Evidence map›Paper›PMID 34060650›Full record

Trial reportClinical and experimental immunology2021

A single-center pilot study in Malaysia on the clinical utility of whole-exome sequencing for inborn errors of immunity.

Adiratna Mat Ripen, Chai Teng Chear, Mohd Farid Baharin, Revathy Nallusamy, Kwai Cheng Chan, Asiah Kassim, Chong Ming Choo, Ke Juin Wong, Siew Moy Fong, Kah Kee Tan and 7 more

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report 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 13 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 4 pooled it
1.2field-weighted citation impact, top 22% 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

13 citing papers in PubMed, 4 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
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  5. Trial
  6. Article
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  9. Human inborn errors of immunity underlyingFrontiers in immunology · 2025
    Article
  10. Article
  11. Article
  12. A Novel De NovoGenes · 2022
    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

17 authors at 2 institutions in 2 countries.

Adiratna Mat RipenPrimary Immunodeficiency Unit, Allergy and Immunology Research Centre, Institute for Medical Research, Ministry of Health, Selangor, Malaysia.ORCID 0000-0001-5690-8008
Chai Teng ChearPrimary Immunodeficiency Unit, Allergy and Immunology Research Centre, Institute for Medical Research, Ministry of Health, Selangor, Malaysia.
Mohd Farid BaharinPrimary Immunodeficiency Unit, Allergy and Immunology Research Centre, Institute for Medical Research, Ministry of Health, Selangor, Malaysia.
Revathy NallusamyPediatric Department, Penang General Hospital, Ministry of Health, Penang, Malaysia.
Kwai Cheng ChanPediatric Department, Penang General Hospital, Ministry of Health, Penang, Malaysia.
Asiah KassimPediatric Department, Kuala Lumpur Hospital, Ministry of Health, Kuala Lumpur, Malaysia.
Chong Ming ChooPediatric Department, Sultan Abdul Halim Hospital, Ministry of Health, Kedah, Malaysia.
Ke Juin WongPediatric Department, Likas Hospital, Ministry of Health, Sabah, Malaysia.
Siew Moy FongPediatric Department, Likas Hospital, Ministry of Health, Sabah, Malaysia.
Kah Kee TanPediatric Department, Tuanku Ja'afar Hospital, Ministry of Health, Seremban, Malaysia.
Jeyaseelan P NachiappanPediatric Department, Raja Permaisuri Bainun Hospital, Ministry of Health, Perak, Malaysia.
Kai Ru TeoPediatric Department, Sultan Ismail Johor Bahru Hospital, Ministry of Health, Johor, Malaysia.
Mei Yee ChiowInstitute of Biological Sciences, Faculty of Science, University of Malaya, Kuala Lumpur, Malaysia.
Munirah HishamshahPrimary Immunodeficiency Unit, Allergy and Immunology Research Centre, Institute for Medical Research, Ministry of Health, Selangor, Malaysia.
Hamidah GhaniInstitute of Biological Sciences, Faculty of Science, University of Malaya, Kuala Lumpur, Malaysia.
Rikeish R MuralitharanPrimary Immunodeficiency Unit, Allergy and Immunology Research Centre, Institute for Medical Research, Ministry of Health, Selangor, Malaysia.
Saharuddin Bin MohamadInstitute of Biological Sciences, Faculty of Science, University of Malaya, Kuala Lumpur, Malaysia.
Ministry of Health · MYUniversity of Malaya · MY

Funding

Kementerian Kesihatan Malaysia NMRR-16-892-31023
6 · The paper itself

Abstract

Primary immunodeficiency diseases refer to inborn errors of immunity (IEI) that affect the normal development and function of the immune system. The phenotypical and genetic heterogeneity of IEI have made their diagnosis challenging. Hence, whole-exome sequencing (WES) was employed in this pilot study to identify the genetic etiology of 30 pediatric patients clinically diagnosed with IEI. The potential causative variants identified by WES were validated using Sanger sequencing. Genetic diagnosis was attained in 46.7% (14 of 30) of the patients and categorized into autoinflammatory disorders (n = 3), diseases of immune dysregulation (n = 3), defects in intrinsic and innate immunity (n = 3), predominantly antibody deficiencies (n = 2), combined immunodeficiencies with associated and syndromic features (n = 2) and immunodeficiencies affecting cellular and humoral immunity (n = 1). Of the 15 genetic variants identified, two were novel variants. Genetic findings differed from the provisional clinical diagnoses in seven cases (50.0%). This study showed that WES enhances the capacity to diagnose IEI, allowing more patients to receive appropriate therapy and disease management.

Indexed as

Exome SequencingChildChild, PreschoolFemaleGenetic Diseases, InbornHumansImmunity, CellularImmunity, InnateImmunologic Deficiency SyndromesInfantMalaysiaMalePilot Projectsbioinformatics analysisgenetic diagnosisgenetic variantinborn errors of immunitywhole-exome sequencing

Identifiers

PMID34060650
PMCPMC8506128
OpenAlexW3164375224

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.