Evidence map›Paper›PMID 38185798›Full record

ArticleJournal of clinical periodontology2024

Periodontal disease in patients with WHIM syndrome.

Laurie Brenchley, David H McDermott, Pamela J Gardner, Lakmali M Silva, Ji-Liang Gao, Elena Cho, Daniel Velez, Niki M Moutsopoulos, Philip M Murphy, David Fraser

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical periodontology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. WHIM syndrome in a child without the classic tetrad: a case confirmed by de novo CXCR4 mutation.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2026
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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

10 authors at 3 institutions in 1 country.

Laurie BrenchleyOral Immunity and Infection Section, National Institute of Dental and Craniofacial Research, NIH, Bethesda, Maryland, USA.
David H McDermottMolecular Signaling Section, Laboratory of Molecular Immunology, National Institute of Allergy and Infectious Diseases, NIH, Bethesda, Maryland, USA.ORCID 0000-0001-6978-0867
Pamela J GardnerOffice of the Clinical Director, National Institute of Dental and Craniofacial Research, NIH, Bethesda, Maryland, USA.
Lakmali M SilvaDepartment of Oral Medicine, Immunity, and Infection, Harvard School of Dental Medicine, Boston, Massachusetts, USA.
Ji-Liang GaoMolecular Signaling Section, Laboratory of Molecular Immunology, National Institute of Allergy and Infectious Diseases, NIH, Bethesda, Maryland, USA.
Elena ChoMolecular Signaling Section, Laboratory of Molecular Immunology, National Institute of Allergy and Infectious Diseases, NIH, Bethesda, Maryland, USA.
Daniel VelezMolecular Signaling Section, Laboratory of Molecular Immunology, National Institute of Allergy and Infectious Diseases, NIH, Bethesda, Maryland, USA.
Niki M MoutsopoulosOral Immunity and Infection Section, National Institute of Dental and Craniofacial Research, NIH, Bethesda, Maryland, USA.
Philip M MurphyMolecular Signaling Section, Laboratory of Molecular Immunology, National Institute of Allergy and Infectious Diseases, NIH, Bethesda, Maryland, USA.
David FraserOral Immunity and Infection Section, National Institute of Dental and Craniofacial Research, NIH, Bethesda, Maryland, USA.ORCID 0000-0003-3995-2503
National Institute of Allergy and Infectious Diseases · USNational Institute of Dental and Craniofacial Research · USHarvard University · US

Funding

Molecular Analysis Of Leukocyte Activation By ChemoattractantsZIAAI000615 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI MURPHY, PHILIP · 2009 to 2025
$44.8M
Oral Microbial and Immunological Characterization of Patients with Immune DysfunZIADE000732 · NIDCR · NATIONAL INSTITUTE OF DENTAL & CRANIOFACIAL RESEARCH · PI MOUTSOPOULOS, NIKI · 2010 to 2024
$13.2M
MOLECULAR ANALYSIS OF NEUTROPHIL ACTIVATION BY CHEMOATTRACTANTSZ01AI000615 · NIAID · NIAID EXTRAMURAL ACTIVITIES · PI MURPHY, PHILIP · 1991 to 2008
$7.1M
Fibrin-neutrophil interaction in periodontitis immunopathologyR00DE030124 · NIDCR · HARVARD MEDICAL SCHOOL · PI SILVA, MUNASINGHAGE LAKMALI · 2023 to 2025
$728k
Intramural NIH HHS Z01 AI000615NIDCR NIH HHS R00 DE030124NIH HHS
6 · The paper itself

Abstract

aimWHIM (warts, hypogammaglobulinaemia, infections and myelokathexis) syndrome is a rare combined primary immunodeficiency disease caused by gain-of-function (GOF) mutations in the chemokine receptor CXCR4 and includes severe neutropenia as a common feature. Neutropenia is a known risk factor for periodontitis; however, a detailed periodontal evaluation of a WHIM syndrome cohort is lacking. This study aimed to establish the evidence base for the periodontal status of patients with WHIM syndrome. MATERIALS AND

methodsTwenty-two adult WHIM syndrome patients and 22 age- and gender-matched healthy volunteers (HVs) were evaluated through a comprehensive medical and periodontal examination. A mouse model of WHIM syndrome was assessed for susceptibility to naturally progressing or inducible periodontitis.

resultsFourteen patients with WHIM syndrome (63.6%) and one HV (4.5%) were diagnosed with Stage III/IV periodontitis. No WHIM patient presented with the early onset, dramatic clinical phenotypes typically associated with genetic forms of neutropenia. Age, but not the specific CXCR4 mutation or absolute neutrophil count, was associated with periodontitis severity in the WHIM cohort. Mice with a Cxcr4 GOF mutation did not exhibit increased alveolar bone loss in spontaneous or ligature-induced periodontitis.

conclusionsOverall, WHIM syndrome patients presented with an increased severity of periodontitis despite past and ongoing neutrophil mobilization treatments. GOF mutations in CXCR4 may be a risk factor for periodontitis in humans.

Indexed as

Immunologic Deficiency SyndromesNeutropeniaPeriodontal DiseasesPeriodontitisPrimary Immunodeficiency DiseasesWartsAdultAnimalsHumansMiceCXCR4neutropenianeutrophilperiodontitisprimary immunodeficiency

Identifiers

PMID38185798
PMCPMC11000827
OpenAlexW4390655294

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.