Evidence map›Paper›PMID 26224645›Full record

ArticleBlood2015

Immunodeficiency and severe susceptibility to bacterial infection associated with a loss-of-function homozygous mutation of MKL1.

Julien Record, Dessislava Malinova, Helen L Zenner, Vincent Plagnol, Karolin Nowak, Farhatullah Syed, Gerben Bouma, James Curtis, Kimberly Gilmour, Catherine Cale and 6 more

Open access · bronzeAbstract readCase Reports
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 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Focus on mechano-immunology: new direction in cancer treatment.International journal of surgery (London, England) · 2025
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  9. IL-2 delivery to CD8Nature communications · 2024
    Article
  10. Article
  11. Article
  12. Tuning immunity through tissue mechanotransduction.Nature reviews. Immunology · 2023
    Review
  13. Article
  14. Expression of the phagocytic receptors αFrontiers in immunology · 2022
    Article
  15. Research progress in myosin light chain 9 in malignant tumors.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2021
    Article
  16. Review
  17. Review
  18. Review
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 6 institutions in 1 country.

Julien RecordUniversity College London Institute of Child Health, London, United Kingdom;ORCID http://orcid.org/0000-0003-1138-2916
Dessislava MalinovaUniversity College London Institute of Child Health, London, United Kingdom;
Helen L ZennerDepartment of Medicine, University of Cambridge, Cambridge, United Kingdom;
Vincent PlagnolUniversity College London Genetics Institute, University College London, London, United Kingdom;
Karolin NowakUniversity College London Institute of Child Health, London, United Kingdom;
Farhatullah SyedUniversity College London Institute of Child Health, London, United Kingdom;
Gerben BoumaUniversity College London Institute of Child Health, London, United Kingdom;
James CurtisDepartment of Medicine, University of Cambridge, Cambridge, United Kingdom;
Kimberly GilmourGreat Ormond Street Hospital for Children National Health Service (NHS) Foundation Trust, London, United Kingdom;
Catherine CaleGreat Ormond Street Hospital for Children National Health Service (NHS) Foundation Trust, London, United Kingdom;
Scott HackettBirmingham Heartland Hospital, Birmingham, United Kingdom;
Guillaume CharrasLondon Centre for Nanotechnology, Department of Cell and Developmental Biology, University College London, London, United Kingdom;
Dale MouldingUniversity College London Institute of Child Health, London, United Kingdom;
Sergey NejentsevDepartment of Medicine, University of Cambridge, Cambridge, United Kingdom;
Adrian J ThrasherUniversity College London Institute of Child Health, London, United Kingdom; Great Ormond Street Hospital for Children National Health Service (NHS) Foundation Trust, London, United Kingdom;
Siobhan O BurnsDepartment of Immunology, Royal Free London NHS Foundation Trust, London, United Kingdom; and University College London Institute of Immunity and Transplantation, London, United Kingdom.
University College London · GBNational Health Service · GBUniversity of Cambridge · GBHeartlands Hospital · GBLondon Centre for Nanotechnology · GBRoyal Free London NHS Foundation Trust · GB

Funding

Wellcome Trust 090233/Z/09/ZWellcome Trust 095198Wellcome Trust 095198/Z/10/Z
6 · The paper itself

Abstract

Megakaryoblastic leukemia 1 (MKL1), also known as MAL or myocardin-related transcription factor A (MRTF-A), is a coactivator of serum response factor, which regulates transcription of actin and actin cytoskeleton-related genes. MKL1 is known to be important for megakaryocyte differentiation and function in mice, but its role in immune cells is unexplored. Here we report a patient with a homozygous nonsense mutation in the MKL1 gene resulting in immunodeficiency characterized predominantly by susceptibility to severe bacterial infection. We show that loss of MKL1 protein expression causes a dramatic loss of filamentous actin (F-actin) content in lymphoid and myeloid lineage immune cells and widespread cytoskeletal dysfunction. MKL1-deficient neutrophils displayed reduced phagocytosis and almost complete abrogation of migration in vitro. Similarly, primary dendritic cells were unable to spread normally or to form podosomes. Silencing of MKL1 in myeloid cell lines revealed that F-actin assembly was abrogated through reduction of globular actin (G-actin) levels and disturbed expression of multiple actin-regulating genes. Impaired migration of these cells was associated with failure of uropod retraction likely due to altered contractility and adhesion, evidenced by reduced expression of the myosin light chain 9 (MYL9) component of myosin II complex and overexpression of CD11b integrin. Together, our results show that MKL1 is a nonredundant regulator of cytoskeleton-associated functions in immune cells and fibroblasts and that its depletion underlies a novel human primary immunodeficiency.

Indexed as

Codon, NonsenseActinsCell LineCell MovementCells, CulturedCytoskeletonDendritic CellsFemaleFibroblastsHomozygoteHumansImmunologic Deficiency SyndromesNeutrophilsPseudomonasPseudomonas InfectionsTrans-ActivatorsActinsCodon, NonsenseMRTFA protein, humanTrans-Activators

Identifiers

PMID26224645
PMCPMC4671330
OpenAlexW1586082383

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.