Evidence map›Paper›PMID 34694366›Full record

ArticleThe Journal of experimental medicine2021

T and B cell abnormalities, pneumocystis pneumonia, and chronic lymphocytic leukemia associated with an AIOLOS defect in patients.

Hye Sun Kuehn, Jingjie Chang, Motoi Yamashita, Julie E Niemela, Chengcheng Zou, Kazuki Okuyama, Junji Harada, Jennifer L Stoddard, Cristiane J Nunes-Santos, Brigette Boast and 8 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of experimental medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 10% 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

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Monogenic etiologies of persistent human papillomavirus infections: A comprehensive systematic review.Genetics in medicine : official journal of the American College of Medical Genetics · 2024
    Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. [IKZF3/Aiolos and tumors].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
    Review
  10. IKZF-associated inborn errors of immunity.Journal of human immunity · 2025
    Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. AIOLOS-Associated Inborn Errors of Immunity.Journal of clinical immunology · 2024
    Review
  16. Article
  17. A Rare AIOLOS N160S Variant Causing IEI in Human.Journal of clinical immunology · 2024
    Article
  18. Article
  19. Trends in the Epidemiology ofJournal of fungi (Basel, Switzerland) · 2023
    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

18 authors at 5 institutions in 2 countries.

Hye Sun KuehnImmunology Service, Department of Laboratory Medicine, Clinical Center, National Institutes of Health, Bethesda, MD.ORCID 0000-0002-2154-3966
Jingjie ChangLaboratory for Transcriptional Regulation, RIKEN Center for Integrative Medical Sciences, Kanagawa, Japan.ORCID 0000-0002-3191-6746
Motoi YamashitaDepartment of Pediatrics and Developmental Biology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.ORCID 0000-0002-9814-1033
Julie E NiemelaImmunology Service, Department of Laboratory Medicine, Clinical Center, National Institutes of Health, Bethesda, MD.ORCID 0000-0003-4197-3792
Chengcheng ZouLaboratory for Transcriptional Regulation, RIKEN Center for Integrative Medical Sciences, Kanagawa, Japan.ORCID 0000-0003-4802-723X
Kazuki OkuyamaLaboratory for Transcriptional Regulation, RIKEN Center for Integrative Medical Sciences, Kanagawa, Japan.ORCID 0000-0002-9507-7195
Junji HaradaLaboratory for Transcriptional Regulation, RIKEN Center for Integrative Medical Sciences, Kanagawa, Japan.ORCID 0000-0002-8490-2460
Jennifer L StoddardImmunology Service, Department of Laboratory Medicine, Clinical Center, National Institutes of Health, Bethesda, MD.ORCID 0000-0002-2137-9158
Cristiane J Nunes-SantosImmunology Service, Department of Laboratory Medicine, Clinical Center, National Institutes of Health, Bethesda, MD.ORCID 0000-0002-2727-1877
Brigette BoastImmunology Service, Department of Laboratory Medicine, Clinical Center, National Institutes of Health, Bethesda, MD.ORCID 0000-0003-0089-7551
Ryan M BaxterDepartment of Immunology and Microbiology, University of Colorado School of Medicine, Aurora, CO.ORCID 0000-0002-2235-6193
Elena W Y HsiehDepartment of Immunology and Microbiology, University of Colorado School of Medicine, Aurora, CO.ORCID 0000-0003-3969-6597
Mary GarofaloImmunology Service, Department of Laboratory Medicine, Clinical Center, National Institutes of Health, Bethesda, MD.ORCID 0000-0003-2649-1875
Thomas A FleisherImmunology Service, Department of Laboratory Medicine, Clinical Center, National Institutes of Health, Bethesda, MD.ORCID 0000-0003-4695-3651
Tomohiro MorioDepartment of Pediatrics and Developmental Biology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.ORCID 0000-0002-9259-1025
Ichiro Taniuchi *Laboratory for Transcriptional Regulation, RIKEN Center for Integrative Medical Sciences, Kanagawa, Japan.ORCID 0000-0002-7783-7226
Cullen M Dutmer *Division of Allergy and Immunology, Department of Pediatrics, University of Colorado School of Medicine, Children's Hospital Colorado, Aurora, CO.ORCID 0000-0001-9806-4739
Sergio D RosenzweigImmunology Service, Department of Laboratory Medicine, Clinical Center, National Institutes of Health, Bethesda, MD.ORCID 0000-0002-5550-9678
National Institutes of Health Clinical Center · USRIKEN Center for Integrative Medical Sciences · JPChildren's Hospital Colorado · USTokyo Medical and Dental University · JPUniversity of Colorado Denver · US

Funding

NIH HHS
6 · The paper itself

Abstract

AIOLOS/IKZF3 is a member of the IKAROS family of transcription factors. IKAROS/IKZF1 mutations have been previously associated with different forms of primary immunodeficiency. Here we describe a novel combined immunodeficiency due to an IKZF3 mutation in a family presenting with T and B cell involvement, Pneumocystis jirovecii pneumonia, and/or chronic lymphocytic leukemia. Patients carrying the AIOLOS p.N160S heterozygous variant displayed impaired humoral responses, abnormal B cell development (high percentage of CD21low B cells and negative CD23 expression), and abrogated CD40 responses. Naive T cells were increased, T cell differentiation was abnormal, and CD40L expression was dysregulated. In vitro studies demonstrated that the mutant protein failed DNA binding and pericentromeric targeting. The mutant was fully penetrant and had a dominant-negative effect over WT AIOLOS but not WT IKAROS. The human immunophenotype was recapitulated in a murine model carrying the corresponding human mutation. As demonstrated here, AIOLOS plays a key role in T and B cell development in humans, and the particular gene variant described is strongly associated with immunodeficiency and likely malignancy.

Indexed as

AdultAnimalsB-LymphocytesChildExome SequencingFemaleHumansIkaros Transcription FactorLeukemia, Lymphocytic, Chronic, B-CellMaleMiceMice, Inbred C57BLMice, Mutant StrainsMiddle AgedMutationPneumonia, PneumocystisIkaros Transcription FactorIKZF3 protein, humanIkzf3 protein, mouse

Identifiers

PMID34694366
PMCPMC8548914
OpenAlexW3208803788

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.