Evidence map›Paper›PMID 28956255›Full record

ArticleJournal of clinical immunology2017

Multiple Presentations of LRBA Deficiency: a Single-Center Experience.

Sevgi Kostel Bal, Sule Haskologlu, Nina K Serwas, Candan Islamoglu, Caner Aytekin, Tanil Kendirli, Zarife Kuloglu, Gulsan Yavuz, Buket Dalgic, Zeynep Siklar and 5 more

Open access · bronzeAbstract readCase Reports
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 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
3.9field-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

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 80 citations in OpenAlex.

  1. Pooled it
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  12. Infections in Disorders of Immune Regulation.Pathogens (Basel, Switzerland) · 2024
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  19. State-of-the-art diagnostic evaluation of common variable immunodeficiency.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2021
    Review
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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

15 authors at 4 institutions in 2 countries.

Sevgi Kostel BalDepartment of Pediatric Allergy and Immunology, Ankara University School of Medicine, Cebeci, 06590, Ankara, Turkey.ORCID http://orcid.org/0000-0002-3718-5323
Sule HaskologluDepartment of Pediatric Allergy and Immunology, Ankara University School of Medicine, Cebeci, 06590, Ankara, Turkey.
Nina K SerwasLudwig Boltzmann Institute for Rare and Undiagnosed Diseases, Vienna, Austria.
Candan IslamogluDepartment of Pediatric Allergy and Immunology, Ankara University School of Medicine, Cebeci, 06590, Ankara, Turkey.
Caner AytekinDepartment of Pediatric Immunology, Dr. Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital, Ankara, Turkey.
Tanil KendirliDepartment of Pediatric Intensive Care, Ankara University School of Medicine, Ankara, Turkey.
Zarife KulogluDepartment of Pediatric Gastroenterology, Ankara University School of Medicine, Ankara, Turkey.
Gulsan YavuzDepartment of Pediatric Oncology, Ankara University School of Medicine, Ankara, Turkey.
Buket DalgicDepartment of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara, Turkey.
Zeynep SiklarDepartment of Pediatric Endocrinology, Ankara University School of Medicine, Ankara, Turkey.
Aydan KansuDepartment of Pediatric Gastroenterology, Ankara University School of Medicine, Ankara, Turkey.
Arzu EnsariDepartment of Pathology, Ankara University School of Medicine, Ankara, Turkey.
Kaan BoztugLudwig Boltzmann Institute for Rare and Undiagnosed Diseases, Vienna, Austria.
Figen DoguDepartment of Pediatric Allergy and Immunology, Ankara University School of Medicine, Cebeci, 06590, Ankara, Turkey.
Aydan IkinciogullariDepartment of Pediatric Allergy and Immunology, Ankara University School of Medicine, Cebeci, 06590, Ankara, Turkey. aydani@medicine.ankara.edu.tr.
Ankara University · TRAustrian Academy of Sciences · ATGazi University · TRMinistry of Health · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLPS-responsive beige-like anchor protein (LRBA) deficiency is a primary immunodeficiency categorized as common variable immunodeficiency associated with autoimmune manifestations and inflammatory bowel diseases; however, the clinical spectrum has been extended. Here, we present our cohort of Turkish LRBA-deficient patients from a single center, demonstrating a diversity of clinical manifestations.

methodSeven affected individuals from five families were assessed retrospectively in this study.

resultsOf the seven patients with LRBA deficiency, four had homozygous, and two had compound heterozygous mutations. One patient remained disease free until the last follow-up (age 17 years). The most common clinical manifestations of the six symptomatic patients were organomegaly (6/6), autoimmunity (6/6), and chronic diarrhea (5/6). Recurrent infectious episodes were observed in three patients. None of the patients had hypogammaglobulinemia at presentation. B cell subpopulation analysis revealed low numbers of switched-memory B cell numbers in two of the four tested patients. During the disease course, three of the patients died, two of them underwent successful hematopoietic stem cell transplantation (HSCT) from matched sibling donors, and one is under abatacept therapy.

conclusionLRBA defects should always be kept in mind as a differential diagnosis for patients with autoimmune disease affecting multiple organs, chronic diarrhea, and organomegalies. In our experience, early HSCT is a life-saving therapeutic strategy.

Indexed as

AbataceptAdaptor Proteins, Signal TransducingAdolescentAutoimmune DiseasesChildCommon Variable ImmunodeficiencyDisease-Free SurvivalFatal OutcomeFemaleHomozygoteHumansImmunosuppressive AgentsInfantInflammatory Bowel DiseasesMaleMutationAbataceptAdaptor Proteins, Signal TransducingImmunosuppressive AgentsLRBA protein, humanALPSautoimmunityHSCTLRBA deficiency

Identifiers

PMID28956255
PMCPMC7086713
OpenAlexW2759502895

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.