Evidence map›Paper›PMID 30422821›Full record

ArticleThe Journal of clinical investigation2019

Rescue of recurrent deep intronic mutation underlying cell type-dependent quantitative NEMO deficiency.

Bertrand Boisson, Yoshitaka Honda, Masahiko Ajiro, Jacinta Bustamante, Matthieu Bendavid, Andrew R Gennery, Yuri Kawasaki, Jose Ichishima, Mitsujiro Osawa, Hiroshi Nihira and 18 more

Open access · greenAbstract readCase Reports
In one paragraph

Article in The Journal of clinical investigation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing 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

33 citing papers in PubMed, 52 citations in OpenAlex.

  1. Article
  2. Monogenic disorders of the TNF signalling pathway.Nature reviews. Rheumatology · 2026
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  4. Revisiting X-linked agammaglobulinemia.Journal of human immunity · 2025
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  6. Reliable genetic diagnosis ofFrontiers in immunology · 2025
    Article
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  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
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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

28 authors at 7 institutions in 4 countries.

Bertrand BoissonSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, New York, USA.
Yoshitaka HondaDepartment of Pediatrics, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Masahiko AjiroDepartment of Anatomy and Developmental Biology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Jacinta BustamanteSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, New York, USA.
Matthieu BendavidSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, New York, USA.
Andrew R GenneryInstitute of Cellular Medicine, Newcastle University and Great North Children's Hospital, Newcastle upon Tyne, United Kingdom.
Yuri KawasakiDepartment of Clinical Application, Center for iPS Cell Research and Application, Kyoto University, Kyoto, Japan.
Jose IchishimaDepartment of Clinical Application, Center for iPS Cell Research and Application, Kyoto University, Kyoto, Japan.
Mitsujiro OsawaDepartment of Clinical Application, Center for iPS Cell Research and Application, Kyoto University, Kyoto, Japan.
Hiroshi NihiraDepartment of Pediatrics, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Takeshi ShibaDepartment of Pediatrics, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Takayuki TanakaDepartment of Pediatrics, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Maya ChrabiehLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Necker Hospital for Sick Children, Paris, France.
Benedetta BigioSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, New York, USA.
Hong HurCenter for Clinical and Translational Science, The Rockefeller University, New York, New York, USA.
Yuval ItanSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, New York, USA.
Yupu LiangCenter for Clinical and Translational Science, The Rockefeller University, New York, New York, USA.
Satoshi OkadaDepartment of Pediatrics, Graduate School of Biomedical & Health Sciences, Hiroshima University, Japan.
Kazushi IzawaDepartment of Pediatrics, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Ryuta NishikomoriDepartment of Pediatrics, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Osamu OharaLaboratory for Integrative Genomics, RIKEN Center for Integrative Medical Sciences, Yokohama, Japan.
Toshio HeikeDepartment of Pediatrics, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Laurent AbelSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, New York, USA.
Anne PuelSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, New York, USA.
Megumu K SaitoDepartment of Clinical Application, Center for iPS Cell Research and Application, Kyoto University, Kyoto, Japan.
Jean-Laurent CasanovaSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, New York, USA.
Masatoshi HagiwaraDepartment of Anatomy and Developmental Biology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Takahiro YasumiDepartment of Pediatrics, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Kyoto University · JPInserm · FRRockefeller University · USGreat North Children's Hospital · GBHiroshima University · JPHoward Hughes Medical Institute · USKazusa DNA Research Institute · JP

Funding

Regulation of IgA class switching in the intestinal mucosaP01AI061093 · NIAID · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI CUNNINGHAM-RUNDLES, CHARLOTTE · 2004 to 2021
$29.8M
Department of HealthHoward Hughes Medical InstituteNIAID NIH HHS P01 AI061093
6 · The paper itself

Abstract

X-linked dominant incontinentia pigmenti (IP) and X-linked recessive anhidrotic ectodermal dysplasia with immunodeficiency (EDA-ID) are caused by loss-of-function and hypomorphic IKBKG (also known as NEMO) mutations, respectively. We describe a European mother with mild IP and a Japanese mother without IP, whose 3 boys with EDA-ID died from ID. We identify the same private variant in an intron of IKBKG, IVS4+866 C>T, which was inherited from and occurred de novo in the European mother and Japanese mother, respectively. This mutation creates a new splicing donor site, giving rise to a 44-nucleotide pseudoexon (PE) generating a frameshift. Its leakiness accounts for NF-κB activation being impaired but not abolished in the boys' cells. However, aberrant splicing rates differ between cell types, with WT NEMO mRNA and protein levels ranging from barely detectable in leukocytes to residual amounts in induced pluripotent stem cell-derived (iPSC-derived) macrophages, and higher levels in fibroblasts and iPSC-derived neuronal precursor cells. Finally, SRSF6 binds to the PE, facilitating its inclusion. Moreover, SRSF6 knockdown or CLK inhibition restores WT NEMO expression and function in mutant cells. A recurrent deep intronic splicing mutation in IKBKG underlies a purely quantitative NEMO defect in males that is most severe in leukocytes and can be rescued by the inhibition of SRSF6 or CLK.

Indexed as

Ectodermal DysplasiaFrameshift MutationI-kappa B KinaseIncontinentia PigmentiIntronsFemaleFibroblastsHumansImmunologic Deficiency SyndromesMacrophagesMaleI-kappa B KinaseIKBKG protein, humanGeneticsInfectious diseaseMolecular diagnosisNF-kappaB

Identifiers

PMID30422821
PMCPMC6355244
OpenAlexW2900926271

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.