Evidence map›Paper›PMID 36997670›Full record

ArticleNature immunology2023

G-CSF drives autoinflammation in APLAID.

Elisabeth Mulazzani, Klara Kong, Juan I Aróstegui, Ashley P Ng, Nishika Ranathunga, Waruni Abeysekera, Alexandra L Garnham, Sze-Ling Ng, Paul J Baker, Jacob T Jackson and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Nature immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.7field-weighted citation impact, top 7% 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

12 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
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  9. Article
  10. A gain-of-function variation in PLCG1 causes a new immune dysregulation disease.The Journal of allergy and clinical immunology · 2023
    Article
  11. G-CSF implicated as therapeutic target in APLAID.Nature reviews. Rheumatology · 2023
    Article
  12. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 6 institutions in 3 countries.

Elisabeth MulazzaniInflammation Division, The Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia.
Klara KongInflammation Division, The Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia.
Juan I ArósteguiDepartment of Immunology, Hospital Clínic-IDIBAPS, Barcelona, Spain.ORCID http://orcid.org/0000-0003-4757-504X
Ashley P NgBlood Cells and Blood Cancer Division, The Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia.ORCID http://orcid.org/0000-0001-9690-0879
Nishika RanathungaDepartment of Medical Biology, University of Melbourne, Parkville, Victoria, Australia.
Waruni AbeysekeraDepartment of Medical Biology, University of Melbourne, Parkville, Victoria, Australia.ORCID http://orcid.org/0000-0002-3110-8984
Alexandra L GarnhamDepartment of Medical Biology, University of Melbourne, Parkville, Victoria, Australia.
Sze-Ling NgImmunology Research Unit, GlaxoSmithKline, Collegeville, PA, USA.
Paul J BakerInflammation Division, The Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia.
Jacob T JacksonDivision of Immunology, The Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia.ORCID http://orcid.org/0000-0002-6396-2739
John D LichImmunology Research Unit, GlaxoSmithKline, Collegeville, PA, USA.
Margaret L HibbsDepartment of Immunology and Pathology, Monash University, Clayton, Victoria, Australia.
Ian P WicksInflammation Division, The Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia.ORCID http://orcid.org/0000-0001-7050-6822
Cynthia LouisInflammation Division, The Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia.ORCID http://orcid.org/0000-0001-8382-6358
Seth L MastersInflammation Division, The Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia. masters@wehi.edu.au.ORCID http://orcid.org/0000-0003-4763-576X
The University of Melbourne · AUWalter and Eliza Hall Institute of Medical Research · AUGlaxoSmithKline (United States) · USThe Royal Melbourne Hospital · AUHospital Clínic de Barcelona · ESMonash University · AU

Funding

Howard Hughes Medical InstituteWellcome Trust 208694/Z/17/Z
6 · The paper itself

Abstract

Missense mutations in PLCG2 can cause autoinflammation with phospholipase C gamma 2-associated antibody deficiency and immune dysregulation (APLAID). Here, we generated a mouse model carrying an APLAID mutation (p.Ser707Tyr) and found that inflammatory infiltrates in the skin and lungs were only partially ameliorated by removing inflammasome function via the deletion of caspase-1. Also, deleting interleukin-6 or tumor necrosis factor did not fully prevent APLAID mutant mice from autoinflammation. Overall, these findings are in accordance with the poor response individuals with APLAID have to treatments that block interleukin-1, JAK1/2 or tumor necrosis factor. Cytokine analysis revealed increased granulocyte colony-stimulating factor (G-CSF) levels as the most distinct feature in mice and individuals with APLAID. Remarkably, treatment with a G-CSF antibody completely reversed established disease in APLAID mice. Furthermore, excessive myelopoiesis was normalized and lymphocyte numbers rebounded. APLAID mice were also fully rescued by bone marrow transplantation from healthy donors, associated with reduced G-CSF production, predominantly from non-hematopoietic cells. In summary, we identify APLAID as a G-CSF-driven autoinflammatory disease, for which targeted therapy is feasible.

Indexed as

Bone Marrow TransplantationGranulocyte Colony-Stimulating FactorAnimalsCytokinesImmunologic Deficiency SyndromesInterleukin-1MiceTumor Necrosis Factor-alphaCytokinesGranulocyte Colony-Stimulating FactorInterleukin-1Tumor Necrosis Factor-alpha

Identifiers

PMID36997670
PMCPMC10154231
OpenAlexW4362458423

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.