Evidence map›Paper›PMID 33560392›Full record

ArticleBlood advances2021

PML-controlled responses in severe congenital neutropenia with ELANE-misfolding mutations.

Patricia A Olofsen, Dennis A Bosch, Onno Roovers, Paulina M H van Strien, Hans W J de Looper, Remco M Hoogenboezem, Sander Barnhoorn, Pier G Mastroberardino, Mehrnaz Ghazvini, Vincent H J van der Velden and 3 more

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

11 citing papers in PubMed, 18 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Cyclic neutropenia: a case report and literature review.American journal of translational research · 2025
    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

13 authors at 2 institutions in 2 countries.

Patricia A OlofsenDepartment of Hematology.
Dennis A BoschDepartment of Hematology.
Onno RooversDepartment of Hematology.
Paulina M H van StrienDepartment of Hematology.
Hans W J de LooperDepartment of Hematology.
Remco M HoogenboezemDepartment of Hematology.
Sander BarnhoornDepartment of Molecular Genetics.
Pier G MastroberardinoDepartment of Molecular Genetics.
Mehrnaz GhazviniDepartment of Developmental Biology, iPS Core Facility, and.
Vincent H J van der VeldenDepartment of Immunology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Eric M J BindelsDepartment of Hematology.
Emma M de PaterDepartment of Hematology.
Ivo P TouwDepartment of Hematology.
Laboratory of Molecular Genetics · PLErasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mutations in ELANE cause severe congenital neutropenia (SCN), but how they affect neutrophil production and contribute to leukemia predisposition is unknown. Neutropenia is alleviated by CSF3 (granulocyte colony-stimulating factor) therapy in most cases, but dose requirements vary between patients. Here, we show that CD34+CD45+ hematopoietic progenitor cells (HPCs) derived from induced pluripotent stem cell lines from patients with SCN that have mutations in ELANE (n = 2) or HAX1 (n = 1) display elevated levels of reactive oxygen species (ROS) relative to normal iPSC-derived HPCs. In patients with ELANE mutations causing misfolding of the neutrophil elastase (NE) protein, HPCs contained elevated numbers of promyelocyte leukemia protein nuclear bodies, a hallmark of acute oxidative stress. This was confirmed in primary bone marrow cells from 3 additional patients with ELANE-mutant SCN. Apart from responding to elevated ROS levels, PML controlled the metabolic state of these ELANE-mutant HPCs as well as the expression of ELANE, suggestive of a feed-forward mechanism of disease development. Both PML deletion and correction of the ELANE mutation restored CSF3 responses of these ELANE-mutant HPCs. These findings suggest that PML plays a crucial role in the disease course of ELANE-SCN characterized by NE misfolding, with potential implications for CSF3 therapy.

Indexed as

NeutropeniaAdaptor Proteins, Signal TransducingCongenital Bone Marrow Failure SyndromesGranulocyte Colony-Stimulating FactorHumansLeukocyte ElastaseMutationAdaptor Proteins, Signal TransducingELANE protein, humanGranulocyte Colony-Stimulating FactorHAX1 protein, humanLeukocyte Elastase

Identifiers

PMID33560392
PMCPMC7876869
OpenAlexW3126224294

What OpenQuestion holds

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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.