Evidence map›Paper›PMID 31512162›Full record

ArticleJournal of clinical immunology2019

Novel Gain-of-Function Mutation in Stat1 Sumoylation Site Leads to CMC/CID Phenotype Responsive to Ruxolitinib.

Tariq Al Shehri, Kimberly Gilmour, Florian Gothe, Sam Loughlin, Shahnaz Bibi, Andrew D Rowan, Angela Grainger, Thivytra Mohanadas, Andrew J Cant, Mary A Slatter and 3 more

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In one paragraph

Article in Journal of clinical immunology, 2019. 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
–field-weighted citation impact
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.

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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

13 authors.

Tariq Al ShehriInstitute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK.
Kimberly GilmourDepartment of Immunology, Camelia Botnar Laboratories, Great Ormond Street Hospital for Children, London, UK.
Florian GotheInstitute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK.
Sam LoughlinRegional Molecular Genetics Laboratory, Great Ormond Street Hospital for Children, London, UK.
Shahnaz BibiRegional Molecular Genetics Laboratory, Great Ormond Street Hospital for Children, London, UK.
Andrew D RowanInstitute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK.
Angela GraingerInstitute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK.
Thivytra MohanadasInstitute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK.
Andrew J CantInstitute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK.
Mary A SlatterInstitute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK.
Sophie HambletonInstitute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK.
Desa LilicInstitute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK.
Timothy R LeahyDepartment of Paediatric Immunology and Infectious Diseases, Children's Health Ireland, Crumlin, Dublin, D12 N512, Ireland. ronan.leahy@olchc.ie.

Funding

Wellcome Trust 207556/Z/17/Z
6 · The paper itself

Abstract

Mutations in the coiled-coil and DNA-binding domains of STAT1 lead to delayed STAT1 dephosphorylation and subsequently gain-of-function. The associated clinical phenotype is broad and can include chronic mucocutaneous candidiasis (CMC) and/or combined immunodeficiency (CID). We report a case of CMC/CID in a 10-year-old boy due to a novel mutation in the small ubiquitin molecule (SUMO) consensus site at the C-terminal region of STAT1 leading to gain-of-function by impaired sumoylation. Immunodysregulatory features of disease improved after Janus kinase inhibitor (jakinib) treatment. Functional testing after treatment confirmed reversal of the STAT1 hyper-phosphorylation and downstream transcriptional activity. IL-17 and IL-22 production was, however, not restored with jakinib therapy (ruxolitinib), and the patient remained susceptible to opportunistic infection. In conclusion, a mutation in the SUMO consensus site of STAT1 can lead to gain-of-function that is reversible with jakinib treatment. However, full immunocompetence was not restored, suggesting that this treatment strategy might serve well as a bridge to definitive therapy such as hematopoietic stem cell transplant rather than a long-term treatment option.

Indexed as

Candidiasis, Chronic MucocutaneousChildGain of Function MutationHumansJanus KinasesMaleNitrilesPrimary Immunodeficiency DiseasesPyrazolesPyrimidinesSTAT1 Transcription FactorSumoylationTreatment OutcomeJanus KinasesNitrilesPyrazolesPyrimidinesruxolitinibSTAT1 protein, humanSTAT1 Transcription Factorchronic mucocutaneous candidiasiscombined immunodeficiencySTAT1sumoylation

Identifiers

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Registered trials

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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.