Evidence map›Paper›PMID 32594341›Full record

SynthesisJournal of clinical immunology2020

Prevalence of Immunological Defects in a Cohort of 97 Rubinstein-Taybi Syndrome Patients.

Francesco Saettini, Richard Herriot, Elisabetta Prada, Mathilde Nizon, Daniele Zama, Antonio Marzollo, Igor Romaniouk, Vassilios Lougaris, Manuela Cortesi, Alessia Morreale and 10 more

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis 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 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.7field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 37 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

20 authors at 12 institutions in 5 countries.

Francesco SaettiniPediatric Hematology Department, Fondazione MBBM, University of Milano Bicocca, via Pergolesi 33, 20900, Monza, Italy. francescosaettini@yahoo.it.ORCID 0000-0003-0767-3905
Richard HerriotImmunology Department, Aberdeen Royal Infirmary, Aberdeen, UK.
Elisabetta PradaDepartment of Pathophysiology and Transplantation, Pediatric Highly Intensive Care Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano, Milan, Italy.
Mathilde NizonService de Génétique Médicale, CHU de Nantes, 44000, Nantes, France.
Daniele ZamaPediatric Oncology and Hematology Unit "Lalla Seràgnoli", Department of Pediatrics, Sant'Orsola Malpighi Hospital, University of Bologna, Via Massarenti 9, 40138, Bologna, Italy.
Antonio MarzolloDepartment of Women's and Children's Health, Pediatric Hemato-Oncology, University Hospital of Padova, Padova, Italy.
Igor RomanioukDepartamento de Nefrología, Hospital Universitario de Santiago, Santiago de Compostela, Spain.
Vassilios LougarisDepartment of Clinical and Experimental Sciences, Pediatrics Clinic and Institute for Molecular Medicine A. Nocivelli, ASST-Spedali Civili of Brescia, University of Brescia, Brescia, Italy.
Manuela CortesiDepartment of Clinical and Experimental Sciences, Pediatrics Clinic and Institute for Molecular Medicine A. Nocivelli, ASST-Spedali Civili of Brescia, University of Brescia, Brescia, Italy.
Alessia MorrealeDepartment of Clinical and Experimental Sciences, Pediatrics Clinic and Institute for Molecular Medicine A. Nocivelli, ASST-Spedali Civili of Brescia, University of Brescia, Brescia, Italy.
Rika KosakiDivision of Medical Genetics, National Center for Child Health and Development, 2-10-1 Okura Setagaya-ku, Tokyo, 157-8535, Japan.
Fabio CardinalePoliclinic Giovanni XXIII, Bari, Italy.
Silvia RicciPediatric Immunology, Meyer Children's University Hospital, Florence, Italy.
Elena Domínguez-GarridoMolecular Diagnostic Unit, Fundación Rioja Salud, Logrono, La Rioja, Spain.
Davide MontinDivision of Immunology and Rheumatology, Department of Paediatric Infectious Diseases, Regina Margherita Children's Hospital, University of Turin, Turin, Italy.
Marie VincentService de Génétique Médicale, CHU de Nantes, 44000, Nantes, France.
Donatella MilaniDepartment of Pathophysiology and Transplantation, Pediatric Highly Intensive Care Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano, Milan, Italy.
Andrea BiondiPediatric Hematology Department, Fondazione MBBM, University of Milano Bicocca, via Pergolesi 33, 20900, Monza, Italy.
Cristina GervasiniDepartment of Medical Genetics, University of Milan, Milan, Italy.
Raffaele BadolatoDepartamento de Nefrología, Hospital Universitario de Santiago, Santiago de Compostela, Spain.
University of Brescia · ITUniversity of Milan · ITCentre National de la Recherche Scientifique · FRComplejo Hospitalario Universitario de Santiago · ESUniversity of Milano-Bicocca · ITAberdeen Royal Infirmary · GBIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITMeyer Children's Hospital · ITNational Center For Child Health and Development · JPOspedale Pediatrico Giovanni XXIII · ITOspedale Regina Margherita · ITUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although recurrent infections in Rubinstein-Taybi syndrome (RSTS) are common, and probably multifactorial, immunological abnormalities have not been extensively described with only isolated cases or small case series of immune deficiency and dysregulation having been reported. The objective of this study was to investigate primary immunodeficiency (PID) and immune dysregulation in an international cohort of patients with RSTS. All published cases of RSTS were identified. The corresponding authors and researchers involved in the diagnosis of inborn errors of immunity or genetic syndromes were contacted to obtain up-to-date clinical and immunological information. Ninety-seven RSTS patients were identified. For 45 patients, we retrieved data from the published reports while for 52 patients, a clinical update was provided. Recurrent or severe infections, autoimmune/autoinflammatory complications, and lymphoproliferation were observed in 72.1%, 12.3%, and 8.2% of patients. Syndromic immunodeficiency was diagnosed in 46.4% of individuals. Despite the broad heterogeneity of immunodeficiency disorders, antibody defects were observed in 11.3% of subjects. In particular, these patients presented hypogammaglobulinemia associated with low B cell counts and reduction of switched memory B cell numbers. Immunoglobulin replacement therapy, antibiotic prophylaxis, and immunosuppressive treatment were employed in 16.4%, 8.2%, and 9.8% of patients, respectively. Manifestations of immune dysfunctions, affecting mostly B cells, are more common than previously recognized in patients with RSTS. Full immunological assessment is warranted in these patients, who may require detailed investigation and specific supportive treatment. Graphical Abstract.

Indexed as

AdolescentAdultAutoimmunityBiomarkersB-LymphocytesChildChild, PreschoolCohort StudiesDisease SusceptibilityFemaleGenetic Association StudiesHumansImmune System DiseasesImmunoglobulin IsotypesIncidenceInfantBiomarkersImmunoglobulin Isotypesantibody deficiencyB cellsCREBBPEP300humoral defectshypogammaglobulinemialymphoproliferationRubinstein–Taybi syndromesyndromic immunodeficiency

Identifiers

PMID32594341
OpenAlexW3037221175

What OpenQuestion holds

Textmetadata
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.