Evidence map›Paper›PMID 41268294›Full record

ArticleClinical case reports2025

Normal Immune Function in a Newborn With Early Identification of a

Kevin MingJie Gao, Qiu Yu Judy Huang, Polly Huang, Anum Muzaffar, Ramin Beheshti, Robert Wood, Jennifer Dantzer, Maria J Gutierrez

Abstract read
In one paragraph

Article in Clinical case reports, 2025. 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
–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

3 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Kevin MingJie GaoDivision of Innate Immunity, Department of Medicine UMass Chan Medical School Worcester Massachusetts USA.ORCID https://orcid.org/0000-0001-5855-1006
Qiu Yu Judy HuangDepartment of Biochemistry and Molecular Biotechnology UMass Chan Medical School Worcester Massachusetts USA.
Polly HuangDivision of Pediatric Allergy, Immunology, and Rheumatology, Department of Pediatrics Johns Hopkins University Baltimore Maryland USA.
Anum MuzaffarDivision of Pediatric Allergy, Immunology, and Rheumatology, Department of Pediatrics Johns Hopkins University Baltimore Maryland USA.
Ramin BeheshtiDivision of Pediatric Allergy, Immunology, and Rheumatology, Department of Pediatrics Johns Hopkins University Baltimore Maryland USA.
Robert WoodDivision of Pediatric Allergy, Immunology, and Rheumatology, Department of Pediatrics Johns Hopkins University Baltimore Maryland USA.
Jennifer DantzerDivision of Pediatric Allergy, Immunology, and Rheumatology, Department of Pediatrics Johns Hopkins University Baltimore Maryland USA.
Maria J GutierrezDivision of Pediatric Allergy, Immunology, and Rheumatology, Department of Pediatrics Johns Hopkins University Baltimore Maryland USA.

Funding

Medical Scientist Training at UMMS Administrative SupplementT32GM107000 · NIGMS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI KIEFE, CATARINA I. · 2013 to 2022
$4.9M
Training in the Molecular Basis of Autoimmunity and AutoinflammationT32AI132152 · NIAID · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI Katherine A. Fitzgerald, Ann Marshak-Rothstein · 2018 to 2026
$1.6M
Investigating the role of B cells in pulmonary fibrosis resulting from STING gain-of-function autoinflammationF30HL154674 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI GAO, KEVIN MINGJIE · 2020 to 2022
$114k
NHLBI NIH HHS F30 HL154674NIAID NIH HHS T32 AI132152NIGMS NIH HHS T32 GM107000
6 · The paper itself

Abstract

MIRAGE syndrome is a multi-organ disease caused by gain-of-function (GOF) mutations in the viral restriction factor SAMD9. Herein, we present the case of a 32-week pre-term female neonate with severe intrauterine growth restriction, primary adrenal insufficiency, and persistent thrombocytopenia. A rapid trio-whole exome sequencing at 23-days of age found a de novo SAMD9 G1048R mutation, consistent with a diagnosis of MIRAGE syndrome, and at this time was not found to have evidence of immune abnormalities or hematologic malignancy. Analysis of predicted tertiary structures from our patient's SAMD9 G1048R mutation demonstrated structural similarities to known SAMD9 GOF variants. Absence of immunologic and oncologic manifestations in this patient may relate to early identification and reflect low SAMD9 expression during the neonatal window. Risk for developing immune deficiency and malignancy may continue to increase as this patient grows older, thus requiring close outpatient surveillance to mitigate future risk of these complications.

Indexed as

inherited bone marrow failuremonogenic disorderprimary adrenal insufficiencyprimary immune deficiency

Identifiers

PMID41268294
PMCPMC12626768

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.