Evidence map›Paper›PMID 32072341›Full record

ArticleJournal of clinical immunology2020

Novel Hemizygous IL2RG p.(Pro58Ser) Mutation Impairs IL-2 Receptor Complex Expression on Lymphocytes Causing X-Linked Combined Immunodeficiency.

Elina A Tuovinen, Juha Grönholm, Tiina Öhman, Sakari Pöysti, Raine Toivonen, Anna Kreutzman, Kaarina Heiskanen, Luca Trotta, Sanna Toiviainen-Salo, John M Routes and 7 more

Open access · hybridAbstract readCase Reports
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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.9field-weighted citation impact, top 28% 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

14 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. HemizygousThe application of clinical genetics · 2025
    Article
  8. Article
  9. Article
  10. Dendritic cells in inborn errors of immunity.Frontiers in immunology · 2023
    Review
  11. Interstitial Lung Disease in Immunocompromised Children.Diagnostics (Basel, Switzerland) · 2022
    Article
  12. Review
  13. Article
  14. Review
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

17 authors at 3 institutions in 4 countries.

Elina A TuovinenFolkhälsan Research Center, Helsinki, Finland.
Juha GrönholmTranslational Immunology Research Program, University of Helsinki, Helsinki, Finland. juha.gronholm@helsinki.fi.
Tiina ÖhmanSystems Biology Research Group and Proteomics Unit, Institute of Biotechnology, HiLIFE, University of Helsinki, Helsinki, Finland.
Sakari PöystiDepartment of Clinical Microbiology and Immunology, Turku University Hospital and Institute of Biomedicine, University of Turku, Turku, Finland.
Raine ToivonenDepartment of Clinical Microbiology and Immunology, Turku University Hospital and Institute of Biomedicine, University of Turku, Turku, Finland.
Anna KreutzmanTranslational Immunology Research Program, University of Helsinki, Helsinki, Finland.
Kaarina HeiskanenRare Diseases Center and Pediatric Research Center, New Children's Hospital, University of Helsinki and HUS Helsinki University Hospital, Helsinki, Finland.
Luca TrottaInstitute for Molecular Medicine Finland, HiLIFE, University of Helsinki, Helsinki, Finland.
Sanna Toiviainen-SaloDepartment of Pediatric Radiology, HUS Medical Imaging Center, Radiology, University of Helsinki and HUS Helsinki University Hospital, Helsinki, Finland.
John M RoutesDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA.
James VerbskyDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA.
Satu MustjokiTranslational Immunology Research Program, University of Helsinki, Helsinki, Finland.
Janna SaarelaInstitute for Molecular Medicine Finland, HiLIFE, University of Helsinki, Helsinki, Finland.
Juha KereFolkhälsan Research Center, Helsinki, Finland.
Markku VarjosaloSystems Biology Research Group and Proteomics Unit, Institute of Biotechnology, HiLIFE, University of Helsinki, Helsinki, Finland.
Arno HänninenDepartment of Clinical Microbiology and Immunology, Turku University Hospital and Institute of Biomedicine, University of Turku, Turku, Finland.
Mikko R J SeppänenTranslational Immunology Research Program, University of Helsinki, Helsinki, Finland.ORCID 0000-0001-9733-3650
University of Helsinki · FIUniversity of Turku · FIMedical College of Wisconsin · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hypomorphic IL2RG mutations may lead to milder phenotypes than X-SCID, named variably as atypical X-SCID or X-CID. We report an 11-year-old boy with a novel c. 172C>T;p.(Pro58Ser) mutation in IL2RG, presenting with atypical X-SCID phenotype. We also review the growing number of hypomorphic IL2RG mutations causing atypical X-SCID. We studied the patient's clinical phenotype, B, T, NK, and dendritic cell phenotypes, IL2RG and CD25 cell surface expression, and IL-2 target gene expression, STAT tyrosine phosphorylation, PBMC proliferation, and blast formation in response to IL-2 stimulation, as well as protein-protein interactions of the mutated IL2RG by BioID proximity labeling. The patient suffered from recurrent upper and lower respiratory tract infections, bronchiectasis, and reactive arthritis. His total lymphocyte counts have remained normal despite skewed T and B cells subpopulations, with very low numbers of plasmacytoid dendritic cells. Surface expression of IL2RG was reduced on his lymphocytes. This led to impaired STAT tyrosine phosphorylation in response to IL-2 and IL-21, reduced expression of IL-2 target genes in patient CD4+ T cells, and reduced cell proliferation in response to IL-2 stimulation. BioID proximity labeling showed aberrant interactions between mutated IL2RG and ER/Golgi proteins causing mislocalization of the mutated IL2RG to the ER/Golgi interface. In conclusion, IL2RG p.(Pro58Ser) causes X-CID. Failure of IL2RG plasma membrane targeting may lead to atypical X-SCID. We further identified another carrier of this mutation from newborn SCID screening, lost to closer scrutiny.

Indexed as

Cells, CulturedChildDendritic CellsGene Expression RegulationHemizygoteHumansInterleukin Receptor Common gamma SubunitLymphocytesMaleMultiprotein ComplexesMutationPedigreeReceptors, Interleukin-2STAT5 Transcription FactorX-Linked Combined Immunodeficiency DiseasesIL2RG protein, humanInterleukin Receptor Common gamma SubunitMultiprotein ComplexesReceptors, Interleukin-2STAT5 Transcription Factorendoplasmic reticulumGolgi apparatusIL2RGinterleukin receptor common gamma subunitsevere combined immunodeficiency, atypicalX-linked combined immunodeficiency diseases

Identifiers

PMID32072341
PMCPMC7142052
OpenAlexW3006898491

What OpenQuestion holds

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LicenceCC BY
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.