Evidence map›Paper›PMID 29058101›Full record

ArticleJournal of clinical immunology2017

DOCK8 Deficiency Presenting as an IPEX-Like Disorder.

Fayhan J Alroqi, Louis-Marie Charbonnier, Sevgi Keles, Fatima Ghandour, Pierre Mouawad, Rami Sabouneh, Reem Mohammed, Abduarahman Almutairi, Janet Chou, Michel J Massaad and 3 more

Open access · greenAbstract 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 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

23 citing papers in PubMed, 47 citations in OpenAlex.

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  18. Regulatory T Cells: the Many Faces of Foxp3.Journal of clinical immunology · 2019
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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

13 authors at 6 institutions in 4 countries.

Fayhan J AlroqiDivision of Immunology, Boston Children's Hospital and Department of Pediatrics, Harvard Medical School, Karp Family Building, Room 10-214. 1 Blackfan Street, Boston, MA, 02115, USA.
Louis-Marie CharbonnierDivision of Immunology, Boston Children's Hospital and Department of Pediatrics, Harvard Medical School, Karp Family Building, Room 10-214. 1 Blackfan Street, Boston, MA, 02115, USA.
Sevgi KelesDivision of Pediatric Allergy and Immunology, Necmettin Erbakan University, Konya, Turkey.
Fatima GhandourDepartment of Pathology, St George Hospital University Medical Center, Beirut, Lebanon.
Pierre MouawadDepartment of Pediatrics, St George Hospital University Medical Center, Beirut, Lebanon.
Rami SabounehDepartment of Pediatrics, St George Hospital University Medical Center, Beirut, Lebanon.
Reem MohammedDepartment of Pediatrics, King Abdulaziz Medical City, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Abduarahman AlmutairiDepartment of Pediatrics, King Abdulaziz Medical City, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Janet ChouDivision of Immunology, Boston Children's Hospital and Department of Pediatrics, Harvard Medical School, Karp Family Building, Room 10-214. 1 Blackfan Street, Boston, MA, 02115, USA.
Michel J MassaadDivision of Immunology, Boston Children's Hospital and Department of Pediatrics, Harvard Medical School, Karp Family Building, Room 10-214. 1 Blackfan Street, Boston, MA, 02115, USA.
Raif S GehaDivision of Immunology, Boston Children's Hospital and Department of Pediatrics, Harvard Medical School, Karp Family Building, Room 10-214. 1 Blackfan Street, Boston, MA, 02115, USA.
Zeina BazDepartment of Pediatrics, St George Hospital University Medical Center, Beirut, Lebanon.
Talal A ChatilaDivision of Immunology, Boston Children's Hospital and Department of Pediatrics, Harvard Medical School, Karp Family Building, Room 10-214. 1 Blackfan Street, Boston, MA, 02115, USA. talal.chatila@childrens.harvard.edu.
Saint George Hospital · LBBoston Children's Hospital · USHarvard University · USKing Abdulaziz Medical City · SAKing Saud bin Abdulaziz University for Health Sciences · SANecmettin Erbakan University · TR

Funding

Mechanisms of Disease Pathogenesis in Regulatory T cell DeficiencyR01AI085090 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CHATILA, TALAL AMINE, WILLIAMS, CALVIN B · 2010 to 2020
$3.9M
Role of DOCK8 in B Cell FunctionR01AI100315 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI GEHA, RAIF SALIM · 2013 to 2017
$2.2M
NIAID NIH HHS R01 AI085090NIAID NIH HHS R01 AI100315
6 · The paper itself

Abstract

purposeThe dedicator of cytokinesis 8 (DOCK8) deficiency is an autosomal recessive-combined immunodeficiency whose clinical spectra include recurrent infections, autoimmunity, malignancies, elevated serum IgE, eczema, and food allergies. Here, we report on patients with loss of function DOCK8 mutations with profound immune dysregulation suggestive of an immune dysregulation, polyendocrinopathy, enteropathy, X-linked (IPEX)-like disorder.

methodsImmunophenotyping of lymphocyte subpopulations and analysis of DOCK8 protein expression were evaluated by flow cytometry. T regulatory (T

resultsPatient 1 (P1) presented at 10 months of age with chronic severe diarrhea and active colitis in the absence of an infectious trigger, severe eczema with elevated serum IgE, and autoimmune hemolytic anemia, suggestive of an IPEX-related disorder. Whole-exome sequencing revealed a homozygous nonsense mutation in DOCK8 at the DOCK-homology region (DHR)-1 (c.1498C>T; p. R500X). Patient P2, a cousin of P1 who carries the same DOCK8 nonsense mutation, presented with eczema and recurrent ear infections in early infancy, and she developed persistent diarrhea by 3 years of age. Patient P3 presented with lymphoproliferation, severe eczema with allergic dysregulation, and chronic diarrhea with colitis. She harbored a homozygous loss of function DOCK8 mutation (c.2402 -1G→A). T

conclusionDOCK8 deficiency may present severe immune dysregulation with features that may overlap with those of IPEX and other IPEX-like disorders.

Indexed as

Anemia, HemolyticChild, PreschoolChromosome DisordersDiabetes Mellitus, Type 1DiarrheaFemaleGenes, RecessiveGenetic Diseases, X-LinkedGuanine Nucleotide Exchange FactorsHumansHypersensitivityImmune System DiseasesImmunoglobulin EImmunophenotypingInfantInfectionsDOCK8 protein, humanGuanine Nucleotide Exchange FactorsImmunoglobulin ECombined ImmunodeficiencyDOCK8FOXP3immune dysregulationIPEXIPEX-likeregulatory T cellsTreg

Identifiers

PMID29058101
PMCPMC5691358
OpenAlexW2765110290

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.