Evidence map›Paper›PMID 36976641›Full record

ArticleThe Journal of clinical investigation2023

Human inherited complete STAT2 deficiency underlies inflammatory viral diseases.

Giorgia Bucciol, Leen Moens, Masato Ogishi, Darawan Rinchai, Daniela Matuozzo, Mana Momenilandi, Nacim Kerrouche, Catherine M Cale, Elsa R Treffeisen, Mohammad Al Salamah and 27 more

Open access · goldAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
7.2field-weighted citation impact, top 2% 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

28 citing papers in PubMed, 44 citations in OpenAlex.

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  13. The monogenic landscape of human infectious diseases.The Journal of allergy and clinical immunology · 2025
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  20. Infections in Inborn Errors of STATs.Pathogens (Basel, Switzerland) · 2024
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

37 authors at 17 institutions in 9 countries.

Giorgia BucciolLaboratory of Inborn Errors of Immunity, Department of Microbiology, Immunology and Transplantation, KU Leuven, Leuven, Belgium.
Leen MoensLaboratory of Inborn Errors of Immunity, Department of Microbiology, Immunology and Transplantation, KU Leuven, Leuven, Belgium.
Masato OgishiSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, New York, USA.
Darawan RinchaiSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, New York, USA.
Daniela MatuozzoLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Necker Hospital for Sick Children, Paris, France.
Mana MomenilandiLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Necker Hospital for Sick Children, Paris, France.
Nacim KerroucheSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, New York, USA.
Catherine M CaleDepartment of Immunology, Great Ormond Street Hospital, London, United Kingdom.
Elsa R TreffeisenDivision of Immunology, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Mohammad Al SalamahKing Abdullah Specialist Children's Hospital and International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia.
Bandar K Al-SaudPediatric Department, Section of Immunology and Allergy, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Alain LachauxGastroenterology, Hepatology and Nutrition Unit, University and Pediatric Hospital of Lyon, and Centre International de Recherche en Infectiologie (CIRI), INSERM U1111, Autophagy, Infection and Immunity, Lyon, France.
Remi Duclaux-LorasGastroenterology, Hepatology and Nutrition Unit, University and Pediatric Hospital of Lyon, and Centre International de Recherche en Infectiologie (CIRI), INSERM U1111, Autophagy, Infection and Immunity, Lyon, France.
Marie MeignienInternal Medicine and Vascular Pathology Service, University Hospital of Lyon, Lyon, France.
Aziz BousfihaClinical Immunology, Inflammation and Allergy Laboratory (LICIA), Faculty of Medicine and Pharmacy, King Hassan II University, Casablanca, Morocco.
Ibtihal BenhsaienClinical Immunology, Inflammation and Allergy Laboratory (LICIA), Faculty of Medicine and Pharmacy, King Hassan II University, Casablanca, Morocco.
Anna ShcherbinaDepartment of Immunology, Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Moscow, Russia.
Anna RoppeltDepartment of Immunology, Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Moscow, Russia.
COVID Human Genetic Effort
Florian GotheTranslational and Clinical Research Institute, Immunity and Inflammation Theme, Newcastle University, Newcastle upon Tyne, United Kingdom.
Nadhira Houhou-FidouhDepartment of Virology, INSERM, Infection, Antimicrobiens, Modélisation, Evolution, UMR 1137, Bichat-Claude Bernard Hospital, University of Paris, Assistance Publique-Hôpitaux de Paris, Paris, France.
Scott J HackettDepartment of Paediatrics, Birmingham Chest Clinic and Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.
Lisa M BartnikasDivision of Immunology, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Michelle C MaciagDivision of Immunology, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Mohammed F AlosaimiImmunology Research Laboratory, Department of Pediatrics, King Saud University, Riyadh, Saudi Arabia.
Janet ChouDivision of Immunology, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Reem W MohammedPediatric Department, Section of Immunology and Allergy, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Bishara J FreijPediatric Infectious Diseases Section, Beaumont Children's Hospital, Royal Oak, Michigan, USA.
Emmanuelle JouanguySt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, New York, USA.
Shen-Ying ZhangSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, New York, USA.
Stephanie Boisson-DupuisSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, New York, USA.
Vivien BéziatSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, New York, USA.
Qian ZhangSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, New York, USA.
Christopher Ja DuncanThe COVID Human Genetic Effort is detailed in Supplemental Acknowledgments.
Sophie HambletonTranslational and Clinical Research Institute, Immunity and Inflammation Theme, Newcastle University, Newcastle upon Tyne, United Kingdom.
Jean-Laurent CasanovaSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, New York, USA.
Isabelle MeytsLaboratory of Inborn Errors of Immunity, Department of Microbiology, Immunology and Transplantation, KU Leuven, Leuven, Belgium.
Inserm · FRBoston University · USKU Leuven · BERockefeller University · USUniversité Claude Bernard Lyon 1 · FRCentre Hospitalier Universitaire Ibn Rochd · MADmitry Rogachev National Research Center of Pediatric Hematology, Oncology and Immunology · RUKing Faisal Specialist Hospital & Research Centre · SANewcastle upon Tyne Hospitals NHS Foundation Trust · GBGreat Ormond Street Hospital · GBHospices Civils de Lyon · FRHoward Hughes Medical Institute · USKing Saud bin Abdulaziz University for Health Sciences · SAKing Saud University · SALudwig-Maximilians-Universität München · DEOakland University · USUniversity Hospitals Birmingham NHS Foundation Trust · GB

