Evidence map›Paper›PMID 31021819›Full record

ArticleJCI insight2019

Hematopoietic stem cell transplant effectively rescues lymphocyte differentiation and function in DOCK8-deficient patients.

Bethany A Pillay, Danielle T Avery, Joanne M Smart, Theresa Cole, Sharon Choo, Damien Chan, Paul E Gray, Katie Frith, Richard Mitchell, Tri Giang Phan and 19 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

24 citing papers in PubMed, 39 citations in OpenAlex.

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  19. The Child with Elevated IgE and Infection Susceptibility.Current allergy and asthma reports · 2020
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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

29 authors at 15 institutions in 6 countries.

Bethany A PillayGarvan Institute of Medical Research, Sydney, New South Wales, Australia.
Danielle T AveryGarvan Institute of Medical Research, Sydney, New South Wales, Australia.
Joanne M SmartRoyal Children's Hospital, Melbourne, Victoria, Australia.
Theresa ColeRoyal Children's Hospital, Melbourne, Victoria, Australia.
Sharon ChooRoyal Children's Hospital, Melbourne, Victoria, Australia.
Damien ChanWomen and Children's Hosp==ital, Adelaide, South Australia, Australia.
Paul E GrayDepartment of Immunology and Infectious Diseases, Sydney Children's Hospital, Sydney, New South Wales, Australia.
Katie FrithDepartment of Immunology and Infectious Diseases, Sydney Children's Hospital, Sydney, New South Wales, Australia.
Richard MitchellSchool of Women's and Children's Health, UNSW Sydney, Sydney, New South Wales, Australia.
Tri Giang PhanGarvan Institute of Medical Research, Sydney, New South Wales, Australia.
Melanie WongClinical Immunogenomics Research Consortium of Australia (CIRCA), Sydney, New South Wales, Australia.
Dianne E CampbellClinical Immunogenomics Research Consortium of Australia (CIRCA), Sydney, New South Wales, Australia.
Peter HsuClinical Immunogenomics Research Consortium of Australia (CIRCA), Sydney, New South Wales, Australia.
John B ZieglerDepartment of Immunology and Infectious Diseases, Sydney Children's Hospital, Sydney, New South Wales, Australia.
Jane PeakeQueensland Children's Hospital, South Brisbane, Queensland, Australia.
Frank AlvaroPediatric Hematology, John Hunter Hospital, New Lambton, New South Wales, Australia.
Capucine PicardLaboratory of Lymphocyte Activation and Susceptibility to EBV Infection, INSERM UMR 1163, Imagine institut, Paris, France.
Jacinta BustamanteLaboratory of Lymphocyte Activation and Susceptibility to EBV Infection, INSERM UMR 1163, Imagine institut, Paris, France.
Benedicte NevenPediatric Hematology-Immunology Unit, Necker Hospital for Sick Children, AP-HP, Paris, France.
Andrew J CantGreat North Children's Hospital, Newcastle upon Tyne Hospitals, NHS Foundation Trust, Newcastle upon Tyne, United Kingdom.
Gulbu UzelLaboratory of Clinical Immunology and Microbiology, National Institute of Allergy and Infectious Diseases, NIH, Bethesda, Maryland, USA.
Peter D ArkwrightLydia Becker Institute of Immunology & Inflammation, University of Manchester, Manchester, United Kingdom.
Jean-Laurent CasanovaPediatric Hematology and Immunology Unit, Necker Hospital for Sick Children, AP-HP, Paris, France.
Helen C SuLaboratory of Clinical Immunology and Microbiology, National Institute of Allergy and Infectious Diseases, NIH, Bethesda, Maryland, USA.
Alexandra F FreemanLaboratory of Clinical Immunology and Microbiology, National Institute of Allergy and Infectious Diseases, NIH, Bethesda, Maryland, USA.
Nirali ShahPediatric Oncology Branch.
Dennis D HicksteinExperimental Transplantation and Immunology Branch, National Cancer Institute, NIH, Bethesda, Maryland, USA.
Stuart G TangyeGarvan Institute of Medical Research, Sydney, New South Wales, Australia.
Cindy S MaGarvan Institute of Medical Research, Sydney, New South Wales, Australia.
Garvan Institute of Medical Research · AUUNSW Sydney · AUChildren's Hospital at Westmead · AUNational Institute of Allergy and Infectious Diseases · USRoyal Children's Hospital · AUDélégation Paris 5 · FRAssistance Publique – Hôpitaux de Paris · FRCentre for Inflammation Research · GBChildren's Health Queensland Hospital and Health Service · AUInserm · FRJohn Hunter Hospital · AUNational Cancer Institute · USNewcastle upon Tyne Hospitals NHS Foundation Trust · GBPediatric Oncology Group · CAWomen's and Children's Hospital · AU

Funding

Primary Immune Deficiency ClinicZIAAI001247 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI FREEMAN, ALEXANDRA · 2019 to 2025
$8.7M
Understanding DOCK8 Function in Health and Human DiseaseZIAAI001193 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI SU, HELEN CHUN-HUI · 2014 to 2025
$4.5M
Howard Hughes Medical Institute
6 · The paper itself

Abstract

Bi-allelic inactivating mutations in DOCK8 cause a combined immunodeficiency characterised by severe pathogen infections, eczema, allergies, malignancy and impaired humoral responses. These clinical features result from functional defects in most lymphocyte lineages. Thus, DOCK8 plays a key role in immune cell function. Hematopoietic stem cell transplantation (HSCT) is curative for DOCK8 deficiency. While previous reports have described clinical outcomes for DOCK8 deficiency following HSCT, the effect on lymphocyte reconstitution and function has not been investigated. Our study determined whether defects in lymphocyte differentiation and function in DOCK8-deficient patients were restored following HSCT. DOCK8-deficient T and B lymphocytes exhibited aberrant activation and effector function in vivo and in vitro. Frequencies of αβ T and MAIT cells were reduced while γδT cells were increased in DOCK8-deficient patients. HSCT improved, abnormal lymphocyte function in DOCK8-deficient patients. Elevated total and allergen-specific IgE in DOCK8-deficient patients decreased over time following HSCT. Our results document the extensive catalogue of cellular defects in DOCK8-deficient patients, and the efficacy of HSCT to correct these defects, concurrent with improvements in clinical phenotypes. Overall, our findings provide mechanisms at a functional cellular level for improvements in clinical features of DOCK8 deficiency post-HSCT, identify biomarkers that correlate with improved clinical outcomes, and inform the general dynamics of immune reconstitution in patients with monogenic immune disorders following HSCT.

Indexed as

Hematopoietic Stem Cell TransplantationAdolescentAdultB-LymphocytesCell DifferentiationChildChild, PreschoolGuanine Nucleotide Exchange FactorsHumansImmunoglobulin EJob SyndromeLymphocyte ActivationT-LymphocytesTreatment OutcomeYoung AdultDOCK8 protein, humanGuanine Nucleotide Exchange FactorsImmunoglobulin EAdaptive immunityCellular immune responseImmunologyInfectious diseaseStem cell transplantation

Identifiers

PMID31021819
PMCPMC6629099
OpenAlexW2937568612

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.