Evidence map›Paper›PMID 36136607›Full record

ArticleJCI insight2022

A human STAT3 gain-of-function variant confers T cell dysregulation without predominant Treg dysfunction in mice.

Erica G Schmitt, Kelsey A Toth, Samuel I Risma, Ana Kolicheski, Nermina Saucier, Rafael J Feliciano Berríos, Zev J Greenberg, Jennifer W Leiding, Jack J Bleesing, Akaluck Thatayatikom and 4 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

17 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. A case report of ADMIO type 1 caused by aFrontiers in immunology · 2026
    Article
  5. STAT3 SH2 Domain Aspartic Acid 661 Mutations Activate Immune Gene Programs.Journal of cellular and molecular medicine · 2026
    Article
  6. Inborn errors of regulatory T-cell differentiation and function.The Journal of allergy and clinical immunology · 2025
    Review
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  9. Article
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  11. Article
  12. Review
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  15. Review
  16. Review
  17. STAT3 gain-of-function syndrome.Frontiers in pediatrics · 2022
    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

14 authors at 6 institutions in 1 country.

Erica G SchmittDepartment of Pediatrics, Division of Rheumatology and Immunology.
Kelsey A TothDepartment of Pediatrics, Division of Rheumatology and Immunology.
Samuel I RismaDepartment of Pediatrics, Division of Rheumatology and Immunology.
Ana KolicheskiDepartment of Pediatrics, Division of Rheumatology and Immunology.
Nermina SaucierDepartment of Pediatrics, Division of Rheumatology and Immunology.
Rafael J Feliciano BerríosCenter for Pharmacogenomics, Department of Medicine, and.
Zev J GreenbergDepartment of Pediatrics, Division of Hematology and Oncology, Washington University School of Medicine, St. Louis, Missouri, USA.
Jennifer W LeidingDivision of Allergy and Immunology, Department of Pediatrics, Johns Hopkins University, Baltimore, Maryland.
Jack J BleesingDivision of BM Transplantation and Immune Deficiency, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Akaluck ThatayatikomAdventHealth for Children, Orlando, Florida, USA.
Laura G SchuettpelzDepartment of Pediatrics, Division of Hematology and Oncology, Washington University School of Medicine, St. Louis, Missouri, USA.
John R EdwardsCenter for Pharmacogenomics, Department of Medicine, and.
Tiphanie P VogelDivision of Rheumatology, Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas, USA.
Megan A CooperDepartment of Pediatrics, Division of Rheumatology and Immunology.
Center for Rheumatology · USWashington University in St. Louis · USAdventHealth for Children · USBaylor College of Medicine · USCincinnati Children's Hospital Medical Center · USJohns Hopkins University · US

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
Washington University DDRCC Supplemental Equipment RequestP30DK052574 · NIDDK · WASHINGTON UNIVERSITY · PI Jeffrey Wade Brown · 2000 to 2026
$30.8M
STAT3 variants as a rheostat of immune toleranceP01AI155393 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Mark S Anderson · 2022 to 2026
$10.5M
Viral Discovery in Rheumatoid ArthritisP30AR048335 · NIAMS · WASHINGTON UNIVERSITY · PI ATKINSON, JOHN · 2001 to 2015
$8.9M
Washington University Rheumatic DiseasesResearch Resource-based CenterP30AR073752 · NIAMS · WASHINGTON UNIVERSITY · PI Alfred Hyoungju Kim · 2018 to 2026
$7.6M
Training of the Pediatric Physician-ScientistT32HD043010 · NICHD · WASHINGTON UNIVERSITY · PI MARK E. LOWE · 2002 to 2026
$6.4M
Child Health Research CenterK12HD076224 · NICHD · WASHINGTON UNIVERSITY · PI MARK E. LOWE · 2013 to 2026
$6.2M
Pediatric Infectious Diseases and Immunity Training ProgramT32AI106688 · NIAID · WASHINGTON UNIVERSITY · PI Megan Anne Cooper, DAVID HUNSTAD · 2014 to 2026
$1.9M
NCI NIH HHS P30 CA091842NIAID NIH HHS P01 AI155393NIAID NIH HHS T32 AI106688NIAMS NIH HHS P30 AR048335NIAMS NIH HHS P30 AR073752NICHD NIH HHS K12 HD076224NICHD NIH HHS T32 HD043010NIDDK NIH HHS P30 DK052574
6 · The paper itself

Abstract

Primary immune regulatory disorders (PIRD) represent a group of disorders characterized by immune dysregulation, presenting with a wide range of clinical disease, including autoimmunity, autoinflammation, or lymphoproliferation. Autosomal dominant germline gain-of-function (GOF) variants in STAT3 result in a PIRD with a broad clinical spectrum. Studies in patients have documented a decreased frequency of FOXP3+ Tregs and an increased frequency of Th17 cells in some patients with active disease. However, the mechanisms of disease pathogenesis in STAT3 GOF syndrome remain largely unknown, and treatment is challenging. We developed a knock-in mouse model harboring a de novo pathogenic human STAT3 variant (p.G421R) and found these mice developed T cell dysregulation, lymphoproliferation, and CD4+ Th1 cell skewing. Surprisingly, Treg numbers, phenotype, and function remained largely intact; however, mice had a selective deficiency in the generation of iTregs. In parallel, we performed single-cell RNA-Seq on T cells from STAT3 GOF patients. We demonstrate only minor changes in the Treg transcriptional signature and an expanded, effector CD8+ T cell population. Together, these findings suggest that Tregs are not the primary driver of disease and highlight the importance of preclinical models in the study of disease mechanisms in rare PIRD.

Indexed as

Gain of Function MutationT-Lymphocytes, RegulatoryAnimalsAutoimmunityCD4-Positive T-LymphocytesHumansMiceSTAT3 Transcription FactorTh17 CellsSTAT3 protein, humanSTAT3 Transcription FactorAutoimmune diseasesGenetic diseasesImmunologyT cells

Identifiers

PMID36136607
PMCPMC9675480
OpenAlexW4296686111

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.