Evidence map›Paper›PMID 35426264›Full record

ArticlePediatric pulmonology2022

Genetic diagnosis of immune dysregulation can lead to targeted therapy for interstitial lung disease: A case series and single center approach.

Holly Wobma, Ryan Perkins, Lisa Bartnikas, Fatma Dedeoğlu, Janet Chou, Ruth Ann Vleugels, Mindy S Lo, Erin Janssen, Lauren A Henderson, Jennifer Whangbo and 4 more

Open access · greenAbstract read
In one paragraph

Article in Pediatric pulmonology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 37% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

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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

14 authors at 3 institutions in 1 country.

Holly WobmaDivision of Immunology, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID 0000-0001-8978-3184
Ryan PerkinsDivision of Pulmonary Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-2470-9079
Lisa BartnikasDivision of Immunology, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-5148-3271
Fatma DedeoğluDivision of Immunology, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-7516-0848
Janet ChouDivision of Immunology, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-4610-2657
Ruth Ann VleugelsDivision of Immunology, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID 0000-0001-8446-7115
Mindy S LoDivision of Immunology, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID 0000-0003-2328-3536
Erin JanssenDivision of Immunology, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-0687-2550
Lauren A HendersonDivision of Immunology, Boston Children's Hospital, Boston, Massachusetts, USA.
Jennifer WhangboDana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston, Massachusetts, USA.
Sara O VargasDepartment of Pathology, Boston Children's Hospital, Boston, Massachusetts, USA.
Martha FishmanDivision of Pulmonary Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.
Katie A KroneDivision of Pulmonary Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID 0000-0001-5008-3121
Alicia CaseyDivision of Pulmonary Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-3566-9690
Boston Children's Hospital · USBrigham and Women's Hospital · USDana-Farber/Boston Children's Cancer and Blood Disorders Center · US

Funding

Mechanisms of pediatric overweight and obesity underlying susceptibility to multisystem inflammatory syndrome in children (MIS-C)R01DK130465 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI CHOU, JANET · 2021 to 2023
$1.4M
Evaluating the Impact of School Nut-Free PoliciesK23AI143962 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI BARTNIKAS, LISA MARIE · 2019 to 2023
$970k
NIAID NIH HHS K23 AI143962NIDDK NIH HHS R01 DK130465
6 · The paper itself

Abstract

In recent years, a growing number of monogenic disorders have been described that are characterized by immune dysregulation. A subset of these "primary immune regulatory disorders" can cause severe interstitial lung disease, often recognized in late childhood or adolescence. Patients presenting to pulmonary clinic may have long and complex medical histories, but lack a unifying genetic diagnosis. It is crucial for pulmonologists to recognize features suggestive of multisystem immune dysregulation and to initiate genetic workup, since targeted therapies based on underlying genetics may halt or even reverse pulmonary disease progression. Through such an approach, our center has been able to diagnose and treat a cohort of patients with interstitial lung disease from gene defects that affect immune regulation. Here we present representative cases related to pathogenic variants in three distinct pathways and summarize disease manifestations and treatment approaches. We conclude with a discussion of our perspective on the outstanding challenges for diagnosing and managing these complex life-threatening and chronic disorders.

Indexed as

Lung Diseases, InterstitialAdolescentChildHumansLungabataceptautoinflammatoryinborn errors of immunityjanus kinase inhibitorspediatrics

Identifiers

PMID35426264
PMCPMC9627679
OpenAlexW4224108085

What OpenQuestion holds

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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.