Evidence map›Paper›PMID 28236219›Full record

ArticleJournal of clinical immunology2017

Gastrointestinal Manifestations in X-linked Agammaglobulinemia.

Sara Barmettler, Iris M Otani, Jasmit Minhas, Roshini S Abraham, Yenhui Chang, Morna J Dorsey, Zuhair K Ballas, Francisco A Bonilla, Hans D Ochs, Jolan E Walter

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical immunology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Crohn's-like Enteritis in X-Linked Agammaglobulinemia: A Case Series and Systematic Review.The journal of allergy and clinical immunology. In practice · 2021
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Outcomes of X-Linked Agammaglobulinaemia Patients.Journal of clinical immunology · 2024
    Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Autoimmunity in Primary Immunodeficiencies (PID).Clinical reviews in allergy & immunology · 2023
    Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Review
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

10 authors at 7 institutions in 1 country.

Sara BarmettlerMassachusetts General Hospital, Boston, MA, USA. sbarmettler@mgh.harvard.edu.ORCID http://orcid.org/0000-0001-8188-9187
Iris M OtaniMassachusetts General Hospital, Boston, MA, USA.
Jasmit MinhasLahey Hospital & Medical Center, Burlington, MA, USA.
Roshini S AbrahamMayo Clinic, Rochester, MN, USA.
Yenhui ChangUniversity of South Florida at Johns Hopkins All Children's Hospital, St. Petersburg, FL, USA.
Morna J DorseyUniversity of San Francisco, San Francisco, CA, USA.
Zuhair K BallasUniversity of Iowa Hospitals and Clinic, Iowa City, IA, USA.
Francisco A BonillaBoston Children's Hospital, Boston, MA, USA.
Hans D OchsCenter for Immunity and Immunotherapies, Seattle Children's Research Institute, Seattle, WA, USA.
Jolan E WalterMassachusetts General Hospital, Boston, MA, USA.
Johns Hopkins University · USMassachusetts General Hospital · USBoston Children's Hospital · USLahey Medical Center · USMayo Clinic in Arizona · USUniversity of Iowa Hospitals and Clinics · USUniversity of San Francisco · US

Funding

Research Training in Pulmonary Immunology and Allergy at MGHT32HL116275 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI David C Christiani, ANDREW D LUSTER · 2013 to 2026
$8.6M
NHLBI NIH HHS T32 HL116275
6 · The paper itself

Abstract

purposeX-linked agammaglobulinemia is a primary humoral immunodeficiency characterized by hypogammaglobulinemia and increased susceptibility to infection. Although there is increased awareness of autoimmune and inflammatory complications in X-linked agammaglobulinemia (XLA), the spectrum of gastrointestinal manifestations has not previously been fully explored.

methodsWe present a case report of a family with two affected patients with XLA. Given the gastrointestinal involvement of the grandfather in this family, we performed a retrospective descriptive analysis of XLA patients with reported diagnoses of GI manifestations and inflammatory bowel disease (IBD) or enteritis registered at the United States Immunodeficiency Network, a national registry of primary immunodeficiencies.

resultsIn this cohort of patients with XLA, we found that up to 35% had concurrent gastrointestinal manifestations, and 10% had reported diagnoses of IBD or enteritis. The most commonly reported mutations were missense, which have been associated with a less severe XLA phenotype in the literature. The severity of symptoms were wide ranging, and management strategies were diverse and mainly experimental.

conclusionsPatients with XLA may require close monitoring with particular attention for GI manifestations including IBD and infectious enteritis. Further studies are needed to improve diagnosis and management of GI conditions in XLA patients.

Indexed as

AgammaglobulinemiaAged, 80 and overBiomarkersGastrointestinal DiseasesGastrointestinal TractGenetic Association StudiesGenetic Diseases, X-LinkedHumansImmunoglobulin IsotypesImmunophenotypingInfantLymphocyte SubsetsMaleMutationPedigreePhenotypeBiomarkersImmunoglobulin IsotypesBruton’s agammaglobulinemiaBTKenteritisgastrointestinal manifestationsGI manifestationsIBDinflammatory bowel diseaseXLAX-linked agammaglobulinemia

Identifiers

PMID28236219
PMCPMC5414010
OpenAlexW2590182519

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.