Skip to main content
American Journal of Human Genetics logoLink to American Journal of Human Genetics
. 1999 Sep;65(3):735–744. doi: 10.1086/302547

Genetic linkage of hyper-IgE syndrome to chromosome 4.

B Grimbacher 1, A A Schäffer 1, S M Holland 1, J Davis 1, J I Gallin 1, H L Malech 1, T P Atkinson 1, B H Belohradsky 1, R H Buckley 1, F Cossu 1, T Español 1, B Z Garty 1, N Matamoros 1, L A Myers 1, R P Nelson 1, H D Ochs 1, E D Renner 1, N Wellinghausen 1, J M Puck 1
PMCID: PMC1377980  PMID: 10441580

Abstract

The hyper-IgE syndrome (HIES) is a rare primary immunodeficiency characterized by recurrent skin abscesses, pneumonia, and highly elevated levels of serum IgE. HIES is now recognized as a multisystem disorder, with nonimmunologic abnormalities of the dentition, bones, and connective tissue. HIES can be transmitted as an autosomal dominant trait with variable expressivity. Nineteen kindreds with multiple cases of HIES were scored for clinical and laboratory findings and were genotyped with polymorphic markers in a candidate region on human chromosome 4. Linkage analysis showed a maximum two-point LOD score of 3.61 at recombination fraction of 0 with marker D4S428. Multipoint analysis and simulation testing confirmed that the proximal 4q region contains a disease locus for HIES.

