Evidence map›Paper›PMID 34114358›Full record

ArticleMolecular genetics & genomic medicine2021

CD40LG mutations in Vietnamese patients with X-linked hyper-IgM syndrome; catastrophic anti-phospholipid syndrome as a new complication.

Anh Nguyen Lien Phan, Thuy Thi Thanh Pham, Xinh Thi Phan, Nghia Huynh, Tuan Minh Nguyen, Cuc Tran Thu Cao, Duong Thuy Nguyen, Khanh Thi Xuan Luong, Tam Thi Minh Nguyen, Anh Ngoc Kim Tran and 5 more

Open access · goldAbstract read
In one paragraph

Article in Molecular genetics & genomic medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.4field-weighted citation impact, top 43% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

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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

15 authors at 5 institutions in 2 countries.

Anh Nguyen Lien PhanChildren's Hospital 1, Ho Chi Minh City, Vietnam.ORCID 0000-0002-9083-461X
Thuy Thi Thanh PhamFunctional Genomic Unit, DNA Medical Technology, Ho Chi Minh City, Vietnam.ORCID 0000-0002-8950-6547
Xinh Thi PhanDepartment of Haematology, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Nghia HuynhDepartment of Haematology, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Tuan Minh NguyenChildren's Hospital 1, Ho Chi Minh City, Vietnam.
Cuc Tran Thu CaoChildren's Hospital 1, Ho Chi Minh City, Vietnam.
Duong Thuy NguyenChildren's Hospital 1, Ho Chi Minh City, Vietnam.
Khanh Thi Xuan LuongChildren's Hospital 1, Ho Chi Minh City, Vietnam.
Tam Thi Minh NguyenChildren's Hospital 1, Ho Chi Minh City, Vietnam.
Anh Ngoc Kim TranChildren's Hospital 1, Ho Chi Minh City, Vietnam.
Linh Thi Truc PhamFunctional Genomic Unit, DNA Medical Technology, Ho Chi Minh City, Vietnam.ORCID 0000-0003-1293-9894
Vy Vuong Thao NguyenFunctional Genomic Unit, DNA Medical Technology, Ho Chi Minh City, Vietnam.ORCID 0000-0001-9148-7317
Sigrid SwagemakersDepartment of Pathology & Clinical Bioinformatics, Erasmus MC, Rotterdam, The Netherlands.
Chi-Bao BuiFunctional Genomic Unit, DNA Medical Technology, Ho Chi Minh City, Vietnam.ORCID 0000-0002-7937-1634
Petrus Martinus Van HagenDepartment of Immunology, Erasmus MC, Rotterdam, The Netherlands.
Children's Hospital 1 · VNUniversity Medical Center HCMC · VNErasmus MC · NLUniversity of Medicine and Pharmacy at Ho Chi Minh City · VNVietnam National University Ho Chi Minh City · VN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundX-linked hyper-IgM syndrome (XHIGM) is a rare primary immunodeficiency caused by CD40 ligand defects.

methodsWe identified three patients with XHIGM in Ho Chi Minh City, Vietnam. Whole-exome sequencing, immunological analyses and western blot were performed to investigate phenotypic and genotypic features.

resultsDespite showing symptoms typical of XHIGM, including recurrent sinopulmonary infections, oral ulcers and otitis media, the diagnosis was significantly delayed. One patient developed anti-phospholipid syndrome, which has been documented for the first time in XHIGM syndrome. Two patients had elevated IgM levels and all of them had low IgG levels. Exome sequencing revealed mutations in the CD40LG gene: one novel splicing mutation c.156+2T>A and two previously characterised mutations (non-frameshift deletion c.436_438delTAC, stop-gain c.654C>A). Due to these mutations, the CD40 ligand was not expressed in any of the three patients, as demonstrated by western blot analysis.

conclusionThis is the first report of XHIGM syndrome in Vietnam indicates that an effective diagnostic strategy, such as sequencing analysis, contributes to reliable diagnosis and subsequent therapy.

Indexed as

PhenotypeAdolescentAdultAntiphospholipid SyndromeCD40 LigandChildHumansHyper-IgM Immunodeficiency Syndrome, Type 1MaleMutationCD40 Ligandanti-phospholipid syndromeCD40 ligandhyper-IgM syndromeprimary immunodeficiencywhole-exome sequencing

Identifiers

PMID34114358
PMCPMC8404229
OpenAlexW3169250457

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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.