Evidence map›Paper›PMID 27189378›Full record

ArticleJournal of clinical immunology2016

Hyper IgM Syndrome: a Report from the USIDNET Registry.

Emily A Leven, Patrick Maffucci, Hans D Ochs, Paul R Scholl, Rebecca H Buckley, Ramsay L Fuleihan, Raif S Geha, Coleen K Cunningham, Francisco A Bonilla, Mary Ellen Conley and 7 more

Open access · greenAbstract read
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 57 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 2 pooled it
6.5field-weighted citation impact, top 3% 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

57 citing papers in PubMed, 2 syntheses or guidelines pooled it, 110 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Update on Genetic Chorea.Current neurology and neuroscience reports · 2026
    Review
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  6. Pulmonary alveolar proteinosis andFrontiers in pediatrics · 2026
    Article
  7. Article
  8. Hyperimmunoglobulin syndromes: A review of HIGM, HIES, and HIDS.Journal of translational autoimmunity · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Autoimmunity in Primary Immunodeficiencies (PID).Clinical reviews in allergy & immunology · 2023
    Review
  17. Review
  18. Article
  19. Review
  20. 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

17 authors at 13 institutions in 1 country.

Emily A LevenIcahn School of Medicine at Mount Sinai, New York, NY, USA.
Patrick MaffucciIcahn School of Medicine at Mount Sinai, New York, NY, USA.
Hans D OchsSeattle Children's Hospital Seattle, Seattle, WA, USA.
Paul R SchollBoehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, CT, USA.
Rebecca H BuckleyDuke University School of Medicine, Durham, NC, USA.
Ramsay L FuleihanChildren's Memorial Hospital, Chicago, IL, USA.
Raif S GehaBoston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Coleen K CunninghamDuke University School of Medicine, Durham, NC, USA.
Francisco A BonillaBoston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Mary Ellen ConleyRockefeller University, New York, NY, USA.
Ronald M FerdmanChildren's Hospital Los Angeles, Los Angeles, CA, USA.
Vivian Hernandez-TrujilloMiami Children's Hospital, Miami, FL, USA.
Jennifer M PuckUniversity of California San Francisco School of Medicine, San Francisco, CA, USA.
Kathleen SullivanThe Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Elizabeth A SecordChildren's Hospital of Michigan, Detroit, MI, USA.
Manish RameshMontefiore Medical Center, Bronx, NY, USA.
Charlotte Cunningham-RundlesIcahn School of Medicine at Mount Sinai, New York, NY, USA. charlotte.cunningham-rundles@mssm.edu.
Icahn School of Medicine at Mount Sinai · USDuke University · USHarvard University · USBoehringer Ingelheim (United States) · USChildren's Hospital of Los Angeles · USChildren's Hospital of Michigan · USChildren's Hospital of Philadelphia · USLurie Children's Hospital · USMiami Children's Hospital · USMontefiore Medical Center · USRockefeller University · USSeattle Children's Hospital · USUniversity of California, San Francisco · US

Funding

Regulation of IgA class switching in the intestinal mucosaP01AI061093 · NIAID · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI CUNNINGHAM-RUNDLES, CHARLOTTE · 2004 to 2021
$29.8M
MOUNT SINAI MEDICAL SCIENTIST TRAINING PROGRAMT32GM007280 · NIGMS · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI BARON, MARGARET H · 1985 to 2021
$22.8M
Resources to Assist Investigations in Primary Immunodeficiency Diseases (U24)U24AI086037 · NIAID · IMMUNE DEFICIENCY FOUNDATION · PI CUNNINGHAM-RUNDLES, CHARLOTTE · 2010 to 2019
$6.5M
TARGETING PRIMARY IMMUNODEFICIENCY AMONG MINORITIESR18AI048693 · NIAID · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI CUNNINGHAM-RUNDLES, CHARLOTTE · 2000 to 2016
$6.2M
Exposporium determinants of Bacillus anthracisR21AI101093 · NIAID · UNIVERSITY OF MISSOURI-COLUMBIA · PI STEWART, GEORGE C. · 2012 to 2013
$390k
NIAID NIH HHS P01 AI061093NIAID NIH HHS R18 AI048693NIAID NIH HHS R21 AI101093NIAID NIH HHS U24 AI086037NIGMS NIH HHS T32 GM007280
6 · The paper itself

Abstract

purposeThe United States Immunodeficiency Network (USIDNET) patient registry was used to characterize the presentation, genetics, phenotypes, and treatment of patients with Hyper IgM Syndrome (HIGM).

methodsThe USIDNET Registry was queried for HIGM patient data collected from October 1992 to July 2015. Data fields included demographics, criteria for diagnosis, pedigree analysis, mutations, clinical features, treatment and transplant records, laboratory findings, and mortality.

resultsFifty-two physicians entered data from 145 patients of ages 2 months to 62 years (median 12 years); 131 were males. Using patients' age at last entry, data from 2072 patient years are included. Mutations were recorded for 85 subjects; 82 were in CD40LG. Eighteen subjects had non-X-linked HIGM. 40 % had a normal serum IgM and 15 %, normal IgA. Infections were reported for 91 %, with pulmonary, ear, and sinus infections being the most common. 42 % had Pneumocystis jirovecii pneumonia; 6 % had Cryptosporidium. 41 % had neutropenia. 78 % experienced non-infectious complications: chronic diarrhea (n = 22), aphthous ulcers (n = 28), and neoplasms (n = 8) including colon cancer, adrenal adenoma, liver adenocarcinoma, pancreatic carcinoid, acute myeloid leukemia, hepatoma, and, in a female with an autosomal dominant gain of function mutation in PIK3CD, an ovarian dysgerminoma. Thirteen patients had a hematopoietic marrow or stem cell transplant; three had solid organ transplants. Thirteen were known to have died (median age = 14 years).

conclusionsAnalysis of the USIDNET Registry provides data on the common clinical features of this rare syndrome, and in contrast with previously published data, demonstrates longer survival times and reduced gastrointestinal manifestations.

Indexed as

Hematopoietic Stem Cell TransplantationRegistriesAdolescentAdultCD40 LigandChildChild, PreschoolDiarrheaFemaleHumansHyper-IgM Immunodeficiency SyndromeMaleMiddle AgedMutationNeutropeniaSurvival AnalysisCD40 LigandCD40/CD40LHyper IgM SyndromePrimary immune deficiencyUSIDNET

Identifiers

PMID27189378
PMCPMC5039943
OpenAlexW2398944043

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.