Evidence map›Paper›PMID 35976468›Full record

ArticleJournal of clinical immunology2022

SOCS1 Haploinsufficiency Presenting as Severe Enthesitis, Bone Marrow Hypocellularity, and Refractory Thrombocytopenia in a Pediatric Patient with Subsequent Response to JAK Inhibition.

Thomas F Michniacki, Kelly Walkovich, Lauren DeMeyer, Nadine Saad, Mark Hannibal, Matthew L Basiaga, Kelly K Horst, Smriti Mohan, Liang Chen, Kailey Brodeur and 6 more

Open access · bronzeAbstract readCase Reports
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 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.4field-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

15 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Frontiers in pediatrics · 2025
    Article
  3. Article
  4. Review
  5. Infections in Disorders of Immune Regulation.Pathogens (Basel, Switzerland) · 2024
    Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Severity of SARS-CoV-2 infection in children with inborn errors of immunity (primary immunodeficiencies): a systematic review.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2023
    Article
  14. Article
  15. Phenotypic Variability of SOCS1 Haploinsufficiency.Journal of clinical immunology · 2023
    Article
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 3 institutions in 1 country.

Thomas F MichniackiDivision of Pediatric Hematology/Oncology, Department of Pediatrics, University of Michigan, Ann Arbor, MI, USA. tmich@med.umich.edu.ORCID 0000-0001-8919-5243
Kelly WalkovichDivision of Pediatric Hematology/Oncology, Department of Pediatrics, University of Michigan, Ann Arbor, MI, USA.
Lauren DeMeyerDivision of Genetics, Metabolism & Genomic Medicine, Department of Pediatrics, University of Michigan, Ann Arbor, MI, USA.
Nadine SaadDivision of Pediatric Rheumatology, Department of Pediatrics, University of Michigan, Ann Arbor, MI, USA.
Mark HannibalDivision of Genetics, Metabolism & Genomic Medicine, Department of Pediatrics, University of Michigan, Ann Arbor, MI, USA.
Matthew L BasiagaDivision of Pediatric Rheumatology, Department of Pediatrics, Mayo Clinic, Rochester, MN, USA.
Kelly K HorstDivision of Pediatric Radiology, Department of Radiology, Mayo Clinic, Rochester, MN, USA.
Smriti MohanDivision of Pediatric Rheumatology, Department of Pediatrics, University of Michigan, Ann Arbor, MI, USA.
Liang ChenDivision of Immunology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Kailey BrodeurDivision of Immunology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Yan DuDivision of Immunology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
David FrameDepartment of Clinical Pharmacy, College of Pharmacy, University of Michigan, Ann Arbor, MI, USA.
Sandra NgoDepartment of Pediatrics, University of Michigan, Ann Arbor, MI, USA.
Jillian SimoneauDivision of Pediatric Hematology/Oncology, Department of Pediatrics, University of Michigan, Ann Arbor, MI, USA.
Noah BrownDepartment of Pathology, University of Michigan, Ann Arbor, MI, USA.
Pui Y LeeDivision of Immunology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
University of Michigan · USBoston Children's Hospital · USMayo Clinic in Arizona · US

Funding

Training Program in Molecular HematologyT32HL007622 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SUNG WON CHOI, Jordan A. Shavit · 1986 to 2026
$9.2M
Metabolic control of monocyte development and function by amino acidsK08AR074562 · NIAMS · BOSTON CHILDREN'S HOSPITAL · PI LEE, PUI YUEN · 2019 to 2023
$868k
NHLBI NIH HHS T32 HL007622NIAMS NIH HHS K08 AR074562
6 · The paper itself

Abstract

Haploinsufficiency of suppressor of cytokine signaling 1 (SOCS1) is a recently discovered autoinflammatory disorder with significant rheumatologic, immunologic, and hematologic manifestations. Here we report a case of SOCS1 haploinsufficiency in a 5-year-old child with profound arthralgias and immune-mediated thrombocytopenia unmasked by SARS-CoV-2 infection. Her clinical manifestations were accompanied by excessive B cell activity, eosinophilia, and elevated IgE levels. Uniquely, this is the first report of SOCS1 haploinsufficiency in the setting of a chromosomal deletion resulting in complete loss of a single SOCS1 gene with additional clinical findings of bone marrow hypocellularity and radiologic evidence of severe enthesitis. Immunologic profiling showed a prominent interferon signature in the patient's peripheral blood mononuclear cells, which were also hypersensitive to stimulation by type I and type II interferons. The patient showed excellent clinical and functional laboratory response to tofacitinib, a Janus kinase inhibitor that disrupts interferon signaling. Our case highlights the need to utilize a multidisciplinary diagnostic approach and consider a comprehensive genetic evaluation for inborn errors of immunity in patients with an atypical immune-mediated thrombocytopenia phenotype.

Indexed as

COVID-19Myelodysplastic SyndromesThrombocytopeniaBone MarrowFemaleHaploinsufficiencyHumansInterferonsLeukocytes, MononuclearSARS-CoV-2Suppressor of Cytokine Signaling 1 ProteinSuppressor of Cytokine Signaling ProteinsInterferonsSOCS1 protein, humanSuppressor of Cytokine Signaling 1 ProteinSuppressor of Cytokine Signaling ProteinsAutoinflammatory syndromeBone marrow hypocellularityImmune thrombocytopeniaInterferonopathyJAK inhibitionSOCS1 haploinsufficiency

Identifiers

PMID35976468
PMCPMC9381392
OpenAlexW4292295379

What OpenQuestion holds

Textmetadata
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.