Evidence map›Paper›PMID 27539235›Full record

ReviewJournal of clinical immunology2016

Unrelated Hematopoietic Cell Transplantation in a Patient with Combined Immunodeficiency with Granulomatous Disease and Autoimmunity Secondary to RAG Deficiency.

Tami John, Jolan E Walter, Catherina Schuetz, Karin Chen, Roshini S Abraham, Carmem Bonfim, Thomas G Boyce, Avni Y Joshi, Elizabeth Kang, Beatriz Tavares Costa Carvalho and 8 more

Open access · greenAbstract readCase ReportsReview
In one paragraph

Review 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 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

16 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Predicting the Occurrence of Variants in RAG1 and RAG2.Journal of clinical immunology · 2019
    Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. RAG Deficiency: Two Genes, Many Diseases.Journal of clinical immunology · 2018
    Review
  15. Article
  16. 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

18 authors at 11 institutions in 3 countries.

Tami JohnDivision of Hematology/Oncology, CHOC Children's Hospital, 1201 W. La Veta Avenue, Orange, CA, 92868, USA. tamidjohn@gmail.com.
Jolan E WalterDivision of Immunology, MassGeneral Hospital for Children, 55 Fruit Street, Boston, MA, 02114, USA.
Catherina SchuetzDepartment of Pediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany.
Karin ChenDivision of Allergy, Immunology and Rheumatology, Department of Pediatrics, University of Utah School of Medicine, 81 Mario Capecchi Drive, Salt Lake City, UT, USA.
Roshini S AbrahamAllergy and Immunology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Carmem BonfimBone Marrow Transplantation Unit, Federal University of Paraná, Rua XV de Novembro, 1299 - Centro, Curitiba, PR, 80060-000, Brazil.
Thomas G BoyceDepartment of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN, 37232, USA.
Avni Y JoshiAllergy and Immunology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Elizabeth KangNIAID, National Institutes of Health, Building 10CRC, Room 5-3940, 10 Center Drive, MSC 1456, Bethesda, MD, 20892-9806, USA.
Beatriz Tavares Costa CarvalhoDisciplina de Alergia, Imunologia Clínica e Reumatologia - UNIFESP, Sao Paulo, Brazil.
Arash MahajerinDivision of Hematology, CHOC Children's Hospital, 1201 W. La Veta Avenue, Orange, CA, 92868, USA.
Diane NugentDivision of Hematology, CHOC Children's Hospital, 1201 W. La Veta Avenue, Orange, CA, 92868, USA.
Geetha PuthenveetilDivision of Hematology, CHOC Children's Hospital, 1201 W. La Veta Avenue, Orange, CA, 92868, USA.
Amit SoniDivision of Hematology, CHOC Children's Hospital, 1201 W. La Veta Avenue, Orange, CA, 92868, USA.
Helen SuNIAID, National Institutes of Health, Building 10CRC, Room 5-3940, 10 Center Drive, MSC 1456, Bethesda, MD, 20892-9806, USA.
Morton J CowanDepartment of Pediatrics, University of California, San Francisco, Box 1278, UCSF, San Francisco, CA, 94143, USA.
Luigi NotarangeloDivision of Immunology, Children's Hospital Boston, Karp Building, Room 10217, 1 Blackfan Circle, Boston, MA, 02115, USA.
David BuchbinderDivision of Hematology, CHOC Children's Hospital, 1201 W. La Veta Avenue, Orange, CA, 92868, USA.
Children's Hospital of Orange County · USMayo Clinic · USNational Institutes of Health · USAssociação Brasileira de Alergia e Imunologia · BRBoston Children's Hospital · USMassachusetts General Hospital · USUniversidade Federal do Paraná · BRUniversity Hospital Ulm · DEUniversity of California, San Francisco · USUniversity of Utah · USVanderbilt University · US

Funding

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
NIAID NIH HHS K08 AI103035NIAID NIH HHS K08 AI116909
6 · The paper itself

Abstract

The use of HLA-identical hematopoietic stem cell transplantation (HSCT) demonstrates overall survival rates greater than 75 % for T-B-NK+ severe combined immunodeficiency secondary to pathogenic mutation of recombinase activating genes 1 and 2 (RAG1/2). Limited data exist regarding the use of HSCT in patients with hypomorphic RAG variants marked by greater preservation of RAG activity and associated phenotypes such as granulomatous disease in combination with autoimmunity. We describe a 17-year-old with combined immunodeficiency and immune dysregulation characterized by granulomatous lung disease and autoimmunity secondary to compound heterozygous RAG mutations. A myeloablative reduced toxicity HSCT was completed using an unrelated bone marrow donor. With the increasing cases of immune dysregulation being discovered with hypomorphic RAG variants, the use of HSCT may advance to the forefront of treatment. This case serves to discuss indications of HSCT, approaches to preparative therapy, and the potential complications in this growing cohort of patients with immune dysregulation and RAG deficiency.

Indexed as

Hematopoietic Stem Cell TransplantationAdolescentAllelesAutoimmune DiseasesBiomarkersGranulomatous Disease, ChronicHomeodomain ProteinsHumansImmunoglobulins, IntravenousImmunophenotypingInfectionsLymphocyte CountMutationSevere Combined ImmunodeficiencyT-LymphocytesTransplantation, HomologousBiomarkersHomeodomain ProteinsImmunoglobulins, IntravenousRAG-1 proteinautoimmunitybone marrow transplantationimmune dysregulationprimary immunodeficiencyRAG deficiency

Identifiers

PMID27539235
PMCPMC5286911
OpenAlexW2517568837

What OpenQuestion holds

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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.