Evidence map›Paper›PMID 26457731›Full record

ArticleThe Journal of clinical investigation2015

Broad-spectrum antibodies against self-antigens and cytokines in RAG deficiency.

Jolan E Walter, Lindsey B Rosen, Krisztian Csomos, Jacob M Rosenberg, Divij Mathew, Marton Keszei, Boglarka Ujhazi, Karin Chen, Yu Nee Lee, Irit Tirosh and 47 more

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 138 papers.

0numbers the graph read from it
0cells of the map it votes in
138citing papers in PubMed
7.2field-weighted citation impact, top 2% 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

138 citing papers in PubMed, 197 citations in OpenAlex.

  1. Trial
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  6. High risk of hypoxemic COVID-19 pneumonia in myasthenia gravis patients with type I IFN autoantibodies.Proceedings of the National Academy of Sciences of the United States of America · 2026
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  17. Factors associated with and kinetics of anti-IFN-α autoantibodies inThe journal of allergy and clinical immunology. Global · 2025
    Article
  18. Review
  19. Human immunity to fungal infections.The Journal of experimental medicine · 2025
    Review
  20. Article

78 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

57 authors at 20 institutions in 15 countries.

Jolan E Walter
Lindsey B Rosen
Krisztian Csomos
Jacob M Rosenberg
Divij Mathew
Marton Keszei
Boglarka Ujhazi
Karin Chen
Yu Nee Lee
Irit Tirosh
Kerry Dobbs
Waleed Al-Herz
Morton J Cowan
Jennifer Puck
Jack J Bleesing
Michael S Grimley
Harry Malech
Suk See De Ravin
Andrew R Gennery
Roshini S Abraham
Avni Y Joshi
Thomas G Boyce
Manish J Butte
Kari C Nadeau
Imelda Balboni
Kathleen E Sullivan
Javeed Akhter
Mehdi Adeli
Reem A El-Feky
Dalia H El-Ghoneimy
Ghassan Dbaibo
Rima Wakim
Chiara Azzari
Paolo Palma
Caterina Cancrini
Kelly Capuder
Antonio Condino-Neto
Beatriz T Costa-Carvalho
Joao Bosco Oliveira
Chaim Roifman
David Buchbinder
Attila Kumanovics
Jose Luis Franco
Tim Niehues
Catharina Schuetz
Taco Kuijpers
Christina Yee
Janet Chou
Michel J Masaad
Raif Geha
Gulbu Uzel
Rebecca Gelman
Steven M Holland
Mike Recher
Paul J Utz
Sarah K Browne
Luigi D Notarangelo
Harvard University Press · USNational Institutes of Health · USBoston Children's Hospital · USStanford University · USAmerican University of Beirut · LBCincinnati Children's Hospital Medical Center · USUniversity of California, San Francisco · USAin Shams University · EGAin Shams University Hospital · EGAmsterdam University of the Arts · NLBoston Children's Museum · USHamad Medical Corporation · QAHeinrich Heine University Düsseldorf · DEInstitute of Biomedical Science · GBInstituto de Medicina Integral Professor Fernando Figueira · BRKarolinska Institutet · SEKuwait University · KWMayo Clinic · USMeyer Children's Hospital · ITPhiladelphia University · US

Funding

Pilot & Feasibility ProgramP30DK043351 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI ANDREW D LUSTER · 1991 to 2026
$35.3M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM007365 · NIGMS · STANFORD UNIVERSITY · PI CHUA, KATRIN F · 1985 to 2021
$33.8M
Training of Clinical Investigators in Primary Immune DeficienciesU54AI082973 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PAI, SUNG-YUN · 2009 to 2023
$23.3M
Development and Clinical Application of Gene and Cell therapies for Patients with Immune DeficienciesZIAAI000645 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI DE RAVIN, SUK SEE · 2009 to 2025
$10.1M
Modeling and correcting human SCID using patient-derived iPS cellsR01AI100887 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI MANIS, JOHN P · 2012 to 2020
$4.5M
Noncanonical NFkB Pathway-Mediated Mechanisms of Common Variable ImmunodeficiencyK08AI116909 · NIAID · UNIVERSITY OF UTAH · PI CHEN, KARIN · 2015 to 2019
$980k
Autoimmunity in Rag Deficiency: A Nexus of Immunodeficiency and DysregulationK08AI103035 · NIAID · UNIVERSITY OF SOUTH FLORIDA · PI WALTER, JOLAN ESZTER · 2012 to 2016
$683k
Intramural NIH HHSNIAID NIH HHS 5K08AI103035NIAID NIH HHS 5R01AI100887NIAID NIH HHS K08 AI103035NIAID NIH HHS K08 AI116909NIAID NIH HHS R01 AI100887NIAID NIH HHS U54 AI082973NIAID NIH HHS U54AI082973NIDDK NIH HHS P30 DK043351NIGMS NIH HHS T32 GM007365NIGMS NIH HHS T32GM007365
6 · The paper itself

Abstract

Patients with mutations of the recombination-activating genes (RAG) present with diverse clinical phenotypes, including severe combined immune deficiency (SCID), autoimmunity, and inflammation. However, the incidence and extent of immune dysregulation in RAG-dependent immunodeficiency have not been studied in detail. Here, we have demonstrated that patients with hypomorphic RAG mutations, especially those with delayed-onset combined immune deficiency and granulomatous/autoimmune manifestations (CID-G/AI), produce a broad spectrum of autoantibodies. Neutralizing anti-IFN-α or anti-IFN-ω antibodies were present at detectable levels in patients with CID-G/AI who had a history of severe viral infections. As this autoantibody profile is not observed in a wide range of other primary immunodeficiencies, we hypothesized that recurrent or chronic viral infections may precipitate or aggravate immune dysregulation in RAG-deficient hosts. We repeatedly challenged Rag1S723C/S723C mice, which serve as a model of leaky SCID, with agonists of the virus-recognizing receptors TLR3/MDA5, TLR7/-8, and TLR9 and found that this treatment elicits autoantibody production. Altogether, our data demonstrate that immune dysregulation is an integral aspect of RAG-associated immunodeficiency and indicate that environmental triggers may modulate the phenotypic expression of autoimmune manifestations.

Indexed as

AdolescentAdultAnimalsAntibodies, NeutralizingAntibody SpecificityAutoantibodiesAutoantigensAutoimmune DiseasesChildChild, PreschoolCytokinesDEAD-box RNA HelicasesDisease Models, AnimalDNA-Binding ProteinsFemaleGranulomatous Disease, ChronicAntibodies, NeutralizingAutoantibodiesAutoantigensCytokinesDEAD-box RNA HelicasesDNA-Binding ProteinsHomeodomain ProteinsIfih1 protein, mouseInterferon-Induced Helicase, IFIH1Nuclear ProteinsRAG-1 proteinRAG2 protein, humanToll-Like Receptors

Identifiers

PMID26457731
PMCPMC4639965
OpenAlexW1904972848

What OpenQuestion holds

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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.