Evidence map›Paper›PMID 40266382›Full record

ArticleJournal of clinical immunology2025

Amyloidosis in Human Inborn Errors of Immunity Predicts Poor Prognosis.

Elif Soyak Aytekin, Anar Tagiyev, Onat Silleli, İncinur Samur, Fevzi Demirel, Saliha Esenboğa, Emine Arzu Sağlam, Deniz Çağdaş

Abstract read
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Article in Journal of clinical immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

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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

1 citing paper in PubMed.

  1. Description of a Large Family with Periodic Fever Carrying a Variant inInternational journal of molecular sciences · 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

8 authors.

Elif Soyak AytekinDepartment of Pediatric Immunology, Hacettepe University Medical School, Ankara, Türkiye, Turkey.ORCID http://orcid.org/0000-0002-2329-7543
Anar TagiyevDepartment of Pediatric Immunology, Hacettepe University Medical School, Ankara, Türkiye, Turkey.
Onat SilleliDepartment of Pediatric Immunology, Hacettepe University Medical School, Ankara, Türkiye, Turkey.
İncinur SamurDepartment of Pediatric Immunology, Hacettepe University Medical School, Ankara, Türkiye, Turkey.
Fevzi DemirelDivision of Immunology and Allergic Diseases, Gülhane Training and Research Hospital, Ankara, Türkiye, Turkey.
Saliha EsenboğaDepartment of Pediatric Immunology, Hacettepe University Medical School, Ankara, Türkiye, Turkey.
Emine Arzu SağlamDepartment of Pathology, Hacettepe University Medical School, Ankara, Türkiye, Turkey.
Deniz ÇağdaşDepartment of Pediatrics Section of Pediatric Immunology, Hacettepe University Medical School İhsan Doğramacı Children's Hospital Institute of Child Health, Altındağ, Ankara, 06100, Turkey. deniz.ayvaz@hacettepe.edu.tr.ORCID http://orcid.org/0000-0003-2213-4627

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChronic inflammation in inborn errors of immunity(IEI) caused by the infections or immune dysregulation is associated with the amyloid A (AA) amyloidosis development. This study aims to analyze the clinical characteristics, management strategies, and outcomes of patients with IEI complicated by AA amyloidosis, focusing on demographics, disease manifestations, treatment modalities, and survival rates.

methodsThirteen patients diagnosed with IEI and AA amyloidosis, along with an additional 10 patients previously reported from Türkiye, were reviewed retrospectively.

resultsThe median ages at diagnosis of IEI and amyloidosis were 20 years (2-61) and 25 years (7-70), respectively. Renal (74%) and gastrointestinal involvement (44%) were the most common, followed by skin(9%), pulmonary (9%), and cardiac involvement (9%). Primary antibody deficiencies(48%), combined immunodeficiencies(31%), hyperimmunoglobulin E syndrome(9%), congenital neutropenia (4%), autoinflammatory disorders (4%), and chronic mucocutaneous candidiasis (4%) were the IEI types associated with amyloidosis. Bronchiectasis (74%) and malignancy (17%) were observed in given ratio of patients. Treatment modalities for amyloidosis include colchicine (n = 12, 52%), steroids (n = 5, 22%) and tocilizumab (n = 2, 9%) without significant benefit. Thirteen patients (57%) died with a median age of 24 years (8-45), predominantly due to sepsis (52%). Familial Mediterranean fever (FMF) gene analysis was negative in all patients except for one, who had a heterozygous MEFV gene defect (M694V).

conclusionAA amyloidosis in IEI is associated with severe morbidity and mortality. Early diagnosis and management of IEI are crucial to prevent amyloidosis development. However, colchicine appears ineffective once amyloidosis has occurred, highlighting the need for further research into early diagnostic biomarkers and novel treatment options.

Indexed as

AmyloidosisAdolescentAdultAgedChildChild, PreschoolFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesYoung AdultAA amyloidosisColchicineImmune dysregulationInborn errors of immunityRenal involvement

Identifiers

PMID40266382
PMCPMC12018599

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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.