Evidence map›Paper›PMID 40432300›Full record

ArticlePediatric pulmonology2025

Multicystic Interstitial Lung Disease Due to a Novel Biallelic C-C Chemokine Receptor Type 2 Variant.

Moritz Herkner, Christina Rapp, Simon Y Graeber, Charlotte Marx, Carlotta Rambuscheck, Simone Reu-Hofer, Nagehan Emiralioglu, Nural Kiper, Alexandru I Gilea, Ilenia Notaroberto and 7 more

Abstract readCase Reports
In one paragraph

Article in Pediatric pulmonology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

2 citing papers in PubMed.

  1. Article
  2. Review
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

17 authors.

Moritz HerknerDepartment of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital, Ludwig-Maximilians-Universität Munich, Munich, Germany.
Christina RappDepartment of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital, Ludwig-Maximilians-Universität Munich, Munich, Germany.
Simon Y GraeberDepartment of Pediatric Respiratory Medicine, Immunology and Intensive Care Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0002-1666-8924
Charlotte MarxDivision of Clinical Pharmacology, University Hospital, LMU Munich, Munich, Germany.
Carlotta RambuscheckDivision of Clinical Pharmacology, University Hospital, LMU Munich, Munich, Germany.
Simone Reu-HoferInstitute of Pathology, University of Würzburg, Würzburg, Germany.
Nagehan EmiraliogluDepartment of Pediatrics, Division of Pulmonology, Hacettepe University Faculty of Medicine, Ankara, Turkey.ORCID https://orcid.org/0000-0002-1405-8401
Nural KiperDepartment of Pediatrics, Division of Pulmonology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Alexandru I GileaDepartment of Chemistry, Life Sciences and Environmental Sustainability, University of Parma, Parma, Italy.
Ilenia NotarobertoDepartment of Chemistry, Life Sciences and Environmental Sustainability, University of Parma, Parma, Italy.
Enrico BaruffiniDepartment of Chemistry, Life Sciences and Environmental Sustainability, University of Parma, Parma, Italy.
Bettina Temmesfeld-WollbrückDepartment of Infectious Diseases and Pulmonary Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Christoph KleinDepartment of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital, Ludwig-Maximilians-Universität Munich, Munich, Germany.
Han WenBiochemistry and Biophysics Center, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland, USA.
Mirjam StahlDepartment of Pediatric Respiratory Medicine, Immunology and Intensive Care Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0001-6941-8315
Matthias GrieseDepartment of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital, Ludwig-Maximilians-Universität Munich, Munich, Germany.ORCID https://orcid.org/0000-0003-0113-912X
Florian GotheDepartment of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital, Ludwig-Maximilians-Universität Munich, Munich, Germany.ORCID https://orcid.org/0000-0003-0421-6610

Funding

M. S. is participant of the BIH-Charité Clinician Scientist Program funded by the Charité-Universitätsmedizin Berlin and the BIH. M. S. was supported by the German Research Foundation (STA 1685/1-1). M. G. was supported by DFG 970/9-2 and the German Center for Lung research (DZL). F. G. received funding from the Care-for-Rare Foundation and the 'Verein zur Förderung von Wissenschaft und Forschung (WiFoMed)'.
6 · The paper itself

Abstract

objectiveWe are presenting two individuals with biallelic C-C chemokine receptor type 2 (CCR2) deficiency carrying the novel c.644C>T p.L215P variant, who presented with chronic respiratory symptoms during infancy and developed multiple diffuse cystic lesions during childhood.

methodsThe patients were diagnosed by means of whole exome sequencing and functional validation of the variant was performed in primary patient cells.

resultsWhile size and extent of the cysts were stable over years, progressive lung function decline was noted in adolescence and adulthood respectively. The CCR2 p.L215P variant was found to be loss-of-expression and patient monocytes displayed a migration defect upon stimulation with the CCR2 ligand C-C motif ligand 2 (CCL2).

conclusionWith a follow-up of up to 25 years, this report expands our understanding of lung disease in CCR2 deficiency and offers another monogenic cause of cystic lung disease. Early genetic diagnosis of affected individuals might allow potentially curative treatment by haematopoietic stem cell transplantation.

Indexed as

Lung Diseases, InterstitialReceptors, CCR2AdolescentAdultChildExome SequencingFemaleHumansInfantMaleCCR2 protein, humanReceptors, CCR2C‐C chemokine receptor type 2cystic lung diseaseinborn error of immunityinterstitial lung disease

Identifiers

PMID40432300
PMCPMC12117283

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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.