Evidence map›Paper›PMID 32154999›Full record

ArticleMolecular genetics & genomic medicine2020

Novel compound heterozygous stop-gain mutations of LRBA in a Vietnamese patient with Common Variable Immune Deficiency.

Anh N L Phan, Thuy T T Pham, Nghia Huynh, Tuan M Nguyen, Cuc T T Cao, Duong T Nguyen, Duc T Le, Chi-Bao Bui

Open access · goldAbstract readCase Reports
In one paragraph

Article in Molecular genetics & genomic medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 48% of its field
1 · What the graph read from it

What it found

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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

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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

4 citing papers in PubMed, 4 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

8 authors at 4 institutions in 1 country.

Anh N L PhanChildren's Hospital 1, Ho Chi Minh City, Vietnam.
Thuy T T PhamFunctional Genomic Unit, DNA Medical Technology, Ho Chi Minh City, Vietnam.ORCID 0000-0002-8950-6547
Nghia HuynhDepartment of Hematology, Ho Chi Minh City University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam.
Tuan M NguyenChildren's Hospital 1, Ho Chi Minh City, Vietnam.
Cuc T T CaoChildren's Hospital 1, Ho Chi Minh City, Vietnam.
Duong T NguyenChildren's Hospital 1, Ho Chi Minh City, Vietnam.
Duc T LeFunctional Genomic Unit, DNA Medical Technology, Ho Chi Minh City, Vietnam.
Chi-Bao BuiFunctional Genomic Unit, DNA Medical Technology, Ho Chi Minh City, Vietnam.ORCID 0000-0002-7937-1634
Children's Hospital 1 · VNUniversity Medical Center HCMC · VNUniversity of Medicine and Pharmacy at Ho Chi Minh City · VNVietnam National University Ho Chi Minh City · VN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLipopolysaccharide-responsive and beige-like anchor (LRBA) deficiency is a rare autosomal recessive common variable immunodeficiency (CVID), affecting 1:25,000-1:50,000 people worldwide. Biallelic mutations in the gene LRBA have been implicated in affected individuals.

methodsWe report a 16-year-old Vietnamese, male patient with recurrent CVID symptoms including chronic diarrhea, interstitial pneumonia, cutaneous granulomatous lesions, hepatosplenomegaly, and finger clubbing. Immunological analyses and whole exome sequencing (WES) were performed to investigate phenotypic and genotypic features.

resultsImmunological analyses revealed hypogammaglobulinemia and low ratios of CD4+/CD8+ T cells. Two novel compound heterozygous stop-gain mutation in LRBA were identified: c.1933C > T (p.R645X) and c.949C > T (p.R317X). Sanger sequencing confirmed the segregation of these variants from the intact parents. The abolished LRBA protein expression was shown by immunoblot analysis. Subsequent treatment potentially saves the child from the same immune thrombocytopenia which led to his brother's untimely death; likely caused by the same LRBA mutations.

conclusionThis first report of LRBA deficiency in Vietnam expands our knowledge of the diverse phenotypes and genotypes driving CVID. Finally, the utilization of WES shows great promise as an effective diagnostic for CVID in our setting.

Indexed as

Codon, NonsenseAdaptor Proteins, Signal TransducingAdolescentCommon Variable ImmunodeficiencyHeterozygoteHumansMaleAdaptor Proteins, Signal TransducingCodon, NonsenseLRBA protein, humanantibody deficiencychronic diarrheacommon variable immunodeficiencyLRBAstop-gain mutation

Identifiers

PMID32154999
PMCPMC7216813
OpenAlexW3011830295

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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.