Evidence map›Paper›PMID 34714914›Full record

ArticleBlood advances2022

Successful allogeneic hematopoietic stem cell transplantation in patients with VEXAS syndrome: a 2-center experience.

Ava Diarra, Nicolas Duployez, Elise Fournier, Claude Preudhomme, Valérie Coiteux, Leonardo Magro, Bruno Quesnel, Maël Heiblig, Pierre Sujobert, Fiorenza Barraco and 6 more

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 2 pooled it
19.6field-weighted citation impact, top 1% 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

75 citing papers in PubMed, 2 syntheses or guidelines pooled it, 138 citations in OpenAlex.

  1. Pooled it
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  7. SomaticBlood neoplasia · 2026
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  16. VEXAS syndrome.International journal of hematology · 2025
    Review
  17. Article
  18. Vasculitis associated with VEXAS syndrome.Rheumatology (Oxford, England) · 2025
    Article
  19. Article
  20. Article

15 more citing papers are in PubMed but not listed here.

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 2 institutions in 1 country.

Ava DiarraDépartement de médecine interne et d'immunologie clinique, Université de Lille,  Inserm, Centre Hospitalier Universitaire (CHU) Lille, Service de Médecine Interne et Immunologie Clinique, Centre de référence des maladies autoimmunes systémiques rares du Nord et Nord-Ouest de France (CeRAINO), U1286, Institute for Translational Research in Inflammation (INFINITE), Lille, France.ORCID 0000-0001-5468-0695
Nicolas DuployezDépartement d'Hématologie, Université de Lille, Centre national de la recherche scientifique, Inserm, CHU Lille, Unité Mixte de Recherche (UMR) 9020 - UMR-S 1277, Cancer Heterogeneity, Plasticity and Resistance to Therapies (Canther), Lille, France.ORCID 0000-0002-3927-1022
Elise FournierDépartement d'Hématologie, Université de Lille, Centre national de la recherche scientifique, Inserm, CHU Lille, Unité Mixte de Recherche (UMR) 9020 - UMR-S 1277, Cancer Heterogeneity, Plasticity and Resistance to Therapies (Canther), Lille, France.
Claude PreudhommeDépartement d'Hématologie, Université de Lille, Centre national de la recherche scientifique, Inserm, CHU Lille, Unité Mixte de Recherche (UMR) 9020 - UMR-S 1277, Cancer Heterogeneity, Plasticity and Resistance to Therapies (Canther), Lille, France.ORCID 0000-0002-1267-9546
Valérie CoiteuxDepartment of Hematology, Lyon-Sud Hospital, Hospices Civils de Lyon, Pierre Bénite, France; and.
Leonardo MagroDépartement d'Hématologie, Université de Lille, Inserm, CHU Lille, U1286, Infinite, Lille, France.
Bruno QuesnelDépartement d'Hématologie, Université de Lille, Centre national de la recherche scientifique, Inserm, CHU Lille, Unité Mixte de Recherche (UMR) 9020 - UMR-S 1277, Cancer Heterogeneity, Plasticity and Resistance to Therapies (Canther), Lille, France.
Maël HeibligDepartment of Hematology, Lyon-Sud Hospital, Hospices Civils de Lyon, Pierre Bénite, France; and.
Pierre SujobertDepartment of Hematology, Lyon-Sud Hospital, Hospices Civils de Lyon, Pierre Bénite, France; and.
Fiorenza BarracoDepartment of Hematology, Lyon-Sud Hospital, Hospices Civils de Lyon, Pierre Bénite, France; and.
Marie BalsatDepartment of Hematology, Lyon-Sud Hospital, Hospices Civils de Lyon, Pierre Bénite, France; and.
Quentin ScanvionDépartement de médecine interne et d'immunologie clinique, Université de Lille,  Inserm, Centre Hospitalier Universitaire (CHU) Lille, Service de Médecine Interne et Immunologie Clinique, Centre de référence des maladies autoimmunes systémiques rares du Nord et Nord-Ouest de France (CeRAINO), U1286, Institute for Translational Research in Inflammation (INFINITE), Lille, France.ORCID 0000-0001-5865-1525
Eric HachullaDépartement de médecine interne et d'immunologie clinique, Université de Lille,  Inserm, Centre Hospitalier Universitaire (CHU) Lille, Service de Médecine Interne et Immunologie Clinique, Centre de référence des maladies autoimmunes systémiques rares du Nord et Nord-Ouest de France (CeRAINO), U1286, Institute for Translational Research in Inflammation (INFINITE), Lille, France.
David LaunayDépartement de médecine interne et d'immunologie clinique, Université de Lille,  Inserm, Centre Hospitalier Universitaire (CHU) Lille, Service de Médecine Interne et Immunologie Clinique, Centre de référence des maladies autoimmunes systémiques rares du Nord et Nord-Ouest de France (CeRAINO), U1286, Institute for Translational Research in Inflammation (INFINITE), Lille, France.ORCID 0000-0003-1840-1817
Ibrahim Yakoub-AghaDépartement d'Hématologie, Université de Lille, Inserm, CHU Lille, U1286, Infinite, Lille, France.ORCID 0000-0003-4524-8782
Louis TerriouDépartement de médecine interne et d'immunologie clinique, Université de Lille,  Inserm, Centre Hospitalier Universitaire (CHU) Lille, Service de Médecine Interne et Immunologie Clinique, Centre de référence des maladies autoimmunes systémiques rares du Nord et Nord-Ouest de France (CeRAINO), U1286, Institute for Translational Research in Inflammation (INFINITE), Lille, France.
Inserm · FRHospices Civils de Lyon · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The recently described vacuoles, E1 enzyme, X-linked, autoinflammatory, somatic (VEXAS) syndrome is caused by somatic mutations in UBA1. Patients with VEXAS syndrome display late-onset autoinflammatory symptoms, usually refractory to treatment, and hematologic abnormalities. The identification of an easily-accessible specific marker (UBA1 mutations) is of particular interest as it allows the convergence of various inflammatory and hematological symptoms in a unique clinico-biological entity and gives the opportunity to design specific treatment strategies. Here we retrospectively identified 6 patients with VEXAS syndrome who underwent allogeneic hematopoietic stem cell transplantation (ASCT). To date, no treatment guidelines have been validated. In 4 patients, ASCT was guided by life-threatening autoinflammatory symptoms that were refractory to multiple therapies. Three patients are in durable complete remission 32, 38, and 37 months after ASCT. Two others are in complete remission response after 3 and 5 months. One unfortunately died post-ASCT. This report suggests that ASCT could be a curative option in patients with VEXAS syndrome and severe manifestations. Considering the complications and side effects of the procedure as well as the existence of other potential treatment, clinical trials are needed to define the subgroup of patients who will benefit from this strategy and its place in the therapeutic arsenal against VEXAS syndrome.

Indexed as

Hematopoietic Stem Cell TransplantationUbiquitin-Activating EnzymesHumansMutationRetrospective StudiesSyndromeUbiquitin-Activating Enzymes

Identifiers

PMID34714914
PMCPMC8945317
OpenAlexW3210450570

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.