Funding

Developing, Demonstrating, and Disseminating Innovative Programs to Achieve Translational SuccessUL1TR001866 · NCATS · ROCKEFELLER UNIVERSITY · PI COLLER, BARRY, KRUEGER, JAMES G · 2016 to 2025
$40.6M
MOLECULAR BASIS OF ALLERGIC AND IMMUNOLOGIC DISEASET32AI007512 · NIAID · CHILDREN'S HOSPITAL BOSTON · PI Janet Chou, Peter A Nigrovic · 1996 to 2026
$13.1M
Monogenic basis of resistance to SARS-CoV2 and predisposition to severe COVID-19R01AI088364 · NIAID · UT SOUTHWESTERN MEDICAL CENTER · PI Jean-Laurent Casanova, Shen-Ying Zhang · 2010 to 2026
$8.7M
Inborn errors of immunity in patients with life-threatening COVID-19R01AI163029 · NIAID · ROCKEFELLER UNIVERSITY · PI CASANOVA, JEAN-LAURENT, ZHANG, QIAN · 2021 to 2025
$3.7M
Howard Hughes Medical InstituteMedical Research Council MR/X001598/1NCATS NIH HHS UL1 TR001866NIAID NIH HHS R01 AI088364NIAID NIH HHS R01 AI163029NIAID NIH HHS T32 AI007512Wellcome Trust 207556/Z/17/Z
6 · The paper itself

Abstract

STAT2 is a transcription factor activated by type I and III IFNs. We report 23 patients with loss-of-function variants causing autosomal recessive (AR) complete STAT2 deficiency. Both cells transfected with mutant STAT2 alleles and the patients' cells displayed impaired expression of IFN-stimulated genes and impaired control of in vitro viral infections. Clinical manifestations from early childhood onward included severe adverse reaction to live attenuated viral vaccines (LAV) and severe viral infections, particularly critical influenza pneumonia, critical COVID-19 pneumonia, and herpes simplex virus type 1 (HSV-1) encephalitis. The patients displayed various types of hyperinflammation, often triggered by viral infection or after LAV administration, which probably attested to unresolved viral infection in the absence of STAT2-dependent types I and III IFN immunity. Transcriptomic analysis revealed that circulating monocytes, neutrophils, and CD8+ memory T cells contributed to this inflammation. Several patients died from viral infection or heart failure during a febrile illness with no identified etiology. Notably, the highest mortality occurred during early childhood. These findings show that AR complete STAT2 deficiency underlay severe viral diseases and substantially impacts survival.

Indexed as

COVID-19Encephalitis, Herpes SimplexInfluenza, HumanPneumoniaVirus DiseasesAllelesChild, PreschoolHumansSTAT1 Transcription FactorSTAT2 Transcription FactorSTAT1 Transcription FactorSTAT2 protein, humanSTAT2 Transcription FactorGenetic diseasesImmunologyInfluenzaInnate immunity

Identifiers

PMID36976641
PMCPMC10266780
OpenAlexW4361190304

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.