Evidence map›Paper›PMID 28301468›Full record

ArticlePloS one2017

Recessive coding and regulatory mutations in FBLIM1 underlie the pathogenesis of chronic recurrent multifocal osteomyelitis (CRMO).

Allison J Cox, Benjamin W Darbro, Ronald M Laxer, Gabriel Velez, Xinyu Bing, Alexis L Finer, Albert Erives, Vinit B Mahajan, Alexander G Bassuk, Polly J Ferguson

Erratum issuedOpen access · goldAbstract readCase Reports
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
9.3field-weighted citation impact, top 1% 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

45 citing papers in PubMed, 97 citations in OpenAlex.

  1. Chronic Recurrent Multifocal Osteomyelitis: A Review of 80 Cases in Chinese Children.Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases · 2026
    Review
  2. [Genetic basis of chronic nonbacterial osteomyelitis].Zeitschrift fur Rheumatologie · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Autoinflammatory Bone Diseases.Balkan medical journal · 2025
    Review
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  11. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 2 countries.

Allison J CoxDepartment of Pediatrics, The University of Iowa, Iowa City, IA, United States of America.ORCID http://orcid.org/0000-0002-6803-4456
Benjamin W DarbroDepartment of Pediatrics, The University of Iowa, Iowa City, IA, United States of America.
Ronald M LaxerDivision of Pediatric Rheumatology, Departments of Pediatrics and Medicine, University of Toronto and The Hospital for Sick Children, Toronto, ON, Canada.
Gabriel VelezMedical Scientist Training Program, University of Iowa, Iowa City, IA, United States of America.
Xinyu BingDepartment of Pediatrics, The University of Iowa, Iowa City, IA, United States of America.
Alexis L FinerDepartment of Pediatrics, The University of Iowa, Iowa City, IA, United States of America.
Albert ErivesInterdisciplinary Graduate Program in Genetics, The University of Iowa, Iowa City, IA, United States of America.
Vinit B MahajanDepartment of Ophthalmology and Visual Sciences, The University of Iowa, Iowa City, IA, United States of America.
Alexander G BassukDepartment of Pediatrics, The University of Iowa, Iowa City, IA, United States of America.
Polly J FergusonDepartment of Pediatrics, The University of Iowa, Iowa City, IA, United States of America.
University of Iowa · USUniversity of Toronto · CA

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007337 · NIGMS · UNIVERSITY OF IOWA · PI GEYER, PAMELA K., LENTZ, STEVEN R · 1985 to 2020
$15.9M
PREDOCTORAL TRAINING PROGRAM IN GENETICST32GM008629 · NIGMS · UNIVERSITY OF IOWA · PI EBERL, DANIEL F · 1997 to 2021
$4.1M
Genetic & immunologic etiology of chronic recurrent multifocal osteomyelitis-CRMOR01AR059703 · NIAMS · UNIVERSITY OF IOWA · PI BASSUK, ALEXANDER G, FERGUSON, POLLY J · 2010 to 2019
$3.5M
Structure and Function of Calpain-5R01EY024665 · NEI · UNIVERSITY OF IOWA · PI MAHAJAN, VINIT B · 2015 to 2019
$1.9M
Bioinformatics Training in the Life Sciences and BiomedicineT32GM082729 · NIGMS · UNIVERSITY OF IOWA · PI CASAVANT, THOMAS L. · 2009 to 2013
$544k
NEI NIH HHS R01 EY024665NIAMS NIH HHS R01 AR059703NIGMS NIH HHS T32 GM007337NIGMS NIH HHS T32 GM008629NIGMS NIH HHS T32 GM082729
6 · The paper itself

Abstract

Chronic recurrent multifocal osteomyelitis (CRMO) is a rare, pediatric, autoinflammatory disease characterized by bone pain due to sterile osteomyelitis, and is often accompanied by psoriasis or inflammatory bowel disease. There are two syndromic forms of CRMO, Majeed syndrome and DIRA, for which the genetic cause is known. However, for the majority of cases of CRMO, the genetic basis is unknown. Via whole-exome sequencing, we detected a homozygous mutation in the filamin-binding domain of FBLIM1 in an affected child with consanguineous parents. Microarray analysis of bone marrow macrophages from the CRMO murine model (cmo) determined that the Fblim1 ortholog is the most differentially expressed gene, downregulated over 20-fold in the cmo mouse. We sequenced FBLIM1 in 96 CRMO subjects and found a second proband with a novel frameshift mutation in exon 6 and a rare regulatory variant. In SaOS2 cells, overexpressing the regulatory mutation showed the flanking region acts as an enhancer, and the mutation ablates enhancer activity. Our data implicate FBLIM1 in the pathogenesis of sterile bone inflammation and our findings suggest CRMO is a disorder of chronic inflammation and imbalanced bone remodeling.

Indexed as

Genes, RecessiveMutationAmino Acid SequenceAnimalsCell Adhesion MoleculesCell Line, TumorChildCytoskeletal ProteinsFemaleHumansInterleukin-10MiceOsteomyelitisPromoter Regions, GeneticSequence Homology, Amino AcidCell Adhesion MoleculesCytoskeletal ProteinsFBLIM1 protein, humanInterleukin-10

Identifiers

PMID28301468
PMCPMC5354242
OpenAlexW2595624252

What OpenQuestion holds

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LicenceCC BY
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.