Evidence map›Paper›PMID 38445235›Full record

ArticleThe journal of allergy and clinical immunology. Global2024

Hereditary angioedema with normal C1 inhibitor associated with carboxypeptidase N deficiency.

Denis Vincent, Faidra Parsopoulou, Ludovic Martin, Christine Gaboriaud, Jacques Demongeot, Gedeon Loules, Sascha Fischer, Sven Cichon, Anastasios E Germenis, Arije Ghannam and 1 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in The journal of allergy and clinical immunology. Global, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
15.3field-weighted citation impact, top 1% 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

31 citing papers in PubMed, 35 citations in OpenAlex.

  1. Trial
  2. Garadacimab for the long-term prophylaxis of hereditary angioedema.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2026
    Review
  3. Review
  4. Article
  5. The International/Canadian hereditary angioedema guideline.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2026
    Review
  6. Review
  7. Article
  8. Diagnostic delay,Frontiers in allergy · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Status quo and future developments in the diagnosis and treatment of hereditary angioedema.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2025
    Review
  17. Article
  18. Global frequency, diagnosis, and treatment of hereditary angioedema with normal C1 inhibitor.The journal of allergy and clinical immunology. Global · 2025
    Article
  19. Review
  20. Urticaria unveiled in hereditary angioedema with carboxypeptidase N mutation.The journal of allergy and clinical immunology. Global · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 7 institutions in 4 countries.

Denis VincentAllergy and Internal Medicine Unit, University Hospital, Nîmes, France.
Faidra ParsopoulouKininX SAS, Grenoble, France.
Ludovic MartinDermatology Department, University Hospital, Angers, France.
Christine GaboriaudUniversité Grenoble Alpes, CEA, CNRS, IBS, Grenoble, France.
Jacques DemongeotUniversité Grenoble Alpes, CHU Grenoble Alpes, Grenoble, France.
Gedeon LoulesCeMIA SA, Larissa, Greece.
Sascha FischerHuman Genomics Research Group, Department of Biomedicine, University of Basel, Basel, Switzerland.
Sven CichonHuman Genomics Research Group, Department of Biomedicine, University of Basel, Basel, Switzerland.
Anastasios E GermenisDepartment of Immunology and Histocompatibility, University of Thessaly, Larissa, Greece.
Arije GhannamKininX SAS, Grenoble, France.
Christian DrouetUniversité Grenoble Alpes, CHU Grenoble Alpes, Grenoble, France.
Centre National de la Recherche Scientifique · FRUniversity of Basel · CHCentre Hospitalier Universitaire d'Angers · FRCentre Hospitalier Universitaire de Grenoble · FRLaboratoire National de Référence · MAUniversité Grenoble Alpes · FRUniversity of Thessaly · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Hereditary angioedema (HAE) is a potentially life-threatening disorder characterized by recurrent episodes of subcutaneous or submucosal swelling. HAE with normal C1 inhibitor (HAE-nC1-INH) is an underdiagnosed condition. Although the association with genetic variants has been identified for some families, the genetic causes in many patients with HAE-nC1-INH remain unknown. The role of genes associated with bradykinin catabolism is not fully understood. Objective: We sought to investigate the biological parameters and the genes related to kallikrein-kinin system in families with a clinical phenotype of HAE-nC1-INH and presenting with a carboxypeptidase N (CPN) deficiency. Methods: This study includes 4 families presenting with HAE-nC1-INH and CPN deficiency. Patients' clinical records were examined, biological parameters of kallikrein-kinin system were measured, and genetics was analyzed by next-generation sequencing and Sanger sequencing. Predictive algorithms (Human Splicing Finder, Sorting Intolerant From Tolerant, Polymorphism Phenotyping v2, MutationTaster, and ClinPred) were used to classify variants as affecting splicing, as benign to deleterious, or as disease-causing. Results: Patients presented with angioedema and urticaria, mainly on face/lips, but also with abdominal pain or laryngeal symptoms. Affected patients displayed low CPN activity-30% to 50% of median value in plasma. We identified 3 variants of the Conclusions:

Indexed as

angioedemaCPN1 genehereditary carboxypeptidase N deficiencyUrticaria

Identifiers

PMID38445235
PMCPMC10912455
OpenAlexW4391431628

What OpenQuestion holds

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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.