Evidence map›Paper›PMID 32396255›Full record

ArticleThe Laryngoscope2021

Association of CARD8 Activating Polymorphism With Bone Erosion in Cholesteatoma Patients.

Neel Sangal, John Yan, Jessica Pryor, Marcus L Elias, Biju Joseph, Luis Ulloa, Robert W Jyung

Open access · greenAbstract read
In one paragraph

Article in The Laryngoscope, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 51% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Advances in the Study of NOD-Like Receptors in Common Otological Diseases.The journal of international advanced otology · 2025
    Review
  2. 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

7 authors at 2 institutions in 1 country.

Neel SangalDepartment of Otolaryngology - Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, U.S.A.
John YanDepartment of Otolaryngology - Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, U.S.A.ORCID 0000-0001-5049-4182
Jessica Pryor
Marcus L Elias
Biju Joseph
Luis UlloaCenter for Perioperative Organ Protection. Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina, U.S.A.
Robert W JyungDepartment of Otolaryngology - Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, U.S.A.
Rutgers, The State University of New Jersey · USDuke University · US

Funding

Dopaminergic regulation of the immune systemR01GM114180 · NIGMS · RBHS-NEW JERSEY MEDICAL SCHOOL · PI ULLOA, LUIS · 2015 to 2018
$1.2M
NIGMS NIH HHS R01 GM114180
6 · The paper itself

Abstract

objectivesWe compared the incidence of polymorphisms activating the NLRP3 inflammasome between controls and patients with cholesteatoma and its potential association with bone erosion in patients with cholesteatoma.

methodsThis is a case-control study assessing the mutation rates in genes of interest in patients with and without cholesteatoma. A total of 133 saliva samples from control (n = 65) and cholesteatoma (n = 68) patients were collected for DNA extraction. Caspase recruitment domain family member 8 (CARD8) (AA: homozygous wild type, AT: heterozygous, TT: homozygous mutant polymorphism) and NLRP3 (CC: homozygous wild type, CA: heterozygous, AA: homozygous mutant) polymorphisms were analyzed with TaqMan single-nucleotide polymorphism (SNP) quantitative polymerase chain reaction (ThermoFisher Scientific, Waltham, MA). Mutation status was correlated with a novel bone erosion scoring model developed as a part of this study. Summary statistics, including frequencies (%) and median (Q1, Q3) were used to describe the sample.

resultsThe presence of CARD8 and NLRP3 homozygous wild-type polymorphisms were generally similar for the control and cholesteatoma patient groups. CARD8 homozygous TT polymorphisms were an exception, occurring more frequently in patients who developed a cholesteatoma compared to the control group (29% vs. 10%, P = .009). Those patients with CARD8 homozygous TT polymorphism had higher median scores of bone erosion as compared to subjects with nonhomozygous mutant genotypes (median [interquartile range]: 4.0 [3.0, 5.5] vs. 2.5 [1.0, 3.5], P = .0142).

conclusionCholesteatoma patients have a significant, twofold higher incidence of CARD8 homozygous TT polymorphism. Furthermore, cholesteatoma patients with this homozygous polymorphism had greater bone erosion rates than controls. These findings suggest that genetic mutations may increase host susceptibility to cholesteatomas. Specifically, the CARD8 TT polymorphism may influence the severity of cholesteatoma-induced bone erosion. LEVEL OF EVIDENCE: 3B.

Indexed as

CARD Signaling Adaptor ProteinsCase-Control StudiesCholesteatoma, Middle EarCodon, NonsenseGene FrequencyGenetic Predisposition to DiseaseHumansMutation, MissenseNeoplasm ProteinsNLR Family, Pyrin Domain-Containing 3 ProteinPolymorphism, Single NucleotideTemporal BoneCARD8 protein, humanCARD Signaling Adaptor ProteinsCodon, NonsenseNeoplasm ProteinsNLR Family, Pyrin Domain-Containing 3 ProteinNLRP3 protein, humanCholesteatoma, otolaryngology, single-nucleotide polymorphism, bone erosion, CARD8

Identifiers

PMID32396255
PMCPMC9511680
OpenAlexW3025309120

What OpenQuestion holds

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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.