Evidence map›Paper›PMID 25564401›Full record

ArticleBlood2015

Hemophagocytic lymphohistiocytosis caused by dominant-negative mutations in STXBP2 that inhibit SNARE-mediated membrane fusion.

Waldo A Spessott, Maria L Sanmillan, Margaret E McCormick, Nishant Patel, Joyce Villanueva, Kejian Zhang, Kim E Nichols, Claudio G Giraudo

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed
6.1field-weighted citation impact, top 3% 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

67 citing papers in PubMed, 124 citations in OpenAlex.

  1. Trial
  2. Autophagy activation by the Becn1Brain, behavior, and immunity · 2026
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  3. Role of DOCK8 in cytokine storm syndromes.The Journal of allergy and clinical immunology · 2025
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  10. Etoposide Therapy of Cytokine Storm Syndromes.Advances in experimental medicine and biology · 2024
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  11. IL-1 Family Blockade in Cytokine Storm Syndromes.Advances in experimental medicine and biology · 2024
    Review
  12. Murine Models of Secondary Cytokine Storm Syndromes.Advances in experimental medicine and biology · 2024
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  13. Murine Models of Familial Cytokine Storm Syndromes.Advances in experimental medicine and biology · 2024
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  14. Bacteria-Associated Cytokine Storm Syndrome.Advances in experimental medicine and biology · 2024
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  15. CD8Advances in experimental medicine and biology · 2024
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  16. Immunology of Cytokine Storm Syndromes: Natural Killer Cells.Advances in experimental medicine and biology · 2024
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  17. Laboratory Features and Pathology of Cytokine Storm Syndromes.Advances in experimental medicine and biology · 2024
    Review
  18. History of Hemophagocytic Lymphohistiocytosis.Advances in experimental medicine and biology · 2024
    Review
  19. Article
  20. Article

7 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

8 authors at 5 institutions in 1 country.

Waldo A SpessottDepartment of Pathology and Laboratory Medicine, and.
Maria L SanmillanDepartment of Pathology and Laboratory Medicine, and.
Margaret E McCormickDepartment of Pathology and Laboratory Medicine, and.
Nishant PatelDivision of Oncology, Department of Pediatrics, The Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA;
Joyce VillanuevaDivision of Bone Marrow Transplant and Immune Deficiency, and.
Kejian ZhangDivision of Human Genetics, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH; and.
Kim E NicholsDivision of Cancer Predisposition, Department of Oncology, St. Jude Children's Research Hospital, Memphis, TN.
Claudio G GiraudoDepartment of Pathology and Laboratory Medicine, and.
Emory University Hospital · USImmune Deficiency Foundation · USPhiladelphia University · USSt. Jude Children's Research Hospital · USUniversity of Cincinnati · US

Funding

Role of Stx11 and STXBP2 on lytic granule exocytosis in health and diseaseR56AI104872 · NIAID · CHILDREN'S HOSP OF PHILADELPHIA · PI GIRAUDO, CLAUDIO GUILLERMO · 2014 to 2014
$420k
NIAID NIH HHS 1R56AI104872NIAID NIH HHS R56 AI104872
6 · The paper itself

Abstract

Familial hemophagocytic lymphohistiocytosis (F-HLH) and Griscelli syndrome type 2 (GS) are life-threatening immunodeficiencies characterized by impaired cytotoxic T lymphocyte (CTL) and natural killer (NK) cell lytic activity. In the majority of cases, these disorders are caused by biallelic inactivating germline mutations in genes such as RAB27A (GS) and PRF1, UNC13D, STX11, and STXBP2 (F-HLH). Although monoallelic (ie, heterozygous) mutations have been identified in certain patients, the clinical significance and molecular mechanisms by which these mutations influence CTL and NK cell function remain poorly understood. Here, we characterize 2 novel monoallelic hemophagocytic lymphohistiocytosis (HLH)-associated mutations affecting codon 65 of STXPB2, the gene encoding Munc18-2, a member of the SEC/MUNC18 family. Unlike previously described Munc18-2 mutants, Munc18-2(R65Q) and Munc18-2(R65W) retain the ability to interact with and stabilize syntaxin 11. However, presence of Munc18-2(R65Q/W) in patient-derived lymphocytes and forced expression in control CTLs and NK cells diminishes degranulation and cytotoxic activity. Mechanistic studies reveal that mutations affecting R65 hinder membrane fusion in vitro by arresting the late steps of soluble N-ethylmaleimide-sensitive factor attachment protein receptor (SNARE)-complex assembly. Collectively, these results reveal a direct role for SEC/MUNC18 proteins in promoting SNARE-complex assembly in vivo and suggest that STXBP2 R65 mutations operate in a novel dominant-negative fashion to impair lytic granule fusion and contribute to HLH.

Indexed as

Mutation, MissenseAdultAmino Acid SubstitutionChildChild, PreschoolCodonFemaleGenes, DominantHeLa CellsHeterozygoteHumansInfantKiller Cells, NaturalLymphohistiocytosis, HemophagocyticMaleMembrane FusionCodonMunc18 ProteinsMutant ProteinsQa-SNARE ProteinsRecombinant ProteinsSNARE ProteinsSTX11 protein, humanSTXBP2 protein, human

Identifiers

PMID25564401
PMCPMC4351505
OpenAlexW1967093865

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Registered trials

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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.