Evidence map›Paper›PMID 29097442›Full record

ArticleThe Journal of experimental medicine2017

A p190BRhoGAP mutation and prolonged RhoB activation in fatal systemic capillary leak syndrome.

Richard W Pierce, Jonathan Merola, John Paul Lavik, Martin S Kluger, Anita Huttner, Mustafa K Khokha, Jordan S Pober

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in The Journal of experimental medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Roles of endothelial cells during infection.Current opinion in immunology · 2025
    Review
  4. Systemic capillary leak syndrome.Nature reviews. Disease primers · 2024
    Review
  5. Hypersensitive blood vessels in Clarkson disease.The Journal of clinical investigation · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. ArhGEF12 activates Rap1A and not RhoA in human dermal microvascular endothelial cells to reduce tumor necrosis factor-induced leak.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2022
    Article
  10. Tumor necrosis factor-induced ArhGEF10 selectively activates RhoB contributing to human microvascular endothelial cell tight junction disruption.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2021
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Rare and Low-Frequency Variant ofCirculation. Genomic and precision medicine · 2018
    Article
  16. Article
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

7 authors at 1 institution in 1 country.

Richard W PierceDepartment of Pediatrics, Yale University, New Haven, CT.
Jonathan MerolaDepartment of Surgery, Yale University, New Haven, CT.ORCID http://orcid.org/0000-0002-9283-1893
John Paul LavikDepartment of Pathology, Yale University, New Haven, CT.
Martin S KlugerDepartment of Immunobiology, Yale University, New Haven, CT.ORCID http://orcid.org/0000-0002-3490-1603
Anita HuttnerDepartment of Pathology, Yale University, New Haven, CT.ORCID http://orcid.org/0000-0003-2143-4329
Mustafa K KhokhaDepartment of Pediatrics, Yale University, New Haven, CT.
Jordan S PoberDepartment of Pathology, Yale University, New Haven, CT jordan.pober@yale.edu.ORCID http://orcid.org/0000-0001-5990-1071
Yale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
PATHOPHYSIOLOGY OF ACUTE AND CHRONIC RENAL DISEASET32DK007276 · NIDDK · YALE UNIVERSITY · PI ARONSON, PETER S., CANTLEY, LLOYD G · 1986 to 2022
$9.3M
PROTEINS OF THE ENDOTHELIAL CELL SURFACER01HL036003 · NHLBI · YALE UNIVERSITY · PI KLUGER, MARTIN S, POBER, JORDAN S · 1985 to 2015
$5.7M
A system approach to the analysis of Heterotaxy Candiate GenesR01HD081379 · NICHD · YALE UNIVERSITY · PI KHOKHA, MUSTAFA K · 2014 to 2018
$2.7M
Cardiac phenotyping of CHD candidate genes in XenopusR33HL120783 · NHLBI · YALE UNIVERSITY · PI BRUECKNER, MARTINA, KHOKHA, MUSTAFA K · 2016 to 2018
$1.6M
YALE PEDIATRIC BASIC SCIENCE TRAINING PROGRAMT32HD068201 · NICHD · YALE UNIVERSITY · PI EGAN, MARIE E · 2011 to 2015
$1.3M
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS R01 HL036003NHLBI NIH HHS R33 HL120783NICHD NIH HHS R01 HD081379NICHD NIH HHS T32 HD068201NIDDK NIH HHS T32 DK007276
6 · The paper itself

Abstract

We describe a fatal case of pediatric systemic capillary leak (Clarkson's disease) associated with a point mutation in p190BRhoGAP. Dermal microvascular endothelial cells (ECs) isolated from this patient form monolayers with similar levels and distribution of junctional proteins and transendothelial electrical resistance compared with normal human dermal microvascular ECs. However, patient-derived ECs demonstrate a greater increase in permeability and impaired recovery of barrier function in response to tumor necrosis factor (TNF) compared with normal donor EC cultures. TNF transiently activates RhoB in ECs coincident with developing leak, and inactivation of RhoB correlates with barrier recovery. The mutation in p190BRhoGAP impairs RhoB inactivation, and the mutant phenotype of patient-derived ECs is replicated by siRNA knockdown of p190BRhoGAP in normal ECs. These data suggest a previously unknown function for p190BRhoGAP in control of capillary EC barrier function that may also be important in acquired systemic capillary leak associated with critical illness in humans.

Indexed as

AutopsyCapillary Leak SyndromeChildDermisElectric ImpedanceEndothelial CellsFatal OutcomeGene Expression ProfilingGTPase-Activating ProteinsHumansMaleMicrovesselsMutationReproducibility of ResultsrhoB GTP-Binding ProteinARHGAP5 protein, humanGTPase-Activating ProteinsrhoB GTP-Binding Protein

Identifiers

PMID29097442
PMCPMC5716031
OpenAlexW2767793687

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.