Evidence map›Paper›PMID 34508889›Full record

ArticleClinical immunology (Orlando, Fla.)2021

Patients with autoimmune polyendocrine syndrome type 1 have an increased susceptibility to severe herpesvirus infections.

Iivo Hetemäki, Saila Laakso, Hannamari Välimaa, Iivari Kleino, Eliisa Kekäläinen, Outi Mäkitie, T Petteri Arstila

Open access · hybridAbstract read
In one paragraph

Article in Clinical immunology (Orlando, Fla.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
5.6field-weighted citation impact, top 3% 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

34 citing papers in PubMed, 48 citations in OpenAlex.

  1. Article
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  7. Article
  8. The monogenic landscape of human infectious diseases.The Journal of allergy and clinical immunology · 2025
    Review
  9. Article
  10. Thymic inborn errors of immunity.The Journal of allergy and clinical immunology · 2025
    Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Inherited human RelB deficiency impairs innate and adaptive immunity to infection.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  17. Article
  18. Article
  19. The ouroboros of autoimmunity.Nature immunology · 2024
    Review
  20. Review
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

7 authors at 3 institutions in 2 countries.

Iivo HetemäkiDepartment of Bacteriology and Immunology, University of Helsinki, Helsinki, Finland; Translational Immunology Research Program, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. Electronic address: iivo.hetemaki@helsinki.fi.
Saila LaaksoFolkhälsan Institute of Genetics, Helsinki, Finland; Children's Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Hannamari VälimaaDepartment of Virology, University of Helsinki, Helsinki, Finland; Department of Oral and Maxillofacial Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Iivari KleinoTranslational Immunology Research Program, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Eliisa KekäläinenDepartment of Bacteriology and Immunology, University of Helsinki, Helsinki, Finland; Translational Immunology Research Program, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Outi MäkitieFolkhälsan Institute of Genetics, Helsinki, Finland; Children's Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; Department of Molecular Medicine, Karolinska Institutet, Clinical Genetics, Karolinska University Hospital, Stockholm, Sweden.
T Petteri ArstilaDepartment of Bacteriology and Immunology, University of Helsinki, Helsinki, Finland; Translational Immunology Research Program, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Helsinki University Hospital · FIUniversity of Helsinki · FIKarolinska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Almost all patients with autoimmune polyendocrine syndrome type 1 (APS-1) have neutralizing antibodies against type 1 interferons (IFN), important mediators of antiviral defense. Recently, neutralizing anti-IFN antibodies were shown to be a risk factor of severe COVID-19. Here we show in a cohort of 44 patients with APS-1 that higher titers of neutralizing anti-IFNα4 antibodies are associated with a higher and earlier incidence of VZV reactivation (herpes zoster). The patients also present with uncommonly severe clinical sequelae of herpetic infections. APS-1 patients had decreased humoral immune responses to varicella zoster virus, but cellular responses were comparable to healthy controls. These results suggest that blocking the type I interferon pathway in patients with APS-1 patients leads to a clinically significant immune deficiency, and susceptibility to herpesviruses should be taken into account when treating patients with APS-1.

Indexed as

Herpesvirus 3, HumanAdolescentAdultAgedChildCohort StudiesFemaleHumansImmunity, CellularInterferon-alphaMaleMiddle AgedPolyendocrinopathies, AutoimmuneRisk FactorsVaricella Zoster Virus InfectionYoung AdultInterferon-alphaAIREAutoantibodyHerpes simplexHerpes zosterImmunodeficiencyType I interferonVaricella zoster

Identifiers

PMID34508889
PMCPMC8425955
OpenAlexW3197124315

What OpenQuestion holds

Textmetadata
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.