Evidence map›Paper›PMID 26812624›Full record

ArticleClinical immunology (Orlando, Fla.)2016

Transplantation from a symptomatic carrier sister restores host defenses but does not prevent colitis in NEMO deficiency.

Christian Klemann, Ulrich Pannicke, Deborah J Morris-Rosendahl, Katerina Vlantis, Marta Rizzi, Holm Uhlig, Thomas Vraetz, Carsten Speckmann, Brigitte Strahm, Manolis Pasparakis and 3 more

Open access · greenAbstract readCase Reports
In one paragraph

Article in Clinical immunology (Orlando, Fla.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.8field-weighted citation impact, top 17% 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

20 citing papers in PubMed, 41 citations in OpenAlex.

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  12. Progressive B cell depletion in human MALT1 deficiency.Clinical and experimental immunology · 2021
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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

13 authors at 6 institutions in 2 countries.

Christian KlemannCenter of Chronic Immunodeficiency, University Medical Center Freiburg, Germany; Center for Pediatrics and Adolescent Medicine, University Medical Center Freiburg, Germany.
Ulrich PannickeInstitute for Transfusion Medicine, University of Ulm, Ulm, Germany; Institute for Clinical Transfusion Medicine and Immunogenetics Ulm, German Red Cross Blood Service, Ulm, Germany.
Deborah J Morris-RosendahlDepartment of Clinical Genetics and Genomics, Royal Brompton and Harefield NHS Foundation Trust, Imperial College London, UK.
Katerina VlantisCECAD Research Center, Institute for Genetics, University of Cologne, Cologne, Germany.
Marta RizziCenter of Chronic Immunodeficiency, University Medical Center Freiburg, Germany.
Holm UhligDepartment of Pediatrics, and Translational Gastroenterology Unit, University of Oxford, John Radcliffe Hospital, Oxford OX3 9DU, UK.
Thomas VraetzCenter for Pediatrics and Adolescent Medicine, University Medical Center Freiburg, Germany.
Carsten SpeckmannCenter of Chronic Immunodeficiency, University Medical Center Freiburg, Germany; Center for Pediatrics and Adolescent Medicine, University Medical Center Freiburg, Germany.
Brigitte StrahmCenter for Pediatrics and Adolescent Medicine, University Medical Center Freiburg, Germany.
Manolis PasparakisCECAD Research Center, Institute for Genetics, University of Cologne, Cologne, Germany.
Klaus SchwarzCenter of Chronic Immunodeficiency, University Medical Center Freiburg, Germany; Institute for Transfusion Medicine, University of Ulm, Ulm, Germany; Institute for Clinical Transfusion Medicine and Immunogenetics Ulm, German Red Cross Blood Service, Ulm, Germany.
Stephan EhlCenter of Chronic Immunodeficiency, University Medical Center Freiburg, Germany; Center for Pediatrics and Adolescent Medicine, University Medical Center Freiburg, Germany.
Jan C RohrCenter of Chronic Immunodeficiency, University Medical Center Freiburg, Germany; Center for Pediatrics and Adolescent Medicine, University Medical Center Freiburg, Germany. Electronic address: jan.rohr@uniklinik-freiburg.de.
University Medical Center Freiburg · DEUniversity of Cologne · DEGerman Red Cross · DEImperial College London · GBUniversität Ulm · DEUniversity of Oxford · GB

Funding

European Research Council 323040
6 · The paper itself

Abstract

NF-κB essential modulator (NEMO) deficiency causes ectodermal dysplasia with immunodeficiency in males, while manifesting as incontinentia pigmenti in heterozygous females. We report a family with NEMO deficiency, in which a female carrier displayed skewed X-inactivation favoring the mutant NEMO allele associated with symptoms of Behçet's disease. Hematopoietic stem cell transplantation of an affected boy from this donor reconstituted an immune system with retained skewed X-inactivation. After transplantation no more severe infections occurred, indicating that an active wild-type NEMO allele in only 10% of immune cells restores host defense. Yet he developed inflammatory bowel disease (IBD). While gut infiltrating immune cells stained strongly for nuclear p65 indicating restored NEMO function, this was not the case in intestinal epithelial cells - in contrast to cells from conventional IBD patients. These results extend murine observations that epithelial NEMO-deficiency suffices to cause IBD. High anti-TNF doses controlled the intestinal inflammation and symptoms of Behçet's disease.

Indexed as

Hematopoietic Stem Cell TransplantationI-kappa B KinaseAllelesBehcet SyndromeFemaleHumansInflammatory Bowel DiseasesMaleSiblingsI-kappa B KinaseIKBKG protein, humanAnti-TNF treatmentBehçet's diseaseHSCTIBDIKBKGNEMO deficiencySkewed X-inactivation

Identifiers

PMID26812624
PMCPMC6101191
OpenAlexW2252121799

What OpenQuestion holds

Textmetadata
LicenceTDM
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.