Evidence map›Paper›PMID 30850927›Full record

ArticleInternational journal of hematology2019

A synonymous splice site mutation in IL2RG gene causes late-onset combined immunodeficiency.

Motoi Yamashita, Ryosuke Wakatsuki, Tamaki Kato, Tsubasa Okano, Shingo Yamanishi, Nobuko Mayumi, Mayuri Tanaka, Yumi Ogura, Hirokazu Kanegane, Shigeaki Nonoyama and 2 more

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In one paragraph

Article in International journal of hematology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 28% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Monogenic etiologies of persistent human papillomavirus infections: A comprehensive systematic review.Genetics in medicine : official journal of the American College of Medical Genetics · 2024
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. SCID newborn screening: What we've learned.The Journal of allergy and clinical immunology · 2021
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Centralized rapid genetic diagnosis of combined immunodeficiency in Japan.Pediatrics international : official journal of the Japan Pediatric Society
    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

12 authors at 4 institutions in 1 country.

Motoi YamashitaDepartment of Pediatrics and Developmental Biology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan. myamashita.ped@tmd.ac.jp.ORCID http://orcid.org/0000-0002-9814-1033
Ryosuke WakatsukiSchool of Medicine, Faculty of Medicine, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.
Tamaki KatoDepartment of Pediatrics, National Defense Medical College, Saitama, Japan.
Tsubasa OkanoDepartment of Pediatrics and Developmental Biology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan.
Shingo YamanishiDepartment of Pediatrics, Nippon Medical School, Tokyo, Japan.
Nobuko MayumiDepartment of Dermatology, Nippon Medical School, Tokyo, Japan.
Mayuri TanakaDepartment of Dermatology, Nippon Medical School, Tokyo, Japan.
Yumi OguraDepartment of Pediatrics, National Defense Medical College, Saitama, Japan.
Hirokazu KaneganeDepartment of Pediatrics and Developmental Biology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan.
Shigeaki NonoyamaDepartment of Pediatrics, National Defense Medical College, Saitama, Japan.
Kohsuke ImaiDepartment of Pediatrics and Developmental Biology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan.
Tomohiro MorioDepartment of Pediatrics and Developmental Biology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan.
Tokyo Medical and Dental University · JPNippon Medical School · JPNational Defense Medical College · JPSelf-Defense Forces Central Hospital · JP

Funding

Japan Agency for Medical Research and Development JP18ek0109179Japan Agency for Medical Research and Development JP18kk0205002Japan Society for the Promotion of Science 2299310
6 · The paper itself

Abstract

X-Linked severe combined immunodeficiency (X-SCID) is a severe form of primary immunodeficiency characterized by absence of T cells and NK cells. X-SCID is caused by a loss-of-function mutation in the IL2RG gene that encodes common gamma chain (γc), which plays an essential role in lymphocyte development. We report the first case of hypomorphic X-SCID caused by a synonymous mutation in the IL2RG gene leading to a splice anomaly, in a family including two patients with diffuse cutaneous warts, recurrent molluscum contagiosum, and mild respiratory infections. The mutation caused aberrant splicing of IL2RG mRNA, subsequently resulted in reduced γc expression. The leaky production of normally spliced IL2RG mRNA produced undamaged protein; thus, T cells and NK cells were generated in the patients. Functional assays of the patients' T cells and NK cells revealed diminished cytokine response in the T cells and absent cytokine response in the NK cells. In addition, the TCR repertoire in these patients was limited. These data suggest that a fine balance between aberrant splicing and leaky production of normally spliced IL2RG mRNA resulted in late-onset combined immunodeficiency in these patients.

Indexed as

Interleukin Receptor Common gamma SubunitMutationRNA Splice SitesRNA SplicingAdolescentFemaleHumansKiller Cells, NaturalMaleT-LymphocytesX-Linked Combined Immunodeficiency DiseasesIL2RG protein, humanInterleukin Receptor Common gamma SubunitRNA Splice SitesAtypicalIL2RGLeakySynonymous mutationX-linked severe combined immunodeficiency

Identifiers

PMID30850927
OpenAlexW2921712031

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.