Evidence map›Paper›PMID 36368643›Full record

ArticleClinical immunology (Orlando, Fla.)2022

Natural history of infants with non-SCID T cell lymphopenia identified on newborn screen.

Stephanie A Kubala, Amandeep Sandhu, Thamiris Palacios-Kibler, Brant Ward, Gretchen Harmon, Magee L DeFelice, Vanessa Bundy, M Elizabeth M Younger, Howard Lederman, Hua Liang and 5 more

Open access · greenAbstract read
In one paragraph

Article in Clinical immunology (Orlando, Fla.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 33% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Interpreting abnormal severe combined immunodeficiency (SCID) newborn screens: Perinatal predictors and clinical implications.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2026
    Article
  3. Article
  4. Optimizing TREC- and KREC-based newborn screening: Risk-stratified algorithms significantly reduce referrals.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Article
  5. Article
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  9. 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

15 authors at 9 institutions in 1 country.

Stephanie A KubalaNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, United States of America.
Amandeep SandhuDivision of Allergy and Immunology, Children's Hospital of Philadelphia, Philadelphia, PA, United States of America.
Thamiris Palacios-KiblerDivision of Asthma, Allergy and Immunology, University of Virginia Health, Charlottesville, VA, United States of America.
Brant WardDivision of Rheumatology, Allergy and Immunology, Virginia Commonwealth University, Richmond, VA, United States of America.
Gretchen HarmonDivision of Allergy & Immunology, Nemours Children's Hospital, Wilmington, DE, United States of America.
Magee L DeFeliceDivision of Allergy & Immunology, Nemours Children's Hospital, Wilmington, DE, United States of America.
Vanessa BundyDivision of Allergy and Immunology, Children's National Hospital, Washington, DC, United States of America.
M Elizabeth M YoungerDivision of Pediatric Allergy, Immunology and Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, United States of America.
Howard LedermanDivision of Pediatric Allergy, Immunology and Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, United States of America.
Hua LiangDepartment of Statistics, George Washington University, Washington, DC, United States of America.
Marianne AnzabiDivision of Allergy and Immunology, Children's Hospital of Philadelphia, Philadelphia, PA, United States of America.
Megan K FordDivision of Pulmonary, Allergy & Critical Care, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, United States of America.
Jennifer HeimallDivision of Allergy and Immunology, Children's Hospital of Philadelphia, Philadelphia, PA, United States of America.
Michael D KellerDivision of Allergy and Immunology, Children's National Hospital, Washington, DC, United States of America.
Monica G LawrenceDivision of Asthma, Allergy and Immunology, University of Virginia Health, Charlottesville, VA, United States of America. Electronic address: ml4nz@hscmail.mcc.virginia.edu.
Children's Hospital of Philadelphia · USChildren's National · USJohns Hopkins University · USGeorge Washington University · USNational Institute of Allergy and Infectious Diseases · USThomas Jefferson University · USUniversity of Virginia · USUniversity of Virginia Health System · USVirginia Commonwealth University · US

Funding

Intramural NIH HHS Z99 AI999999
6 · The paper itself

Abstract

Newborn screening (NBS) for severe combined immunodeficiency (SCID) can identify infants with non-SCID T cell lymphopenia (TCL). The purpose of this study was to characterize the natural history and genetic findings of infants with non-SCID TCL identified on NBS. We analyzed data from 80 infants with non-SCID TCL in the mid-Atlantic region between 2012 and 2019. 66 patients underwent genetic testing and 41 (51%) had identified genetic variant(s). The most common genetic variants were thymic defects (33%), defects with unknown mechanisms (12%) and bone marrow production defects (5%). The genetic cohort had significantly lower median initial CD3+, CD4+, CD8+ and CD4/CD45RA+ T cell counts compared to the non-genetic cohort. Thirty-six (45%) had either viral, bacterial, or fungal infection; only one patient had an opportunistic infection (vaccine strain VZV infection). Twenty-six (31%) of patients had resolution of TCL during the study period.

Indexed as

LymphopeniaSevere Combined ImmunodeficiencyGenetic TestingHumansInfantInfant, NewbornNeonatal ScreeningT-LymphocytesGenetic testingNewborn screening (NBS)Pneumocystis jirovecii pneumonia (PJP)Severe combined immunodeficiency (SCID)T cell lymphopenia (TCL)T cell receptor excision circle (TREC)Varicella-zoster virus (VZV)

Identifiers

PMID36368643
PMCPMC9756444
OpenAlexW4308523433

What OpenQuestion holds

Textmetadata
LicenceTDM
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.