Evidence map›Paper›PMID 36006710›Full record

ArticleThe Journal of clinical investigation2022

Immune dysregulation caused by homozygous mutations in CBLB.

Erin Janssen, Zachary Peters, Mohammed F Alosaimi, Emma Smith, Elena Milin, Kelsey Stafstrom, Jacqueline G Wallace, Craig D Platt, Janet Chou, Yasmeen S El Ansari and 11 more

Open access · goldAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.4field-weighted citation impact, top 4% 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

13 citing papers in PubMed, 38 citations in OpenAlex.

  1. [Ubiquitination-mediated regulation of T cell homeostasis and autoimmune diseases].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
    Review
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  4. Rescuing natural killer cells from the cancer wilderness.Journal for immunotherapy of cancer · 2025
    Article
  5. Review
  6. Update on type 2 immunity.The Journal of allergy and clinical immunology · 2025
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. 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

21 authors at 5 institutions in 4 countries.

Erin JanssenDivision of Immunology, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Zachary PetersDivision of Immunology, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Mohammed F AlosaimiDepartment of Pediatrics, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Emma SmithDivision of Immunology, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Elena MilinDivision of Immunology, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Kelsey StafstromDivision of Immunology, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Jacqueline G WallaceDivision of Immunology, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Craig D PlattDivision of Immunology, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Janet ChouDivision of Immunology, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Yasmeen S El AnsariDivision of Immunology, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Tariq Al FarsiThe Royal Hospital Muscat, Muscat, Oman.
Najim AmezianeCentogene GmbH, Rostock, Germany.
Ruslan Al-AliCentogene GmbH, Rostock, Germany.
Maria CalvoCentogene GmbH, Rostock, Germany.
Maria Eugenia RochaCentogene GmbH, Rostock, Germany.
Peter BauerCentogene GmbH, Rostock, Germany.
Nouriya Abbas Al-SannaaJohns Hopkins Aramco Health Care, Dhahran, Saudi Arabia.
Nashat Faud Al SukaitiThe Royal Hospital Muscat, Muscat, Oman.
Abdullah A AlangariDepartment of Pediatrics, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Aida M Bertoli-AvellaCentogene GmbH, Rostock, Germany.
Raif S GehaDivision of Immunology, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Boston Children's Hospital · USCentogene (Germany) · DEKing Saud University · SARoyal Hospital · OMSaudi Aramco Medical Services Organization · SA

Funding

Mechanisms of a Novel Combined Immunodeficiency Caused by a Homozygous Mutation in COPG1R01AI139633 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI GEHA, RAIF SALIM · 2018 to 2022
$3.1M
NIAID NIH HHS R01 AI139633
6 · The paper itself

Abstract

CBL-B is an E3 ubiquitin ligase that ubiquitinates proteins downstream of immune receptors to downregulate positive signaling cascades. Distinct homozygous mutations in CBLB were identified in 3 unrelated children with early-onset autoimmunity, one of whom also had chronic urticaria. Patient T cells exhibited hyperproliferation in response to anti-CD3 cross-linking. One of the mutations, p.R496X, abolished CBL-B expression, and a second mutation, p.C464W, resulted in preserved CBL-B expression. The third mutation, p.H285L in the SH2 domain of CBL-B, was expressed at half the normal level in the patient's cells. Mice homozygous for the CBL-B p.H257L mutation, which corresponds to the patient's p.H285L mutation, had T and B cell hyperproliferation in response to antigen receptor cross-linking. CblbH257L mice had increased percentages of T regulatory cells (Tregs) that had normal in vitro suppressive function. However, T effector cells from the patient with the p.H285L mutation and CblbH257L mice were resistant to suppression by WT Tregs. Bone marrow-derived mast cells from CblbH257L mice were hyperactivated after FcεRI cross-linking, and CblbH257L mice demonstrated exaggerated IgE-mediated passive anaphylaxis. This study establishes CBL-B deficiency as a cause of immune dysregulation.

Indexed as

Receptors, IgEUbiquitin-Protein LigasesAnimalsChildHumansImmunoglobulin EMiceMutationImmunoglobulin EReceptors, IgEUbiquitin-Protein LigasesAutoimmune diseasesImmunologyMast cellsT cells

Identifiers

PMID36006710
PMCPMC9566886
OpenAlexW4293105692

What OpenQuestion holds

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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.