Evidence map›Paper›PMID 27893462›Full record

ArticleThe Journal of clinical investigation2017

Biallelic mutations in IRF8 impair human NK cell maturation and function.

Emily M Mace, Venetia Bigley, Justin T Gunesch, Ivan K Chinn, Laura S Angelo, Matthew A Care, Sheetal Maisuria, Michael D Keller, Sumihito Togi, Levi B Watkin and 23 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

70 citing papers in PubMed, 100 citations in OpenAlex.

  1. Trial
  2. Fungal Infections in Disorders of Inborn Errors of Immunity.Clinical reviews in allergy & immunology · 2026
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  7. Human immunity to fungal infections.The Journal of experimental medicine · 2025
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  12. CD11c-Cre driven deletion ofFrontiers in immunology · 2025
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  18. Article
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10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

33 authors at 11 institutions in 3 countries.

Emily M Mace
Venetia Bigley
Justin T Gunesch
Ivan K Chinn
Laura S Angelo
Matthew A Care
Sheetal Maisuria
Michael D Keller
Sumihito Togi
Levi B Watkin
David F LaRosa
Shalini N Jhangiani
Donna M Muzny
Asbjørg Stray-Pedersen
Zeynep Coban Akdemir
Jansen B Smith
Mayra Hernández-Sanabria
Duy T Le
Graham D Hogg
Tram N Cao
Aharon G Freud
Eva P Szymanski
Sinisa Savic
Matthew Collin
Andrew J Cant
Richard A Gibbs
Steven M Holland
Michael A Caligiuri
Keiko Ozato
Silke Paust
Gina M Doody
James R Lupski
Jordan S Orange
Baylor College of Medicine · USTexas Children's Hospital · USNational Institute of Allergy and Infectious Diseases · USNational Institute of Child Health · PKNewcastle University · GBSt James's University Hospital · GBThe Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute · USUniversity of Leeds · GBChildren's Hospital of Philadelphia · USChildren's National · USGreat North Children's Hospital · GB

Funding

Baylor-Johns Hopkins Center for Mendelian GeneticsU54HG006542 · NHGRI · JOHNS HOPKINS UNIVERSITY · PI VALLE, DAVID · 2012 to 2015
$15.6M
GENETIC, IMMUNOLOGIC AND MECHANISTIC BASIS OF HUMAN NK CELL DEFICIENCYR01AI120989 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ORANGE, JORDAN SCOTT · 2016 to 2025
$7.7M
Directing Function at the Natural Killer Cell Secretory Immunological SynapseR01AI067946 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ORANGE, JORDAN SCOTT · 2007 to 2019
$4.8M
NHGRI NIH HHS U54 HG006542NIAID NIH HHS R01 AI067946NIAID NIH HHS R01 AI120989
6 · The paper itself

Abstract

Human NK cell deficiencies are rare yet result in severe and often fatal disease, particularly as a result of viral susceptibility. NK cells develop from hematopoietic stem cells, and few monogenic errors that specifically interrupt NK cell development have been reported. Here we have described biallelic mutations in IRF8, which encodes an interferon regulatory factor, as a cause of familial NK cell deficiency that results in fatal and severe viral disease. Compound heterozygous or homozygous mutations in IRF8 in 3 unrelated families resulted in a paucity of mature CD56dim NK cells and an increase in the frequency of the immature CD56bright NK cells, and this impairment in terminal maturation was also observed in Irf8-/-, but not Irf8+/-, mice. We then determined that impaired maturation was NK cell intrinsic, and gene expression analysis of human NK cell developmental subsets showed that multiple genes were dysregulated by IRF8 mutation. The phenotype was accompanied by deficient NK cell function and was stable over time. Together, these data indicate that human NK cells require IRF8 for development and functional maturation and that dysregulation of this function results in severe human disease, thereby emphasizing a critical role for NK cells in human antiviral defense.

Indexed as

AllelesGenetic Predisposition to DiseaseInterferon Regulatory FactorsMutationVirus DiseasesAnimalsCD56 AntigenFemaleGene Expression RegulationHumansInterferon Regulatory Factor-8Killer Cells, NaturalMaleMiceMice, KnockoutCD56 AntigenInterferon Regulatory Factor-8Interferon Regulatory FactorsNCAM1 protein, human

Identifiers

PMID27893462
PMCPMC5199714
OpenAlexW2551202706

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.