Evidence map›Paper›PMID 32856043›Full record

ReviewClinical infectious diseases : an official publication of the Infectious Diseases Society of America2021

Primary and Acquired Immunodeficiencies Associated With Severe Varicella-Zoster Virus Infections.

Rahila Ansari, Lindsey B Rosen, Andrea Lisco, Don Gilden, Steven M Holland, Christa S Zerbe, Robert A Bonomo, Jeffrey I Cohen

Open access · hybridAbstract readReview
In one paragraph

Review in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

32 citing papers in PubMed, 44 citations in OpenAlex.

  1. Varicella zoster virus infection.Nature reviews. Disease primers · 2026
    Review
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  8. Biological relevance ofMicrobiology and molecular biology reviews : MMBR · 2025
    Review
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  17. Severe acute herpes virus type 2 primo-infection and its association with anti-type 1 interferon autoantibodies.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2023
    Article
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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.

Rahila AnsariDepartment of Neurology, Cleveland VA Medical Center, Cleveland, Ohio, USA.
Lindsey B RosenLaboratory of Clinical Immunology and Microbiology, National Institutes of Health, Bethesda, Maryland, USA.
Andrea LiscoLaboratory of Immunoregulation, National Institutes of Health, Bethesda, Maryland, USA.
Don GildenUniversity of Colorado School of Medicine, Aurora, Colorado, USA.
Steven M HollandLaboratory of Clinical Immunology and Microbiology, National Institutes of Health, Bethesda, Maryland, USA.
Christa S ZerbeLaboratory of Clinical Immunology and Microbiology, National Institutes of Health, Bethesda, Maryland, USA.
Robert A BonomoResearch Service, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio, USA.
Jeffrey I CohenLaboratory of Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
National Institutes of Health · USLouis Stokes Cleveland VA Medical Center · USUniversity of Colorado Denver · USUniversity School · US

Funding

Genes And Gene Products As ImmunoadjuvantsZIAAI000647 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI HOLLAND, STEVEN · 2009 to 2025
$22.6M
Rituximab for Anticytokine Autoantibody-Associated SyndromesZIAAI001182 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI HOLLAND, STEVEN · 2013 to 2025
$3.0M
National Institute of Allergy and Infectious DiseasesNIH HHS
6 · The paper itself

Abstract

backgroundAlthough most cases of varicella or zoster are self-limited, patients with certain immune deficiencies may develop severe or life-threatening disease.

methodsWe studied a patient with varicella-zoster virus (VZV) central nervous system (CNS) vasculopathy and as part of the evaluation, tested his plasma for antibodies to cytokines. We reviewed the literature for cases of varicella or zoster associated with primary and acquired immunodeficiencies.

resultsWe found that a patient with VZV CNS vasculopathy had antibody that neutralized interferon (IFN)-α but not IFN-γ. The patient's plasma blocked phosphorylation in response to stimulation with IFN-α in healthy control peripheral blood mononuclear cells. In addition to acquired immunodeficiencies like human immunodeficiency virus (HIV) or autoantibodies to IFN, variants in specific genes have been associated with severe varicella and/or zoster. Although these genes encode proteins with very different activities, many affect IFN signaling pathways, either those that sense double-stranded RNA or cytoplasmic DNA that trigger IFN production, or those involved in activation of IFN stimulated genes in response to binding of IFN with its receptor.

conclusionsImmune deficiencies highlight the critical role of IFN in control of VZV infections and suggest new approaches for treatment of VZV infection in patients with certain immune deficiencies.

Indexed as

ChickenpoxHerpes ZosterHerpesvirus 3, HumanHumansInterferon-alphaLeukocytes, MononuclearInterferon-alphachickenpoximmunodeficiencyinterferonvaricella-zosterzoster

Identifiers

PMID32856043
PMCPMC8563170
OpenAlexW3082726301

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.