Evidence map›Paper›PMID 33815417›Full record

ReviewFrontiers in immunology2021

Current and Future Therapeutic Approaches for Thymic Stromal Cell Defects.

Alexandra Y Kreins, Paola Bonfanti, E Graham Davies

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 5% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Informed clinical decisions by outfoxing human FOXN1 variants.The Journal of allergy and clinical immunology · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Finding NEMO in the thymus.The Journal of experimental medicine · 2024
    Article
  9. Generation and repair of thymic epithelial cells.The Journal of experimental medicine · 2024
    Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Impact of newborn screening for SCID on the management of congenital athymia.The Journal of allergy and clinical immunology · 2024
    Article
  15. Article
  16. Comprehensive phenotypic analysis of diverse FOXN1 variants.The Journal of allergy and clinical immunology · 2023
    Article
  17. Article
  18. First Use of Thymus Transplantation in PAX1 Deficiency.Journal of clinical immunology · 2023
    Article
  19. Article
  20. 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

3 authors at 3 institutions in 1 country.

Alexandra Y KreinsGreat Ormond Street Institute of Child Health, University College London, London, United Kingdom.
Paola BonfantiGreat Ormond Street Institute of Child Health, University College London, London, United Kingdom.
E Graham DaviesGreat Ormond Street Institute of Child Health, University College London, London, United Kingdom.
Great Ormond Street Hospital for Children NHS Foundation Trust · GBThe Francis Crick Institute · GBUniversity College London · GB

Funding

Department of HealthMedical Research Council MC_PC_17180
6 · The paper itself

Abstract

Inborn errors of thymic stromal cell development and function lead to impaired T-cell development resulting in a susceptibility to opportunistic infections and autoimmunity. In their most severe form, congenital athymia, these disorders are life-threatening if left untreated. Athymia is rare and is typically associated with complete DiGeorge syndrome, which has multiple genetic and environmental etiologies. It is also found in rare cases of T-cell lymphopenia due to Nude SCID and Otofaciocervical Syndrome type 2, or in the context of genetically undefined defects. This group of disorders cannot be corrected by hematopoietic stem cell transplantation, but upon timely recognition as thymic defects, can successfully be treated by thymus transplantation using cultured postnatal thymic tissue with the generation of naïve T-cells showing a diverse repertoire. Mortality after this treatment usually occurs before immune reconstitution and is mainly associated with infections most often acquired pre-transplantation. In this review, we will discuss the current approaches to the diagnosis and management of thymic stromal cell defects, in particular those resulting in athymia. We will discuss the impact of the expanding implementation of newborn screening for T-cell lymphopenia, in combination with next generation sequencing, as well as the role of novel diagnostic tools distinguishing between hematopoietic and thymic stromal cell defects in facilitating the early consideration for thymus transplantation of an increasing number of patients and disorders. Immune reconstitution after the current treatment is usually incomplete with relatively common inflammatory and autoimmune complications, emphasizing the importance for improving strategies for thymus replacement therapy by optimizing the current use of postnatal thymus tissue and developing new approaches using engineered thymus tissue.

Indexed as

AllelesAnimalsCombined Modality TherapyDisease SusceptibilityGenetic Association StudiesGenetic Predisposition to DiseaseHumansOrgan TransplantationPhenotypePrimary Immunodeficiency DiseasesStromal CellsThymus GlandTreatment OutcomeDiGeorge syndromeFOXN1PAX1primary immunodeficiencyregenerative medicinesevere combined immunodeficiency (SCID)thymus transplantation

Identifiers

PMID33815417
PMCPMC8012524
OpenAlexW3137342725

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.