Evidence map›Paper›PMID 34210994›Full record

ArticleNPJ genomic medicine2021

TBK1 and TNFRSF13B mutations and an autoinflammatory disease in a child with lethal COVID-19.

Axel Schmidt, Sophia Peters, Alexej Knaus, Hemmen Sabir, Frauke Hamsen, Carlo Maj, Julia Fazaal, Sugirthan Sivalingam, Oleksandr Savchenko, Aakash Mantri and 8 more

Open access · goldAbstract read
In one paragraph

Article in NPJ genomic medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
4.5field-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

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Pooled it
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  7. The monogenic landscape of human infectious diseases.The Journal of allergy and clinical immunology · 2025
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  17. Severity of SARS-CoV-2 infection in children with inborn errors of immunity (primary immunodeficiencies): a systematic review.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2023
    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

18 authors at 2 institutions in 1 country.

Axel Schmidt *Institute of Human Genetics, University of Bonn, School of Medicine & University Hospital Bonn, Bonn, Germany.ORCID http://orcid.org/0000-0002-9780-7243
Sophia Peters *Institute of Human Genetics, University of Bonn, School of Medicine & University Hospital Bonn, Bonn, Germany.
Alexej Knaus *Institute of Genomic Statistics and Bioinformatics, University of Bonn, Bonn, Germany.ORCID http://orcid.org/0000-0003-0366-0533
Hemmen SabirNeonatology and Pediatric Intensive Care, University of Bonn, School of Medicine & University Hospital Bonn, Bonn, Germany.
Frauke HamsenDepartment of Pediatric Hematology-Oncology, University of Duisburg-Essen, Essen, Germany.
Carlo MajInstitute of Genomic Statistics and Bioinformatics, University of Bonn, Bonn, Germany.
Julia FazaalInstitute of Human Genetics, University of Bonn, School of Medicine & University Hospital Bonn, Bonn, Germany.
Sugirthan SivalingamInstitute of Genomic Statistics and Bioinformatics, University of Bonn, Bonn, Germany.ORCID http://orcid.org/0000-0001-5239-5137
Oleksandr SavchenkoDepartment of Diagnostic and Interventional Radiology, University of Bonn, School of Medicine & University Hospital Bonn, Bonn, Germany.
Aakash MantriInstitute of Genomic Statistics and Bioinformatics, University of Bonn, Bonn, Germany.ORCID http://orcid.org/0000-0001-6763-5674
Dirk HolzingerDepartment of Pediatric Hematology-Oncology, University of Duisburg-Essen, Essen, Germany.ORCID http://orcid.org/0000-0002-8062-8820
Ulrich NeudorfDepartment of Pediatric Hematology-Oncology, University of Duisburg-Essen, Essen, Germany.
Andreas MüllerNeonatology and Pediatric Intensive Care, University of Bonn, School of Medicine & University Hospital Bonn, Bonn, Germany.
Kerstin U LudwigInstitute of Human Genetics, University of Bonn, School of Medicine & University Hospital Bonn, Bonn, Germany.
Peter M KrawitzInstitute of Genomic Statistics and Bioinformatics, University of Bonn, Bonn, Germany.ORCID http://orcid.org/0000-0002-3194-8625
Hartmut EngelsInstitute of Human Genetics, University of Bonn, School of Medicine & University Hospital Bonn, Bonn, Germany.ORCID http://orcid.org/0000-0003-1007-1809
Markus M NöthenInstitute of Human Genetics, University of Bonn, School of Medicine & University Hospital Bonn, Bonn, Germany. markus.noethen@uni-bonn.de.ORCID http://orcid.org/0000-0002-8770-2464
Soyhan BagciNeonatology and Pediatric Intensive Care, University of Bonn, School of Medicine & University Hospital Bonn, Bonn, Germany.
University of Bonn · DEUniversity of Duisburg-Essen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Among children, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections are typically mild. Here, we describe the case of a 3.5-year-old girl with an unusually severe presentation of coronavirus disease (COVID-19). The child had an autoinflammatory disorder of unknown etiology, which had been treated using prednisolone and methotrexate, and her parents were half cousins of Turkish descent. After 5 days of nonspecific viral infection symptoms, tonic-clonic seizures occurred followed by acute cardiac insufficiency, multi-organ insufficiency, and ultimate death. Trio exome sequencing identified a homozygous splice-variant in the gene TBK1, and a homozygous missense variant in the gene TNFRSF13B. Heterozygous deleterious variants in the TBK1 gene have been associated with severe COVID-19, and the variant in the TNFRSF13B gene has been associated with common variable immunodeficiency (CVID). We suggest that the identified variants, the autoinflammatory disorder and its treatment, or a combination of these factors probably predisposed to lethal COVID-19 in the present case.

Identifiers

PMID34210994
PMCPMC8249618
OpenAlexW3174652835

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.