Evidence map›Paper›PMID 27146671›Full record

ArticleJournal of clinical immunology2016

Successful Hematopoietic Stem Cell Transplantation in a Patient with LPS-Responsive Beige-Like Anchor (LRBA) Gene Mutation.

Bianca Tesi, Peter Priftakis, Fredrik Lindgren, Samuel C C Chiang, Nikolaos Kartalis, Alexandra Löfstedt, Esther Lörinc, Jan-Inge Henter, Jacek Winiarski, Yenan T Bryceson and 1 more

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In one paragraph

Article in Journal of clinical immunology, 2016. 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
3.9field-weighted citation impact, top 6% 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, 47 citations in OpenAlex.

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  19. Recessively InheritedDiabetes · 2017
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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

11 authors at 2 institutions in 1 country.

Bianca TesiChildhood Cancer Research Unit, Department of Women's and Children's Health, Karolinska Institutet, Karolinska University Hospital Solna, Stockholm, Sweden. bianca.tesi@ki.se.
Peter PriftakisAstrid Lindgren Children's Hospital, Karolinska University Hospital Huddinge, Stockholm, Sweden.
Fredrik LindgrenAstrid Lindgren Children's Hospital, Karolinska University Hospital Huddinge, Stockholm, Sweden.
Samuel C C ChiangCentre for Infectious Medicine, Department of Medicine, Karolinska Institutet, Karolinska University Hospital Huddinge, Stockholm, Sweden.
Nikolaos KartalisDepartment of Clinical Science Intervention and Technology, Karolinska Institutet, Karolinska University Hospital Huddinge, Stockholm, Sweden.
Alexandra LöfstedtChildhood Cancer Research Unit, Department of Women's and Children's Health, Karolinska Institutet, Karolinska University Hospital Solna, Stockholm, Sweden.
Esther LörincDepartment of Pathology, University Hospital Karolinska Huddinge, Solna, Sweden.
Jan-Inge HenterChildhood Cancer Research Unit, Department of Women's and Children's Health, Karolinska Institutet, Karolinska University Hospital Solna, Stockholm, Sweden.
Jacek WiniarskiAstrid Lindgren Children's Hospital, Karolinska University Hospital Huddinge, Stockholm, Sweden.
Yenan T BrycesonCentre for Infectious Medicine, Department of Medicine, Karolinska Institutet, Karolinska University Hospital Huddinge, Stockholm, Sweden.
Marie MeethsChildhood Cancer Research Unit, Department of Women's and Children's Health, Karolinska Institutet, Karolinska University Hospital Solna, Stockholm, Sweden. Marie.Meeths@ki.se.
Karolinska University Hospital · SEKarolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAutosomal recessive mutations in LRBA, encoding for LPS-responsive beige-like anchor protein, were described in patients with a common variable immunodeficiency (CVID)-like disease characterized by hypogammaglobulinemia, autoimmune cytopenias, and enteropathy. Here, we detail the clinical, immunological, and genetic features of a patient with severe autoimmune manifestations.

methodsWhole exome sequencing was performed to establish a molecular diagnosis. Evaluation of lymphocyte subsets was performed for immunological characterization. Medical files were reviewed to collect clinical and immunological data.

resultsA 7-year-old boy, born to consanguineous parents, presented with autoimmune hemolytic anemia, hepatosplenomegaly, autoimmune thyroiditis, and severe autoimmune gastrointestinal manifestations. Immunological investigations revealed low immunoglobulin levels and low numbers of B and NK cells. Treatment included immunoglobulin replacement and immunosuppressive therapy. Seven years after disease onset, the patient developed severe neurological symptoms resembling acute disseminated encephalomyelitis, prompting allogeneic hematopoietic stem cell transplantation (HSCT) with the HLA-identical mother as donor. Whole exome sequencing of the patient uncovered a homozygous 1 bp deletion in LRBA (c.7162delA:p.T2388Pfs*7). Importantly, during 2 years of follow-up post-HSCT, marked clinical improvement and recovery of immune function was observed.

conclusionsOur data suggest a beneficial effect of HSCT in patients with LRBA deficiency.

Indexed as

Hematopoietic Stem Cell TransplantationAdaptor Proteins, Signal TransducingAnemia, Hemolytic, AutoimmuneAutoimmunityB-LymphocytesChildCommon Variable ImmunodeficiencyConsanguinityDNA Mutational AnalysisHistocompatibilityHLA AntigensHumansImmunoglobulinsKiller Cells, NaturalMaleSequence DeletionAdaptor Proteins, Signal TransducingHLA AntigensImmunoglobulinsLRBA protein, humanacute disseminated encephalomyelitiscommon variable immune deficiencyenteropathyhematopoietic stem cell transplantationprimary immunodeficiencywhole exome sequencing

Identifiers

PMID27146671
OpenAlexW2347161606

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.