Table 1.
System involved | Typical clinical syndrome | Example of genetic defect |
---|---|---|
B lymphocyte | Recurrent bacterial infection due to defective antibody production | B cell cytoplasmic tyrosine kinase |
CD40 ligand | ||
T lymphocyte | Severe bacterial, viral, and fungal infection due to defective humoral and cellular immunity | Interleukin 2 receptor γ chain |
Adenosine deaminase | ||
Neutrophil | Severe bacterial infection due to defective phagocytosis | Cytochrome b |
β2 integrin | ||
Macrophage | Extreme susceptibility to infection with environmental mycobacteria | Interferon γ receptor |
Complement | Recurrent Neisseria infection | Terminal complement components |
Almost 100 severe deficiency disorders have been identified. Each is caused by a rare mutation of a single gene. Different mutations in the same gene may cause subtle variations in clinical phenotype. Mutations of different genes may lead to similar clinical syndromes if they disrupt a common immune pathway.