Evidence map›Paper›PMID 32067110›Full record

ReviewHuman genetics2020

Incomplete penetrance in primary immunodeficiency: a skeleton in the closet.

Conor Gruber, Dusan Bogunovic

Open access · greenAbstract readReview
In one paragraph

Review in Human genetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 1 pooled it
5.1field-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

66 citing papers in PubMed, 1 synthesis or guideline pooled it, 96 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. medRxiv : the preprint server for health sciences · 2026
    Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. IKZF-associated inborn errors of immunity.Journal of human immunity · 2025
    Review
  14. Article
  15. Article
  16. Article
  17. Human immunity.Journal of human immunity · 2025
    Article
  18. Identifying genetic errors of immunity due to mosaicism.The Journal of experimental medicine · 2025
    Review
  19. Diagnostic disparities in inborn errors of immunity: From clinical suspicion to diagnosis.The journal of allergy and clinical immunology. Global · 2025
    Article
  20. Article

6 more citing papers are in PubMed but not listed here.

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

2 authors at 2 institutions in 1 country.

Conor GruberDepartment of Microbiology, Icahn School of Medicine at Mt. Sinai, New York, NY, 10029, USA.
Dusan BogunovicDepartment of Microbiology, Icahn School of Medicine at Mt. Sinai, New York, NY, 10029, USA. dusan.bogunovic@mssm.edu.ORCID http://orcid.org/0000-0002-9277-3232
Child Health and Development Institute · USIcahn School of Medicine at Mount Sinai · US

Funding

Human ISG15 and USP18 Deficiencies Underlying Type I InterferonopathiesR01AI127372 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Dusan Bogunovic · 2017 to 2026
$4.7M
Type I Interferon Dysregulation in Down SyndromeR01AI150300 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BOGUNOVIC, DUSAN · 2019 to 2021
$3.8M
Interdisciplinary Training in Systems and Developmental Biology and Birth DefectsT32HD075735 · NICHD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI JABS, ETHYLIN WANG · 2013 to 2022
$1.8M
ZIKA VIRUS RESISTANCE; HOST DETERMINANTSR21AI129827 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BOGUNOVIC, DUSAN · 2017 to 2018
$466k
Interplay between Negative Regulators of Type I Interferon and HIV controlR21AI134366 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BOGUNOVIC, DUSAN, SIMON, VIVIANA A · 2017 to 2018
$466k
NIAID NIH HHS R01 AI127372NIAID NIH HHS R01 AI150300NIAID NIH HHS R21 AI129827NIAID NIH HHS R21 AI134366NICHD NIH HHS T32 HD075735
6 · The paper itself

Abstract

Primary immunodeficiencies (PIDs) comprise a diverse group of over 400 genetic disorders that result in clinically apparent immune dysfunction. Although PIDs are classically considered as Mendelian disorders with complete penetrance, we now understand that absent or partial clinical disease is often noted in individuals harboring disease-causing genotypes. Despite the frequency of incomplete penetrance in PID, no conceptual framework exists to categorize and explain these occurrences. Here, by reviewing decades of reports on incomplete penetrance in PID we identify four recurrent themes of incomplete penetrance, namely genotype quality, (epi)genetic modification, environmental influence, and mosaicism. For each of these principles, we review what is known, underscore what remains unknown, and propose future experimental approaches to fill the gaps in our understanding. Although the content herein relates specifically to inborn errors of immunity, the concepts are generalizable across genetic diseases.

Indexed as

Epigenesis, GeneticGene-Environment InteractionGenetic Predisposition to DiseaseGenetic VariationPenetranceHumansMosaicismPrimary Immunodeficiency DiseasesHuman geneticsMosaicismPenetrancePrimary immunodeficiencyVariable expressivity

Identifiers

PMID32067110
PMCPMC7275875
OpenAlexW3008036448

What OpenQuestion holds

Textmetadata
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.