Full Text

The Full Text of this article is available as a PDF (245.0 KB).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Belohradsky B. H., Däumling S., Kiess W., Griscelli C. Das Hyper-IgE-Syndrom (Buckley- oder Hiob-Syndrom). Ergeb Inn Med Kinderheilkd. 1987;55:1–39. [PubMed] [Google Scholar]
  2. Blum R., Geller G., Fish L. A. Recurrent severe staphylococcal infections, eczematoid rash, extreme elevations of IgE, eosinophilia, and divergent chemotactic responses in two generations. J Pediatr. 1977 Apr;90(4):607–609. doi: 10.1016/s0022-3476(77)80380-6. [DOI] [PubMed] [Google Scholar]
  3. Borges W. G., Hensley T., Carey J. C., Petrak B. A., Hill H. R. The face of Job. J Pediatr. 1998 Aug;133(2):303–305. doi: 10.1016/s0022-3476(98)70243-4. [DOI] [PubMed] [Google Scholar]
  4. Broman K. W., Murray J. C., Sheffield V. C., White R. L., Weber J. L. Comprehensive human genetic maps: individual and sex-specific variation in recombination. Am J Hum Genet. 1998 Sep;63(3):861–869. doi: 10.1086/302011. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Buckley R. H., Becker W. G. Abnormalities in the regulation of human IgE synthesis. Immunol Rev. 1978;41:288–314. doi: 10.1111/j.1600-065x.1978.tb01469.x. [DOI] [PubMed] [Google Scholar]
  6. Buckley R. H., Sampson H. A., Fisher P. M., Becker W. G., Shirley L. R. Abnormalities in the regulation of human IgE synthesis. Ann Allergy. 1982 Aug;49(2):67–72. [PubMed] [Google Scholar]
  7. Buckley R. H., Wray B. B., Belmaker E. Z. Extreme hyperimmunoglobulinemia E and undue susceptibility to infection. Pediatrics. 1972 Jan;49(1):59–70. [PubMed] [Google Scholar]
  8. Claasen J. J., Levine A. D., Schiff S. E., Buckley R. H. Mononuclear cells from patients with the hyper-IgE syndrome produce little IgE when they are stimulated with recombinant human interleukin-4. J Allergy Clin Immunol. 1991 Nov;88(5):713–721. doi: 10.1016/0091-6749(91)90177-p. [DOI] [PubMed] [Google Scholar]
  9. Cohen M. M., Jr Craniosynostosis update 1987. Am J Med Genet Suppl. 1988;4:99–148. doi: 10.1002/ajmg.1320310514. [DOI] [PubMed] [Google Scholar]
  10. Cottingham R. W., Jr, Idury R. M., Schäffer A. A. Faster sequential genetic linkage computations. Am J Hum Genet. 1993 Jul;53(1):252–263. [PMC free article] [PubMed] [Google Scholar]
  11. Davis S. D., Schaller J., Wedgwood R. J. Job's Syndrome. Recurrent, "cold", staphylococcal abscesses. Lancet. 1966 May 7;1(7445):1013–1015. doi: 10.1016/s0140-6736(66)90119-x. [DOI] [PubMed] [Google Scholar]
  12. Donabedian H., Gallin J. I. The hyperimmunoglobulin E recurrent-infection (Job's) syndrome. A review of the NIH experience and the literature. Medicine (Baltimore) 1983 Jul;62(4):195–208. doi: 10.1097/00005792-198307000-00001. [DOI] [PubMed] [Google Scholar]
  13. Dreskin S. C., Gallin J. I. Evolution of the hyperimmunoglobulin E and recurrent infection (HIE, JOB's) syndrome in a young girl. J Allergy Clin Immunol. 1987 Nov;80(5):746–751. doi: 10.1016/0091-6749(87)90297-1. [DOI] [PubMed] [Google Scholar]
  14. Dreskin S. C., Goldsmith P. K., Gallin J. I. Immunoglobulins in the hyperimmunoglobulin E and recurrent infection (Job's) syndrome. Deficiency of anti-Staphylococcus aureus immunoglobulin A. J Clin Invest. 1985 Jan;75(1):26–34. doi: 10.1172/JCI111683. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Dreskin S. C., Goldsmith P. K., Strober W., Zech L. A., Gallin J. I. Metabolism of immunoglobulin E in patients with markedly elevated serum immunoglobulin E levels. J Clin Invest. 1987 Jun;79(6):1764–1772. doi: 10.1172/JCI113017. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Gahr M., Müller W., Allgeier B., Speer C. P. A boy with recurrent infections, impaired PMN-chemotaxis, increased IgE concentrations and cranial synostosis--a variant of the hyper-IgE syndrome? Helv Paediatr Acta. 1987 Oct;42(2-3):185–190. [PubMed] [Google Scholar]
  17. Geha R. S., Reinherz E., Leung D., McKee K. T., Jr, Schlossman S., Rosen F. S. Deficiency of suppressor T cells in the hyperimmunoglobulin E syndrome. J Clin Invest. 1981 Sep;68(3):783–791. doi: 10.1172/JCI110315. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Grimbacher B., Holland S. M., Gallin J. I., Greenberg F., Hill S. C., Malech H. L., Miller J. A., O'Connell A. C., Puck J. M. Hyper-IgE syndrome with recurrent infections--an autosomal dominant multisystem disorder. N Engl J Med. 1999 Mar 4;340(9):692–702. doi: 10.1056/NEJM199903043400904. [DOI] [PubMed] [Google Scholar]
  19. Grimbacher B., Holland S. M., Puck J. M. The interleukin-4 receptor variant Q576R in hyper-IgE syndrome. N Engl J Med. 1998 Apr 9;338(15):1073–1074. doi: 10.1056/NEJM199804093381516. [DOI] [PubMed] [Google Scholar]
