  17. Article
  18. Article
  19. Alveolar proteinosis of genetic origins.European respiratory review : an official journal of the European Respiratory Society · 2020
    Article
  20. Article
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

16 authors at 9 institutions in 6 countries.

Jenna HildebrandtDepartment of Pediatric Pneumology, Hauner Children's Hospital, Ludwig-Maximilians-University, Member of the German Center for Lung Research (DZL), Munich, Germany. jenna.hildebrandt@med.uni-muenchen.de.
Ebru YalcinDepartment of Pediatrics, Hacettepe Üniversitesi Çocuk Göğüs Hastalıkları, Ankara, Turkey. ebruy@hacettepe.edu.tr.
Hans-Georg BresserDepartment of Paediatrics, Evangelisches Krankenhaus Bielefeld, Bielefeld, Germany. hans-georg.bresser@evkb.de.
Guzin CinelDepartment of Pediatrics, Hacettepe Üniversitesi Çocuk Göğüs Hastalıkları, Ankara, Turkey. guzincinel@yahoo.com.
Monika GappaChildren's Hospital, Marien Hospital Wesel, Wesel, Germany. Monika.Gappa@marien-hospital-wesel.de.
Alireza HaghighiDepartment of Genetics, Harvard Medical School, Boston, MA, USA. haghighimd@yahoo.com.
Nural KiperDepartment of Pediatrics, Hacettepe Üniversitesi Çocuk Göğüs Hastalıkları, Ankara, Turkey. nkiper@hacettepe.edu.tr.
Soheila KhalilzadehPediatric Respiratory Disease Research Center, NRITLD, Shahid Beheshti University of Medical Sciences, Teheran, Iran. drkhalilzadeh@gmail.com.
Karl ReiterDepartment of Pediatric Pneumology, Hauner Children's Hospital, Ludwig-Maximilians-University, Member of the German Center for Lung Research (DZL), Munich, Germany. karl.reiter@med.uni-muenchen.de.
John SayerInstitute of Genetic Medicine, Newcastle University, Newcastle upon Tyne, UK. john.sayer@newcastle.ac.uk.
Nicolaus SchwerkClinic for Paediatric Pneumonology and Neonatology, Hannover Medical School, Hannover, Germany. Schwerk.Nicolaus@mh-hannover.de.
Anke SibbersenDepartment of Pediatric Pneumology, Hauner Children's Hospital, Ludwig-Maximilians-University, Member of the German Center for Lung Research (DZL), Munich, Germany. ankesibbersen@gmx.de.
Sabine Van DaeleDepartment of Pediatric Pulmonology, Ghent University Hospital, Ghent, Belgium. sabine.vandaele@uzgent.be.
Georg NüblingDepartments of Neurology and Palliative Care, Klinikum der Universität München, Munich, Germany. georg.nuebling@med.uni-muenchen.de.
Peter LohseMolecular Genetics Laboratory, Institute of Laboratory Medicine and Human Genetics, Singen, Germany. peter.lohse@labor-blessing.de.
Matthias GrieseDepartment of Pediatric Pneumology, Hauner Children's Hospital, Ludwig-Maximilians-University, Member of the German Center for Lung Research (DZL), Munich, Germany. matthias.griese@med.uni-muenchen.de.
Ankara Atatürk Göğüs Hastalıkları Ve Göğüs Cerrahisi Eğitim Ve Araştırma Hastanesi · TREvangelisches Krankenhaus Bielefeld · DEGhent University Hospital · BEHacettepe University · TRHarvard University · USLMU Klinikum · DEMedizinische Hochschule Hannover · DENewcastle University · GBShahid Beheshti University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundJuvenile pulmonary alveolar proteinosis (PAP) due to CSF2RA mutations is a rare disorder with only a few cases described worldwide.

methodsWe identified nine children with severe diffuse interstitial lung disease due to CSF2RA mutations. Clinical course, diagnostic findings and treatment were evaluated and correlated to the genotype. Functional impairment of the intracellular JAK/pStat5 signaling pathway was assessed using flow-cytometry of peripheral mononuclear cells (PBMC) and granulocytes.

resultsWe identified six individuals with homozygous missense/nonsense/frameshift mutations and three individuals homozygous for a deletion of the complete CSF2RA gene locus. Overall, four novel mutations (c.1125 + 1G > A, duplication exon 8, deletion exons 2-13, Xp22.3/Yp11.3) were found. Reduced STAT5 phosphorylation in PBMC and granulocytes was seen in all cases examined (n = 6). Pulmonary symptoms varied from respiratory distress to clinically silent. Early disease onset was associated with a more severe clinical phenotype (p = 0.0092). No association was seen between severity of phenotype at presentation and future clinical course or extent of genetic damage. The clinical course was favorable in all subjects undergoing whole lung lavage (WLL) treatment.

conclusionsOur cohort broadens the spectrum of knowledge about the clinical variability and genotype-phenotype correlations of juvenile PAP, and illustrates the favorable outcome of WLL treatment in severely affected patients.

Indexed as

MutationAdolescentChildChild, PreschoolFemaleGenotypeHumansInfantLeukocytes, MononuclearMalePulmonary Alveolar ProteinosisReceptors, Granulocyte-Macrophage Colony-Stimulating FactorYoung AdultCSF2RA protein, humanReceptors, Granulocyte-Macrophage Colony-Stimulating Factor

Identifiers

PMID25425184
PMCPMC4254258
OpenAlexW2143750423

What OpenQuestion holds

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LicenceCC BY
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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.