Evidence map›Paper›PMID 33471124›Full record

ArticleThe Journal of infectious diseases2021

Lost in Translation: Lack of CD4 Expression due to a Novel Genetic Defect.

Andrea Lisco, Peying Ye, Chun-Shu Wong, Luxin Pei, Amy P Hsu, Emily M Mace, Jordan S Orange, Silvia Lucena Lage, Addison Jon Ward, Stephen A Migueles and 12 more

Open access · hybridAbstract readCase Reports
In one paragraph

Article in The Journal of infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 27% 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, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Monogenic etiologies of persistent human papillomavirus infections: A comprehensive systematic review.Genetics in medicine : official journal of the American College of Medical Genetics · 2024
    Pooled it
  2. The Hitchhiker Guide to CD4Frontiers in immunology · 2021
    Pooled it
  3. Reappraisal of Idiopathic CD4 Lymphocytopenia at 30 Years.The New England journal of medicine · 2023
    Trial
  4. Article
  5. Human genetics of Whipple's disease.Current opinion in rheumatology · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Helper T cell immunity in humans with inherited CD4 deficiency.The Journal of experimental medicine · 2024
    Article
  10. Review
  11. Review
  12. Article
  13. Infections in the monogenic autoimmune syndrome APECED.Current opinion in immunology · 2021
    Review
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 6 institutions in 1 country.

Andrea LiscoNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
Peying YeNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
Chun-Shu WongNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
Luxin PeiNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
Amy P HsuNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
Emily M MaceVagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Jordan S OrangeVagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Silvia Lucena LageNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
Addison Jon WardNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
Stephen A MiguelesNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
Mark ConnorsNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
Megan V AndersonNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
Clarisa M BucknerNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
Susan MoirNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
Adam RupertLeidos Biomedical Research, Inc, Frederick, Maryland, USA.
Alina Dulau-FloreaNational Institutes of Health Clinical Center, Bethesda, Maryland, USA.
Princess OgboguOhio State University Wexner Medical Center, Columbus, Ohio, USA.
Dylan TimberlakeOhio State University Wexner Medical Center, Columbus, Ohio, USA.
Luigi D NotarangeloNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
Stefania PittalugaNational Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.
Roshini S AbrahamNationwide Children`s Hospital, Columbus, Ohio, USA.
Irini SeretiNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
National Institutes of Health · USColumbia University · USThe Ohio State University Wexner Medical Center · USLeidos (United States) · USNational Institutes of Health Clinical Center · USNationwide Children's Hospital · US

Funding

Immunopathogenic Mechanisms of Human Immunodeficiency Virus (HIV) DiseaseZIAAI001121 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI SERETI, IRINI · 2010 to 2025
$27.2M
Role of B Lymphocytes In HIV Infection And PathogenesisZIAAI000825 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI MOIR, SUSAN · 2009 to 2025
$24.5M
Mechanisms Of Immune Mediated Restriction Of HIV Replication In LTNPZIAAI000855 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI CONNORS, MARK · 2009 to 2025
$20.0M
Characterization of the cellular and molecular bases of inborn errors of immunityZIAAI001222 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI NOTARANGELO, LUIGI · 2017 to 2025
$15.2M
GENETIC, IMMUNOLOGIC AND MECHANISTIC BASIS OF HUMAN NK CELL DEFICIENCYR01AI120989 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ORANGE, JORDAN SCOTT · 2016 to 2025
$7.7M
Immunopathogenesis of skin and mucosal Human Papillomavirus (HPV)-related diseases ZIAAI001310 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI LISCO, ANDREA · 2020 to 2025
$2.7M
NIAID NIH HHS R01 AI120989
6 · The paper itself

Abstract

CD4 expression identifies a subset of mature T cells primarily assisting the germinal center reaction and contributing to CD8+ T-cell and B-cell activation, functions, and longevity. Herein, we present a family in which a novel variant disrupting the translation-initiation codon of the CD4 gene resulted in complete loss of membrane and plasma soluble CD4 in peripheral blood, lymph node, bone marrow, skin, and ileum of a homozygous proband. This inherited CD4 knockout disease illustrates the clinical and immunological features of a complete deficiency of any functional component of CD4 and its similarities and differences with other clinical models of primary or acquired loss of CD4+ T cells. The first inherited loss of any functional component of CD4, including soluble CD4, is clinically distinct from any other congenital or acquired CD4 T-cell defect and characterized by compensatory changes in T-cell subsets and functional impairment of B cells, monocytes, and natural killer cells.

Indexed as

Bone MarrowCD4 AntigensCD4-Positive T-LymphocytesCodon, InitiatorCytokinesFemaleHumansIleumImmunity, InnateImmunologic Deficiency SyndromesKiller Cells, NaturalLymph NodesLymphocyte ActivationMaleMonocytesMutation, MissenseCD4 AntigensCodon, InitiatorCytokinesCD4 deficiencydouble-negative T cellsimmunizationsrecurrent pneumonia

Identifiers

PMID33471124
PMCPMC7904290
OpenAlexW3121799210

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.