  20. Hershey G. K., Friedrich M. F., Esswein L. A., Thomas M. L., Chatila T. A. The association of atopy with a gain-of-function mutation in the alpha subunit of the interleukin-4 receptor. N Engl J Med. 1997 Dec 11;337(24):1720–1725. doi: 10.1056/NEJM199712113372403. [DOI] [PubMed] [Google Scholar]
  21. Hill H. R., Ochs H. D., Quie P. G., Clark R. A., Pabst H. F., Klebanoff S. J., Wedgwood R. J. Defect in neutrophil granulocyte chemotaxis in Job's syndrome of recurrent "cold" staphylococcal abscesses. Lancet. 1974 Sep 14;2(7881):617–619. doi: 10.1016/s0140-6736(74)91942-4. [DOI] [PubMed] [Google Scholar]
  22. Hill H. R., Quie P. G. Raised serum-IgE levels and defective neutrophil chemotaxis in three children with eczema and recurrent bacterial infections. Lancet. 1974 Feb 9;1(7850):183–187. doi: 10.1016/s0140-6736(74)92493-3. [DOI] [PubMed] [Google Scholar]
  23. King C. L., Gallin J. I., Malech H. L., Abramson S. L., Nutman T. B. Regulation of immunoglobulin production in hyperimmunoglobulin E recurrent-infection syndrome by interferon gamma. Proc Natl Acad Sci U S A. 1989 Dec;86(24):10085–10089. doi: 10.1073/pnas.86.24.10085. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Kirchner S. G., Sivit C. J., Wright P. F. Hyperimmunoglobulinemia E syndrome: association with osteoporosis and recurrent fractures. Radiology. 1985 Aug;156(2):362–362. doi: 10.1148/radiology.156.2.4011897. [DOI] [PubMed] [Google Scholar]
  25. Kraemer M. J., Ochs H. D., Furukawa C. T., Wedgwood R. J. In vitro studies of the hyper-IgE disorders: suppression of spontaneous IgE synthesis by allogeneic suppressor T lymphocytes. Clin Immunol Immunopathol. 1982 Nov;25(2):157–164. doi: 10.1016/0090-1229(82)90178-7. [DOI] [PubMed] [Google Scholar]
  26. Lathrop G. M., Lalouel J. M., Julier C., Ott J. Strategies for multilocus linkage analysis in humans. Proc Natl Acad Sci U S A. 1984 Jun;81(11):3443–3446. doi: 10.1073/pnas.81.11.3443. [DOI] [PMC free article] [PubMed] [Google Scholar]
  27. Ochs H. D., Kraemer M. J., Lindgren C. G., Furukawa C. T., Wedgwood R. J. Immune regulation in the hyper-IgE/Job syndrome. Birth Defects Orig Artic Ser. 1983;19(3):57–61. [PubMed] [Google Scholar]
  28. Ott J. Computer-simulation methods in human linkage analysis. Proc Natl Acad Sci U S A. 1989 Jun;86(11):4175–4178. doi: 10.1073/pnas.86.11.4175. [DOI] [PMC free article] [PubMed] [Google Scholar]
  29. Paganelli R., Scala E., Capobianchi M. R., Fanales-Belasio E., D'Offizi G., Fiorilli M., Aiuti F. Selective deficiency of interferon-gamma production in the hyper-IgE syndrome. Relationship to in vitro IgE synthesis. Clin Exp Immunol. 1991 Apr;84(1):28–33. [PMC free article] [PubMed] [Google Scholar]
  30. Rousset F., Robert J., Andary M., Bonnin J. P., Souillet G., Chrétien I., Brière F., Pène J., de Vries J. E. Shifts in interleukin-4 and interferon-gamma production by T cells of patients with elevated serum IgE levels and the modulatory effects of these lymphokines on spontaneous IgE synthesis. J Allergy Clin Immunol. 1991 Jan;87(1 Pt 1):58–69. doi: 10.1016/0091-6749(91)90213-8. [DOI] [PubMed] [Google Scholar]
  31. Schäffer A. A., Gupta S. K., Shriram K., Cottingham R. W., Jr Avoiding recomputation in linkage analysis. Hum Hered. 1994 Jul-Aug;44(4):225–237. doi: 10.1159/000154222. [DOI] [PubMed] [Google Scholar]
  32. Stewart E. A., McKusick K. B., Aggarwal A., Bajorek E., Brady S., Chu A., Fang N., Hadley D., Harris M., Hussain S. An STS-based radiation hybrid map of the human genome. Genome Res. 1997 May;7(5):422–433. doi: 10.1101/gr.7.5.422. [DOI] [PubMed] [Google Scholar]
  33. Terwilliger J. D. A powerful likelihood method for the analysis of linkage disequilibrium between trait loci and one or more polymorphic marker loci. Am J Hum Genet. 1995 Mar;56(3):777–787. [PMC free article] [PubMed] [Google Scholar]
  34. Van Epps D. E., El-Naggar A., Ochs H. D. Abnormalities of lymphocyte locomotion in immunodeficiency disease. Clin Exp Immunol. 1983 Sep;53(3):679–688. [PMC free article] [PubMed] [Google Scholar]
  35. Van Scoy R. E., Hill H. R., Ritts R. E., Quie P. G. Familial neutrophil chemotaxis defect, recurrent bacterial infections, mucocutaneous candidiasis, and hyperimmunoglobulinemia E. Ann Intern Med. 1975 Jun;82(6):766–771. doi: 10.7326/0003-4819-82-6-766. [DOI] [PubMed] [Google Scholar]
  36. Vercelli D., Jabara H. H., Cunningham-Rundles C., Abrams J. S., Lewis D. B., Meyer J., Schneider L. C., Leung D. Y., Geha R. S. Regulation of immunoglobulin (Ig)E synthesis in the hyper-IgE syndrome. J Clin Invest. 1990 May;85(5):1666–1671. doi: 10.1172/JCI114618. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from American Journal of Human Genetics are provided here courtesy of American Society of Human Genetics

RESOURCES