Evidence map›Paper›PMID 32040803›Full record

ArticleJournal of clinical immunology2020

Genetic, Immunological, and Clinical Features of the First Mexican Cohort of Patients with Chronic Granulomatous Disease.

Lizbeth Blancas-Galicia, Eros Santos-Chávez, Caroline Deswarte, Quentin Mignac, Isabel Medina-Vera, Ximena León-Lara, Manon Roynard, Selma C Scheffler-Mendoza, Ricardo Rioja-Valencia, Alexandra Alvirde-Ayala and 43 more

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In one paragraph

Article in Journal of clinical immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
4.6field-weighted citation impact, top 4% 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

42 citing papers in PubMed, 76 citations in OpenAlex.

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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

53 authors at 16 institutions in 3 countries.

Lizbeth Blancas-GaliciaUnidad de Investigación en Inmunodeficiencias, Instituto Nacional de Pediatría, Mexico City, Mexico. blancas.lizbeth@gmail.com.
Eros Santos-ChávezUnidad de Investigación en Inmunodeficiencias, Instituto Nacional de Pediatría, Mexico City, Mexico.
Caroline DeswarteImagine Institute, Paris University, Paris, France.
Quentin MignacImagine Institute, Paris University, Paris, France.
Isabel Medina-VeraDepartamento de Metodología de la Investigación, Instituto Nacional de Pediatría, Mexico City, Mexico.
Ximena León-LaraUnidad de Investigación en Inmunodeficiencias, Instituto Nacional de Pediatría, Mexico City, Mexico.
Manon RoynardImagine Institute, Paris University, Paris, France.
Selma C Scheffler-MendozaDepartamento de Inmunología Clínica, Instituto Nacional de Pediatría, Mexico City, Mexico.
Ricardo Rioja-ValenciaUnidad de Investigación en Inmunodeficiencias, Instituto Nacional de Pediatría, Mexico City, Mexico.
Alexandra Alvirde-AyalaUnidad de Investigación en Inmunodeficiencias, Instituto Nacional de Pediatría, Mexico City, Mexico.
Saul O Lugo ReyesUnidad de Investigación en Inmunodeficiencias, Instituto Nacional de Pediatría, Mexico City, Mexico.
Tamara Staines-BooneDepartamento de Inmunología, UMAE # 25, Monterrey, Mexico.
Jorge García-CamposDepartamento de Inmunología, UMAE # 25, Monterrey, Mexico.
Omar J Saucedo-RamírezDepartamento de Alergia, Hospital infantil de México Federico Gómez, Mexico City, Mexico.
Blanca E Del-Río NavarroDepartamento de Alergia, Hospital infantil de México Federico Gómez, Mexico City, Mexico.
Antonio Zamora-ChávezDepartamento de Medicina Interna, Hospital Infantil de México Federico Gómez, Mexico City, Mexico.
Arturo López-LariosUnidad de Inmunología Clínica, Hospital CIMA, Hermosillo, Sonora, Mexico.
Susana García-Pavón-OsorioDepartamento de Alergia e Inmunología, Hospital Naval, Mexico City, Mexico.
Eugenia Melgoza-ArcosUnidad de Terapia Intensiva Pediátrica, Hospital Naval, Mexico City, Mexico.
María R Canseco-RaymundoDepartamento de Alergia e Inmunología Clínica, UMAE, "LA RAZA", Mexico City, Mexico.
Dolores Mogica-MartínezDepartamento de Alergia e Inmunología Clínica, UMAE, "LA RAZA", Mexico City, Mexico.
Marco Venancio-HernándezDepartamento de Alergia e Inmunología Clínica, UMAE, "LA RAZA", Mexico City, Mexico.
Daniel Pacheco-RosasDepartamento de Infectología Pediátrica, UMAE "Siglo XXI", Mexico City, Mexico.
Sigifredo Pedraza-SánchezUnidad de Bioquímica, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Martha Guevara-CruzDepartamento de Fisiología de la Nutrición, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Federico Saracho-WeberDepartamento de Enseñanza, Hospital Infantil de Especialidades, Chihuahua, Mexico.
Berenise Gámez-GonzálezDepartamento de Alergia e Inmunología, Hospital Infantil de Especialidades Chihuahua, Chihuahua, Mexico.
Guillermo Wakida-KuzunokiDepartamento de Pediatría, Hospital Central Sur "PEMEX", Mexico City, Mexico.
Ana R Morán-MendozaDepartamento de Alergia e Inmunología Clínica Pediátrica, UMAE, CMNO, Guadalajara, Mexico.
Ana P Macías-RoblesDepartamento de Alergia e Inmunología Clínica Pediátrica, UMAE, CMNO, Guadalajara, Mexico.
Roselia Ramírez-RiveraDepartamento de Pediatría, Hospital de Especialidades del Niño y la Mujer, "Dr Felipe Nuñez Lara", Querétaro, Mexico.
Eugenia Vargas-CamañoDepartamento de Alergia e Inmunología, CMN "20 de Noviembre", Mexico City, Mexico.
Carmen Zarate-HernándezCRAIC, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Mexico.
Héctor Gómez-TelloDepartamento de Alergia e Inmunología, Hospital del Niño Poblano, Puebla, Puebla, Mexico.
Emmanuel Ramírez-SánchezHospital General de Playa del Carmen, Playa del Carmen, Quintana Roo, Mexico.
Fredy Ruíz-HernándezDepartamento de Inmunología, Hospital de la Niñez Oaxaqueña, Oaxaca, Mexico.
Domingo Ramos-LópezDepartamento de Alergia, Clínica #2, IMSS, San Luis Potosí, Mexico.
Héctor Acuña-MartínezDepartamento de Inmunología, Hospital de Especialidades Pediátricas, Tuxtla Gutiérrez, Chiapas, Mexico.
María L García-CruzDepartamento de Otorrinolaringología, INER, Mexico City, Mexico.
María G Román-JiménezDepartamento de Traumatología y Ortopedia, UMAE, Hospital de Traumatología y Ortopedia, Puebla, Mexico.
Marina G González-VillarrealDepartamento de Hematología Pediátrica, UMAE # 25, Monterrey, Mexico.
Aristóteles Álvarez-CardonaDepartamento de Alergia e Inmunología, Hospital Star Médica, Aguascalientes, Mexico.
Beatriz A Llamas-GuillénDepartamento de Alergia e Inmunología, Hospital del Niño Morelense, Emiliano Zapata, Morelos, Mexico.
Jennifer Cuellar-RodríguezDepartamento de Infectología, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Alberto Olaya-VargasPrograma de Trasplante de Medula Ósea y Terapia Celular, Instituto Nacional de Pediatría, Mexico City, Mexico.
Nideshda Ramírez-UribePrograma de Trasplante de Medula Ósea y Terapia Celular, Instituto Nacional de Pediatría, Mexico City, Mexico.
Stéphanie Boisson-DupuisImagine Institute, Paris University, Paris, France.
Jean-Laurent CasanovaImagine Institute, Paris University, Paris, France.
Francisco J Espinosa-RosalesFundación Mexicana para Niñas y Niños con Inmunodeficiencias Primarias, A.C, Mexico City, Mexico.
Jeanet Serafín-LópezLaboratorio de Inmunología molecular II, Escuela Nacional de Ciencias Biológicas, IPN, Mexico City, Mexico.
Marco Yamazaki-NakashimadaDepartamento de Inmunología Clínica, Instituto Nacional de Pediatría, Mexico City, Mexico.
Sara Espinosa-PadillaUnidad de Investigación en Inmunodeficiencias, Instituto Nacional de Pediatría, Mexico City, Mexico.
Jacinta BustamanteImagine Institute, Paris University, Paris, France. jacinta.bustamante@inserm.fr.ORCID 0000-0002-3439-2482
Instituto Nacional de Pediatria · MXInserm · FRHospital de Especialidades · MXCentro Médico Nacional La Raza · MXHospital Infantil de México Federico Gómez · MXInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán · MXHospital General de México · MXCentro Medico Nacional Siglo XXI · MXHospital Médica Sur · MXHoward Hughes Medical Institute · USInstituto Nacional de Perinatología · MXInstituto Politécnico Nacional · MXMexfam · MXMexican Social Security Institute · MXPemex (Mexico) · MXUniversidad Autónoma de Nuevo León · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChronic granulomatous disease (CGD) is a primary immunodeficiency characterized by an inability of phagocytes to produce reactive oxygen species, impairing their killing of various bacteria and fungi. We summarize here the 93 cases of CGD diagnosed in Mexico from 2011 to 2019.

