Evidence map›Paper›PMID 38692308›Full record

ArticleThe Journal of allergy and clinical immunology2024

The common variable immunodeficiency IgM repertoire narrowly recognizes erythrocyte and platelet glycans.

Carole Le Coz, Melissa Trofa, Dorothy L Butler, Samuel Yoon, Tian Tian, Whitney Reid, Emylette Cruz Cabrera, Ainsley V C Knox, Caroline Khanna, Kathleen E Sullivan and 12 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 45% 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

3 citing papers in PubMed, 1 citations in OpenAlex.

  1. Review
  2. Elevated IL-10 is Linked With the Expansion of T-betJournal of clinical immunology · 2026
    Article
  3. Article
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

22 authors at 5 institutions in 2 countries.

Carole Le CozDivision of Immunology and Allergy, Children's Hospital of Philadelphia, Philadelphia, Pa; Infinity, Toulouse Institute for Infectious and Inflammatory Diseases, University of Toulouse, CNRS, Inserm, Toulouse, France.
Melissa TrofaDivision of Immunology and Allergy, Children's Hospital of Philadelphia, Philadelphia, Pa.
Dorothy L ButlerChemical Biology Laboratory, Center for Cancer Research, National Cancer Institute, Frederick, Md.
Samuel YoonDivision of Immunology and Allergy, Children's Hospital of Philadelphia, Philadelphia, Pa.
Tian TianCenter for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, Pa.
Whitney ReidDivision of Immunology and Allergy, Children's Hospital of Philadelphia, Philadelphia, Pa.
Emylette Cruz CabreraDivision of Immunology and Allergy, Children's Hospital of Philadelphia, Philadelphia, Pa.
Ainsley V C KnoxDivision of Immunology and Allergy, Children's Hospital of Philadelphia, Philadelphia, Pa.
Caroline KhannaDivision of Immunology and Allergy, Children's Hospital of Philadelphia, Philadelphia, Pa.
Kathleen E SullivanDivision of Immunology and Allergy, Children's Hospital of Philadelphia, Philadelphia, Pa; Department of Pediatrics, Perelman School of Medicine, Philadelphia, Pa; Institute for Immunology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa.
Jennifer HeimallDivision of Immunology and Allergy, Children's Hospital of Philadelphia, Philadelphia, Pa; Department of Pediatrics, Perelman School of Medicine, Philadelphia, Pa.
Patricia TakachDivision of Pulmonary, Allergy and Critical Care, Department of Medicine, Perelman School of Medicine, Philadelphia, Pa.
Olajumoke O FadugbaDivision of Pulmonary, Allergy and Critical Care, Department of Medicine, Perelman School of Medicine, Philadelphia, Pa.
Monica LawrenceDivision of Asthma, Allergy and Immunology, Department of Medicine, University of Virginia, Charlottesville, Va.
Soma JyonouchiDivision of Immunology and Allergy, Children's Hospital of Philadelphia, Philadelphia, Pa; Department of Pediatrics, Perelman School of Medicine, Philadelphia, Pa.
Hakon HakonarsonCenter for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, Pa; Institute for Immunology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa.
Andrew D WellsInstitute for Immunology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa; Center for Spatial and Functional Genomics, Children's Hospital of Philadelphia, Philadelphia, Pa; Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, Pa.
Steven HandlerPediatric Otolaryngology, Children's Hospital of Philadelphia, Philadelphia, Pa; Department of Otolaryngology-Head and Neck Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pa.
Karen B ZurPediatric Otolaryngology, Children's Hospital of Philadelphia, Philadelphia, Pa; Department of Otolaryngology-Head and Neck Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pa.
Vinodh PillaiDepartment of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, Pa; Division of Hematopathology, Children's Hospital of Philadelphia, Philadelphia, Pa.
Jeffrey C GildersleeveChemical Biology Laboratory, Center for Cancer Research, National Cancer Institute, Frederick, Md.
Neil RombergDivision of Immunology and Allergy, Children's Hospital of Philadelphia, Philadelphia, Pa; Department of Pediatrics, Perelman School of Medicine, Philadelphia, Pa; Institute for Immunology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa. Electronic address: rombergn@email.chop.edu.
Children's Hospital of Philadelphia · USFrederick National Laboratory for Cancer Research · USPulmonary and Allergy Associates · USCentre National de la Recherche Scientifique · FRUniversity of Virginia · US

Funding

Serum Antibody Profiling with a Carbohydrate MicroarrayZIABC011055 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI GILDERSLEEVE, JEFFREY · 2009 to 2025
$6.3M
Promoter interactome-aided mapping of unexplored CVID genetic landscapesR01AI146026 · NIAID · CHILDREN'S HOSP OF PHILADELPHIA · PI ROMBERG, NEIL DAVID · 2019 to 2023
$2.9M
NIAID NIH HHS R01 AI146026
6 · The paper itself

Abstract

backgroundAutoimmune cytopenias (AICs) regularly occur in profoundly IgG-deficient patients with common variable immunodeficiency (CVID). The isotypes, antigenic targets, and origin(s) of their disease-causing autoantibodies are unclear.

objectiveWe sought to determine reactivity, clonality, and provenance of AIC-associated IgM autoantibodies in patients with CVID.

methodsWe used glycan arrays, patient erythrocytes, and platelets to determine targets of CVID IgM autoantibodies. Glycan-binding profiles were used to identify autoreactive clones across B-cell subsets, specifically circulating marginal zone (MZ) B cells, for sorting and IGH sequencing. The locations, transcriptomes, and responses of tonsillar MZ B cells to different T

resultsAutoreactive IgM coated erythrocytes and platelets from many CVID patients with AICs (CVID+AIC). On glycan arrays, CVID+AIC plasma IgM narrowly recognized erythrocytic i antigens and platelet i-related antigens and failed to bind hundreds of pathogen- and tumor-associated carbohydrates. Polyclonal i antigen-recognizing B-cell receptors were highly enriched among CVID+AIC circulating MZ B cells. Within tonsillar tissues, MZ B cells secreted copious IgM when activated by the combination of IL-10 and IL-21 or when cultured with IL-10/IL-21-secreting FOXP3

conclusionsOur findings indicate that glycan-reactive IgM autoantibodies produced outside of germinal centers may contribute to the autoimmune pathogenesis of CVID.

Indexed as

AutoantibodiesBlood PlateletsCommon Variable ImmunodeficiencyErythrocytesImmunoglobulin MPolysaccharidesAdultB-Lymphocyte SubsetsFemaleHumansMaleAutoantibodiesImmunoglobulin MPolysaccharidesautoantibodiesautoimmune cytopeniasCommon variable immune deficiencyglycansi antigenmarginal zone B cell

Identifiers

PMID38692308
PMCPMC11380600
OpenAlexW4396241835

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.