Evidence map›Paper›PMID 35486339›Full record

ReviewJournal of clinical immunology2022

Impact of JAK Inhibitors in Pediatric Patients with STAT1 Gain of Function (GOF) Mutations-10 Children and Review of the Literature.

Angela Deyà-Martínez, Jaques G Rivière, Pérsio Roxo-Junior, Jan Ramakers, Markéta Bloomfield, Paloma Guisado Hernandez, Pilar Blanco Lobo, Soraya Regina Abu Jamra, Ana Esteve-Sole, Veronika Kanderova and 7 more

Open access · hybridAbstract readMulticenter StudyReview
In one paragraph

Review 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 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
4.1field-weighted citation impact, top 5% 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

31 citing papers in PubMed, 49 citations in OpenAlex.

  1. Article
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  7. Current infectious disease management challenges in inborn errors of immunity.Annals of clinical microbiology and antimicrobials · 2025
    Review
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  14. TThe Journal of allergy and clinical immunology · 2024
    Review
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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

17 authors at 8 institutions in 3 countries.

Angela Deyà-MartínezStudy Group for Immune Dysfunction Diseases in Children (GEMDIP), Institut de Recerca Sant Joan de Déu, Barcelona, Spain.
Jaques G RivièreInfection in Immunocompromised Pediatric Patients Research Group, Vall d'Hebron Institut de Recerca (VHIR), Hospital Universitari Vall d'Hebron, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Catalonia, Spain.
Pérsio Roxo-JuniorDivision of Immunology and Allergy, Dept of Pediatrics, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.
Jan RamakersDepartment of Pediatrics, Hospital Universitari Son Espases, Palma, Spain.
Markéta BloomfieldDepartment of Immunology, 2nd Faculty of Medicine, Charles University and University Hospital Motol, Prague, Czech Republic.
Paloma Guisado HernandezLaboratorio de Alteraciones Congénitas de La Inmunidad, Instituto de Biomedicina de Sevilla (IBiS), Laboratorio 205, Seville, Spain.
Pilar Blanco LoboLaboratorio de Alteraciones Congénitas de La Inmunidad, Instituto de Biomedicina de Sevilla (IBiS), Laboratorio 205, Seville, Spain.
Soraya Regina Abu JamraDivision of Immunology and Allergy, Dept of Pediatrics, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.
Ana Esteve-SoleStudy Group for Immune Dysfunction Diseases in Children (GEMDIP), Institut de Recerca Sant Joan de Déu, Barcelona, Spain.
Veronika KanderovaInborn Errors of Immunity Group, Laboratory 205, Instituto de Biomedicina de Sevilla (IBiS), Seville, Spain.
Ana García-GarcíaStudy Group for Immune Dysfunction Diseases in Children (GEMDIP), Institut de Recerca Sant Joan de Déu, Barcelona, Spain.
Mireia Lopez-CorbetoPediatric Rheumatology Unit, Rheumatology Department, Hospital Universitari Vall d'Hebron, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Catalonia, Spain.
Natalia Martinez PomarImmunology Department, Hospital Universitari Son Espases, Palma, Spain.
Andrea Martín-NaldaInfection in Immunocompromised Pediatric Patients Research Group, Vall d'Hebron Institut de Recerca (VHIR), Hospital Universitari Vall d'Hebron, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Catalonia, Spain.
Laia AlsinaStudy Group for Immune Dysfunction Diseases in Children (GEMDIP), Institut de Recerca Sant Joan de Déu, Barcelona, Spain.
Olaf Neth *Laboratorio de Alteraciones Congénitas de La Inmunidad, Instituto de Biomedicina de Sevilla (IBiS), Laboratorio 205, Seville, Spain. oneth-ibis@us.es.
Peter Olbrich *Laboratorio de Alteraciones Congénitas de La Inmunidad, Instituto de Biomedicina de Sevilla (IBiS), Laboratorio 205, Seville, Spain. polbrich@us.es.
Instituto de Biomedicina de Sevilla · ESInstitut de Recerca Sant Joan de DéuVall d'Hebron Hospital Universitari · ESUniversidade de São Paulo · BRHealth Research Institute of the Balearic Islands · ESHospital Sant Joan de Déu Barcelona · ESHospital Universitario Son Espases · ESThomayer University Hospital · CZ

Funding

Agencia de Innovación y Desarrollo de Andalucía PI-0184-2018Consejería de Salud, Junta de Andalucía SA0051/2020Departament de Salut, Generalitat de Catalunya SLT006/17/ 00199Fundación BBVA IN[17]_BBM_CLI_0357 leonardo grantFundación de la Sociedad Española de Alergología e Inmunología Clínica grant 2017Fundación de la Sociedad Española de Alergología e Inmunología Clínica grant 2021Instituto de Salud Carlos III CD20/00124Instituto de Salud Carlos III FI19/00208Instituto de Salud Carlos III JR18/00042Instituto de Salud Carlos III PI18/00223Instituto de Salud Carlos III PI19/01471Instituto de Salud Carlos III PI21/00211Ministerstvo Zdravotnictví Ceské Republiky NV18-05-00162Ministerstvo Zdravotnictví Ceské Republiky NV19-05-00332
6 · The paper itself

Abstract

introductionSince the first description of gain of function (GOF) mutations in signal transducer and activator of transcription (STAT) 1, more than 300 patients have been described with a broad clinical phenotype including infections and severe immune dysregulation. Whilst Jak inhibitors (JAKinibs) have demonstrated benefits in several reported cases, their indications, dosing, and monitoring remain to be established.

methodsA retrospective, multicenter study recruiting pediatric patients with STAT1 GOF under JAKinib treatment was performed and, when applicable, compared with the available reports from the literature.

resultsTen children (median age 8.5 years (3-18), receiving JAKinibs (ruxolitinib (n = 9) and baricitinib (n = 1)) with a median follow-up of 18 months (2-42) from 6 inborn errors of immunity (IEI) reference centers were included. Clinical profile and JAKinib indications in our series were similar to the previously published 14 pediatric patients. 9/10 (our cohort) and 14/14 patients (previous reports) showed partial or complete responses. The median immune deficiency and dysregulation activity scores were 15.99 (5.2-40) pre and 7.55 (3-14.1) under therapy (p = 0.0078). Infection, considered a likely adverse event of JAKinib therapy, was observed in 1/10 patients; JAKinibs were stopped in 3/10 children, due to hepatotoxicity, pre-HSCT, and absence of response.

conclusionsOur study supports the potentially beneficial use of JAKinibs in patients with STAT1 GOF, in line with previously published data. However, consensus regarding their indications and timing, dosing, treatment duration, and monitoring, as well as defining biomarkers to monitor clinical and immunological responses, remains to be determined, in form of international prospective multicenter studies using established IEI registries.

Indexed as

Gain of Function MutationJanus Kinase InhibitorsSTAT1 Transcription FactorChildHumansMulticenter Studies as TopicRetrospective StudiesJanus Kinase InhibitorsSTAT1 protein, humanSTAT1 Transcription FactorBaricitinibChildrenChronic mucocutaneous candidiasisInborn errors of immunityJAK inhibitorsJAK-STAT pathwayPediatricsPrimary immunodeficiency diseaseRuxolitinibSTAT1 GOF

Identifiers

PMID35486339
PMCPMC9402491
OpenAlexW4226030865

What OpenQuestion holds

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LicenceCC BY
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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.