methodsThirteen Mexican hospitals participated in this study. We describe the genetic, immunological, and clinical features of the 93 CGD patients from 78 unrelated kindreds.

resultsEighty-two of the patients (88%) were male. All patients developed bacterial infections and 30% suffered from some kind of fungal infection. Fifty-four BCG-vaccinated patients (58%) presented infectious complications of BCG vaccine. Tuberculosis occurred in 29%. Granulomas were found in 56% of the patients. Autoimmune and inflammatory diseases were present in 15% of patients. A biological diagnosis of CGD was made in 89/93 patients, on the basis of NBT assay (n = 6), DHR (n = 27), and NBT plus DHR (n = 56). The deficiency was complete in all patients. The median age of biological diagnosis was 17 months (range, 0-186 months). A genetic diagnosis was made in 83/93 patients (when material was available), corresponding to CYBB (n = 64), NCF1 (n = 7), NCF2 (n = 7), and CYBA (n = 5) mutations.

conclusionsThe clinical manifestations in these Mexican CGD patients were similar to those in patients elsewhere. This cohort is the largest in Latin America. Mycobacterial infections are an important cause of morbidity in Mexico, as in other countries in which tuberculosis is endemic and infants are vaccinated with BCG. X-linked CGD accounted for most of the cases in Mexico, as in other Latin American countries. However, a significant number of CYBA and NCF2 mutations were identified, expanding the spectrum of known causal mutations.

Indexed as

AdolescentAutoimmunityChildChild, PreschoolCohort StudiesFemaleGenes, X-LinkedGranulomatous Disease, ChronicHumansInfantInfant, NewbornInflammationMaleMexicoMutationMycobacteriumCYBB protein, humanNADPH Oxidase 2NADPH OxidasesNCF2 protein, humanneutrophil cytosolic factor 1Chronic granulomatous diseasemycobacteriaNADPH oxidaserecurrent infection

Identifiers

PMID32040803
OpenAlexW3006665869

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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.