Evidence map›Paper›PMID 31301515›Full record

ArticleClinical immunology (Orlando, Fla.)2019

A novel truncating mutation in MYD88 in a patient with BCG adenitis, neutropenia and delayed umbilical cord separation.

Craig D Platt, Fatima Zaman, Jacqueline G Wallace, Michael Seleman, Janet Chou, Nashat Al Sukaiti, Raif S Geha

Open access · greenAbstract readCase Reports
In one paragraph

Article in Clinical immunology (Orlando, Fla.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 31% 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

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. Case Report: Novel variants in theFrontiers in immunology · 2025
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  5. Detection of c.755T>C; p.L265P/c.751C>T;p.264R/* compound heterozygousIndian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2021
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  6. Review
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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

7 authors at 3 institutions in 2 countries.

Craig D PlattDivision of Immunology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Fatima ZamanDivision of Immunology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Jacqueline G WallaceDivision of Immunology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Michael SelemanDivision of Immunology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Janet ChouDivision of Immunology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Nashat Al SukaitiDepartment of Pediatrics, Allergy and Clinical Immunology Unit, Royal Hospital, Muscat, Oman.
Raif S GehaDivision of Immunology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA. Electronic address: raif.geha@childrens.harvard.edu.
Boston Children's Hospital · USHarvard University · USRoyal Hospital · OM

Funding

Mechanisms of a Novel Combined Immunodeficiency Caused by a Homozygous Mutation in COPG1R01AI139633 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI GEHA, RAIF SALIM · 2018 to 2022
$3.1M
Novel mechanisms of T cell costimulation: the role of LRRC8A in T cell activationK08AI116979 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI CHOU, JANET · 2015 to 2019
$934k
NIAID NIH HHS K08 AI116979NIAID NIH HHS R01 AI139633
6 · The paper itself

Abstract

Mutations in MYD88 cause susceptibility to invasive bacterial infections through impaired signaling downstream of toll-like receptors (TLRs) and IL-1 receptors. We studied a patient presenting with neutropenia, delayed umbilical cord separation, BCG adenitis, andP. aeruginosapneumonia. Next-generation DNA sequencing identified a novel homozygous truncation mutation in MYD88 that abolishes MyD88 expression. The patient's dermal fibroblasts had severely impaired IL-6 production after stimulation with ligands for the MyD88-dependent receptors TLR2, TLR4 and IL-1R, while responses to ligands for the MyD88-independent receptors TLR3 and TNF-α were preserved. Notably, secretion of TNF-α, which is essential for BCG control, was also impaired after LPS stimulation. In this first report of BCG infection in MyD88 deficiency, data suggest that MyD88-dependent TNF-α production contributes to control of mycobacterial disease.

Indexed as

BCG VaccineGenetic Predisposition to DiseaseHumansLymphadenitisMaleMyeloid Differentiation Factor 88NeutropeniaPneumonia, BacterialPseudomonas aeruginosaPseudomonas InfectionsUmbilical CordBCG VaccineMYD88 protein, humanMyeloid Differentiation Factor 88BCGDelayed umbilical cord separationMyD88 deficiencyNeutropenia

Identifiers

PMID31301515
PMCPMC6736735
OpenAlexW2957811341

What OpenQuestion holds

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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.