Evidence map›Paper›PMID 34657245›Full record

ArticleJournal of clinical immunology2022

Hyper-IgE Syndrome due to an Elusive Novel Intronic Homozygous Variant in DOCK8.

Stuart G Tangye, Paul E Gray, Bethany A Pillay, Jin Yan Yap, William A Figgett, John Reeves, Sarah K Kummerfeld, Jennifer Stoddard, Gulbu Uzel, Huie Jing and 6 more

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 36% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Italian pediatric experts' consensus statement on diagnosis and management of primary atopic disorders.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
    Guideline
  2. 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

16 authors at 6 institutions in 2 countries.

Stuart G TangyeGarvan Institute of Medical Research, 384 Victoria St, Darlinghurst, New South Wales, 2010, Australia.ORCID http://orcid.org/0000-0002-5360-5180
Paul E Gray *Clinical Immunogenomics Research Consortium of Australasia (CIRCA), Sydney, New South Wales, Australia.
Bethany A Pillay *Garvan Institute of Medical Research, 384 Victoria St, Darlinghurst, New South Wales, 2010, Australia.
Jin Yan YapGarvan Institute of Medical Research, 384 Victoria St, Darlinghurst, New South Wales, 2010, Australia.
William A FiggettGarvan Institute of Medical Research, 384 Victoria St, Darlinghurst, New South Wales, 2010, Australia.
John ReevesGarvan Institute of Medical Research, 384 Victoria St, Darlinghurst, New South Wales, 2010, Australia.
Sarah K KummerfeldGarvan Institute of Medical Research, 384 Victoria St, Darlinghurst, New South Wales, 2010, Australia.
Jennifer StoddardImmunology Service, Department of Laboratory Medicine, Clinical Center, NIH, Bethesda, MD, USA.
Gulbu UzelLaboratory of Clinical Immunology and Microbiology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.
Huie JingLaboratory of Clinical Immunology and Microbiology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.
Helen C SuLaboratory of Clinical Immunology and Microbiology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.
Dianne E CampbellDepartment of Allergy and Immunology, Children's Hospital at Westmead, Westmead, New South Wales, Australia.
Anna SullivanClinical Immunogenomics Research Consortium of Australasia (CIRCA), Sydney, New South Wales, Australia.
Leslie BurnettGarvan Institute of Medical Research, 384 Victoria St, Darlinghurst, New South Wales, 2010, Australia.
Jane PeakeClinical Immunogenomics Research Consortium of Australasia (CIRCA), Sydney, New South Wales, Australia.
Cindy S MaGarvan Institute of Medical Research, 384 Victoria St, Darlinghurst, New South Wales, 2010, Australia. c.ma@garvan.org.au.
Garvan Institute of Medical Research · AUNational Institutes of Health · USChildren's Health Queensland Hospital and Health Service · AUThe University of Sydney · AUNational Institutes of Health Clinical Center · USUNSW Sydney · AU

Funding

Understanding DOCK8 Function in Health and Human DiseaseZIAAI001193 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI SU, HELEN CHUN-HUI · 2014 to 2025
$4.5M
Intramural NIH HHS ZIA AI001193
6 · The paper itself

Abstract

Rare, biallelic loss-of-function mutations in DOCK8 result in a combined immune deficiency characterized by severe and recurrent cutaneous infections, eczema, allergies, and susceptibility to malignancy, as well as impaired humoral and cellular immunity and hyper-IgE. The advent of next-generation sequencing technologies has enabled the rapid molecular diagnosis of rare monogenic diseases, including inborn errors of immunity. These advances have resulted in the implementation of gene-guided treatments, such as hematopoietic stem cell transplant for DOCK8 deficiency. However, putative disease-causing variants revealed by next-generation sequencing need rigorous validation to demonstrate pathogenicity. Here, we report the eventual diagnosis of DOCK8 deficiency in a consanguineous family due to a novel homozygous intronic deletion variant that caused aberrant exon splicing and subsequent loss of expression of DOCK8 protein. Remarkably, the causative variant was not initially detected by clinical whole-genome sequencing but was subsequently identified and validated by combining advanced genomic analysis, RNA-seq, and flow cytometry. This case highlights the need to adopt multipronged confirmatory approaches to definitively solve complex genetic cases that result from variants outside protein-coding exons and conventional splice sites.

Indexed as

Job SyndromeConsanguinityExome SequencingGuanine Nucleotide Exchange FactorsHomozygoteHumansMutationDOCK8 protein, humanGuanine Nucleotide Exchange FactorsDOCK8 deficiencyflow cytometryintronic variantRNA sequencingwhole-genome sequencing

Identifiers

PMID34657245
PMCPMC10461790
OpenAlexW3205099870

What OpenQuestion holds

Textmetadata
LicenceTDM
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.