Evidence map›Paper›PMID 34050927›Full record

ArticleClinical and experimental immunology2021

Novel STAT-3 gain-of-function variant with hypogammaglobulinemia and recurrent infection phenotype.

Melinda Erdős, Miyuki Tsumura, Judit Kállai, Árpád Lányi, Zoltán Nyul, György Balázs, Satoshi Okada, László Maródi

Open access · hybridAbstract read
In one paragraph

Article in Clinical and experimental immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.5field-weighted citation impact, top 41% 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

10 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. A case report of ADMIO type 1 caused by aFrontiers in immunology · 2026
    Article
  5. Article
  6. Infections in Disorders of Immune Regulation.Pathogens (Basel, Switzerland) · 2024
    Review
  7. A novel mutation in SLC39A7 identified in a patient with autosomal recessive agammaglobulinemia: The impact of the J Project.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2022
    Article
  8. STAT3 gain-of-function syndrome.Frontiers in pediatrics · 2022
    Review
  9. A NovelFrontiers in immunology · 2022
    Article
  10. Article
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 5 institutions in 2 countries.

Melinda ErdősPrimary Immunodeficiency Clinical Unit and Laboratory, Department of Dermatology, Venereology and Dermatooncology, Semmelweis University, Budapest, Hungary.ORCID 0000-0001-6770-8490
Miyuki TsumuraDepartment of Pediatrics, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, Japan.
Judit KállaiDepartment of Immunology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Árpád LányiDepartment of Immunology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Zoltán NyulDepartment of Pediatrics, Faculty of Medicine, University of Pécs, Pécs, Hungary.
György BalázsCenter for Pediatric MRI and CT, Heim Pál National Institute of Pediatrics, Budapest, Hungary.
Satoshi OkadaDepartment of Pediatrics, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, Japan.
László MaródiPrimary Immunodeficiency Clinical Unit and Laboratory, Department of Dermatology, Venereology and Dermatooncology, Semmelweis University, Budapest, Hungary.ORCID 0000-0002-9692-3402
Hiroshima University · JPSemmelweis University · HUUniversity of Debrecen · HUHeim Pál Országos Gyermekgyógyászati Intézet · HUUniversity of Pecs · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Signal transducer and activator of transcription 3 (STAT-3) gain-of-function (GOF) syndrome is an early-onset monogenic inborn error of immunity characterized by multi-organ autoimmune disorders, growth failure and lymphoproliferation. We describe that STAT-3 GOF syndrome may be presented with hypogammaglobulinemia and recurrent severe upper and lower respiratory tract infections. In addition, the patient had lymphoproliferation, short stature and interstitial lung disease. Chest computerized tomography examinations showed mild bronchiectasis with areas of non-fibrosing alveolar-interstitial disease and maldevelopment of bilateral first ribs. Using Sanger sequencing, we revealed a novel c.508G>C, p.D170H STAT-3 variant affecting the coiled coil domain of STAT-3. Functional studies confirmed that p.D170H was a GOF variant, as shown by increased phosphorylated STAT-3 (pSTAT-3) and STAT-3 transcriptional activity. Our observation suggests that STAT-3 GOF syndrome can manifest in early childhood with hypogammaglobulinemia and recurrent severe respiratory tract infections. We suggest that patients with lymphoproliferation, hypogammaglobulinemia and severe recurrent infections should be screened for STAT-3 variants, even if autoimmune manifestations are missing.

Indexed as

AgammaglobulinemiaBone DevelopmentBronchiectasisGain of Function MutationHumansLymphoproliferative DisordersMaleRespiratory Tract InfectionsSTAT3 Transcription FactorYoung AdultSTAT3 protein, humanSTAT3 Transcription Factorautoimmunitygain-of-functionimmune dysregulationlymphoproliferative diseaseshort statureSTAT-3

Identifiers

PMID34050927
PMCPMC8374224
OpenAlexW3136307116

What OpenQuestion holds

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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.