Evidence map›Paper›PMID 25721700›Full record

ArticleJournal of clinical immunology2015

Infectious and immunologic phenotype of MECP2 duplication syndrome.

Michael Bauer, Uwe Kölsch, Renate Krüger, Nadine Unterwalder, Karin Hameister, Fabian Marc Kaiser, Aglaia Vignoli, Rainer Rossi, Maria Pilar Botella, Magdalena Budisteanu and 23 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical immunology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

25 citing papers in PubMed, 46 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Diagnostics (Basel, Switzerland) · 2024
    Article
  6. Article
  7. Article
  8. CRL4Cellular and molecular life sciences : CMLS · 2024
    Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Medical Comorbidities inChildren (Basel, Switzerland) · 2022
    Article
  14. Review
  15. Rett Syndrome andNeuropsychiatric disease and treatment · 2022
    Review
  16. Review
  17. International journal of molecular sciences · 2021
    Review
  18. Article
  19. Article
  20. Mecp2 regulatesDisease models & mechanisms · 2017
    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

33 authors at 20 institutions in 8 countries.

Michael BauerPediatric Pneumology and Immunology, Charité University Medicine, Berlin, Germany, Michael.Bauer@charite.de.
Uwe Kölsch
Renate Krüger
Nadine Unterwalder
Karin Hameister
Fabian Marc Kaiser
Aglaia Vignoli
Rainer Rossi
Maria Pilar Botella
Magdalena Budisteanu
Monica Rosello
Carmen Orellana
Maria Isabel Tejada
Sorina Mihaela Papuc
Oliver Patat
Sophie Julia
Renaud Touraine
Thusari Gomes
Kirsten Wenner
Xiu Xu
Alexandra Afenjar
Annick Toutain
Nicole Philip
Aleksandra Jezela-Stanek
Ludwig Gortner
Francisco Martinez
Bernard Echenne
Volker Wahn
Christian Meisel
Dagmar Wieczorek
Salima El-Chehadeh
Hilde Van Esch
Horst von Bernuth
Charité - Universitätsmedizin Berlin · DEHospital Universitari i Politècnic La Fe · ESHôpital Purpan · FRSaarland University · DEBioCruces Health research Institute · ESCentre Hospitalier Universitaire de Montpellier · FRCentre Hospitalier Universitaire de Saint-Étienne · FRCentre Hospitalier Universitaire de Tours · FRChildren's Hospital of Fudan University · CNChildren's Memorial Health Institute · PLEppendorf (Germany) · DEGoethe University Frankfurt · DEHôpital de la Timone · FRHôpital d'Enfants · FRHospital Txagorritxu · ESInstitutul National Victor Babes · ROKU Leuven · BEPitié-Salpêtrière Hospital · FRSpitalul Clinic de Psihiatrie Alexandru Obregia · ROUniversity of Duisburg-Essen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

MECP2 (methyl CpG binding protein 2) duplication causes syndromic intellectual disability. Patients often suffer from life-threatening infections, suggesting an additional immunodeficiency. We describe for the first time the detailed infectious and immunological phenotype of MECP2 duplication syndrome. 17/27 analyzed patients suffered from pneumonia, 5/27 from at least one episode of sepsis. Encapsulated bacteria (S.pneumoniae, H.influenzae) were frequently isolated. T-cell immunity showed no gross abnormalities in 14/14 patients and IFNy-secretion upon ConA-stimulation was not decreased in 6/7 patients. In 6/21 patients IgG2-deficiency was detected - in 4/21 patients accompanied by IgA-deficiency, 10/21 patients showed low antibody titers against pneumococci. Supra-normal IgG1-levels were detected in 11/21 patients and supra-normal IgG3-levels were seen in 8/21 patients - in 6 of the patients as combined elevation of IgG1 and IgG3. Three of the four patients with IgA/IgG2-deficiency developed multiple severe infections. Upon infections pronounced acute-phase responses were common: 7/10 patients showed CRP values above 200 mg/l. Our data for the first time show systematically that increased susceptibility to infections in MECP2 duplication syndrome is associated with IgA/IgG2-deficiency, low antibody titers against pneumococci and elevated acute-phase responses. So patients with MECP2 duplication syndrome and low IgA/IgG2 may benefit from prophylactic substitution of sIgA and IgG.

Indexed as

Gene DuplicationPhenotypeAcute-Phase ProteinsAdolescentAdultChildChild, PreschoolCohort StudiesC-Reactive ProteinFemaleGenotypeHumansImmunity, CellularImmunity, HumoralImmunoglobulinsInfectionsAcute-Phase ProteinsC-Reactive ProteinImmunoglobulinsMethyl-CpG-Binding Protein 2

Identifiers

PMID25721700
PMCPMC7101860
OpenAlexW2157257766

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.