Evidence map›Paper›PMID 34115842›Full record

ArticleBlood2022

Heterozygous variants of CLPB are a cause of severe congenital neutropenia.

Julia T Warren, Ryan R Cupo, Peeradol Wattanasirakul, David H Spencer, Adam E Locke, Vahagn Makaryan, Audrey Anna Bolyard, Merideth L Kelley, Natalie L Kingston, James Shorter and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
5.5field-weighted citation impact, top 4% 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

30 citing papers in PubMed, 45 citations in OpenAlex.

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  15. Design principles to tailor Hsp104 therapeutics.bioRxiv : the preprint server for biology · 2024
    Article
  16. The metabolic basis of inherited neutropenias.British journal of haematology · 2024
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 2 countries.

Julia T WarrenDivision of Hematology-Oncology, Department of Pediatrics, Washington University School of Medicine, Saint Louis, MO.ORCID 0000-0003-2017-6444
Ryan R CupoDepartment of Biochemistry and Biophysics, Pharmacology Graduate Group, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.ORCID 0000-0001-7639-1923
Peeradol WattanasirakulDivision of Oncology, Department of Medicine, Washington University School of Medicine, St, MO.
David H SpencerDivision of Oncology, Department of Medicine, Washington University School of Medicine, St, MO.ORCID 0000-0002-5314-3043
Adam E LockeDivision of Oncology, Department of Medicine, Washington University School of Medicine, St, MO.ORCID 0000-0001-6227-198X
Vahagn MakaryanDepartment of Medicine, University of Washington, Seattle, WA.
Audrey Anna BolyardDepartment of Medicine, University of Washington, Seattle, WA.
Merideth L KelleyDepartment of Medicine, University of Washington, Seattle, WA.
Natalie L KingstonMedical Scientist Training Program, Washington University School of Medicine, St, MO.ORCID 0000-0003-0122-907X
James ShorterDepartment of Biochemistry and Biophysics, Pharmacology Graduate Group, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.ORCID 0000-0001-5269-8533
Christine Bellanné-ChantelotDépartement de Génétique, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital Pitié Salpêtrière, Sorbonne Université, Paris, France; and.ORCID 0000-0001-8415-6771
Jean DonadieuSorbonne Université, INSERM, AP-HP, Registre français des Neutropénies Chroniques, Centre de Référence des Neutropénies Chroniques, Hôpital Trousseau, Service Hémato Oncologie Pédiatrique, Paris, France.ORCID 0000-0002-4485-146X
David C DaleDepartment of Medicine, University of Washington, Seattle, WA.
Daniel C LinkDivision of Oncology, Department of Medicine, Washington University School of Medicine, St, MO.ORCID 0000-0002-3170-7581
Washington University in St. Louis · USUniversity of Washington · USUniversity of Pennsylvania · USInserm · FRSorbonne Université · FR

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
NATIONAL RESEARCH SERVICE AWARD-MEDICAL SCIENTISTT32GM007200 · NIGMS · WASHINGTON UNIVERSITY · PI YOKOYAMA, WAYNE M. · 1985 to 2024
$59.8M
Specimen Acquistition and Expression ProfilingP01CA101937 · NCI · WASHINGTON UNIVERSITY · PI LEY, TIMOTHY J. · 2003 to 2023
$58.8M
Training of the Pediatric Physician-ScientistT32HD043010 · NICHD · WASHINGTON UNIVERSITY · PI MARK E. LOWE · 2002 to 2026
$6.4M
STRUCTURAL BIOLOGY TRAINING PROGRAMT32GM008275 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI WAND, A. JOSHUA · 1988 to 2018
$6.0M
Defining the mechanistic basis of a prion disaggregaseR01GM099836 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI SHORTER, JAMES · 2013 to 2024
$3.9M
Training Program in Development HematologyT32HD007499 · NICHD · WASHINGTON UNIVERSITY · PI RUBIN, JOSHUA B · 1999 to 2019
$2.3M
Identification of new genetic causes of congenital neutropeniaR01HL152632 · NHLBI · WASHINGTON UNIVERSITY · PI LINK, DANIEL C · 2020 to 2023
$1.6M
REGULATORY MECHANISMS OF HOX GENE EXPRESSION IN ACUTE MYELOID LEUKEMIAK08CA190815 · NCI · WASHINGTON UNIVERSITY · PI SPENCER, DAVID H · 2015 to 2019
$831k
Mechanisms of Impaired Granulopoiesis Due to CLPB MutationsK99HL156057 · NHLBI · WASHINGTON UNIVERSITY · PI WARREN, JULIA THERESE · 2021 to 2024
$538k
Engineering mitochondrial protein disaggregases for neurodegenerative diseaseF31AG060672 · NIA · UNIVERSITY OF PENNSYLVANIA · PI CUPO, RYAN R · 2018 to 2020
$122k
NCI NIH HHS K08 CA190815NCI NIH HHS P01 CA101937NCI NIH HHS P30 CA091842NHLBI NIH HHS K99 HL156057NHLBI NIH HHS R01 HL152632NIA NIH HHS F31 AG060672NICHD NIH HHS T32 HD007499NICHD NIH HHS T32 HD043010NIGMS NIH HHS R01 GM099836NIGMS NIH HHS T32 GM007200NIGMS NIH HHS T32 GM008275
6 · The paper itself

Abstract

Severe congenital neutropenia is an inborn disorder of granulopoiesis. Approximately one third of cases do not have a known genetic cause. Exome sequencing of 104 persons with congenital neutropenia identified heterozygous missense variants of CLPB (caseinolytic peptidase B) in 5 severe congenital neutropenia cases, with 5 more cases identified through additional sequencing efforts or clinical sequencing. CLPB encodes an adenosine triphosphatase that is implicated in protein folding and mitochondrial function. Prior studies showed that biallelic mutations of CLPB are associated with a syndrome of 3-methylglutaconic aciduria, cataracts, neurologic disease, and variable neutropenia. However, 3-methylglutaconic aciduria was not observed and, other than neutropenia, these clinical features were uncommon in our series. Moreover, the CLPB variants are distinct, consisting of heterozygous variants that cluster near the adenosine triphosphate-binding pocket. Both genetic loss of CLPB and expression of CLPB variants result in impaired granulocytic differentiation of human hematopoietic progenitor cells and increased apoptosis. These CLPB variants associate with wild-type CLPB and inhibit its adenosine triphosphatase and disaggregase activity in a dominant-negative fashion. Finally, expression of CLPB variants is associated with impaired mitochondrial function but does not render cells more sensitive to endoplasmic reticulum stress. Together, these data show that heterozygous CLPB variants are a new and relatively common cause of congenital neutropenia and should be considered in the evaluation of patients with congenital neutropenia.

Indexed as

Cells, CulturedCongenital Bone Marrow Failure SyndromesEndopeptidase ClpExomeFemaleGenetic VariationHeterozygoteHumansInfantMaleModels, MolecularMutationNeutropeniaCLPB protein, humanEndopeptidase Clp

Identifiers

PMID34115842
PMCPMC8814677
OpenAlexW3167851408

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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.