‘Spectrum of perforin gene mutations in familial hemophagocytic lymphohistiocytosis’[28] |
34 families from various countries 7 families FHL2 mutations |
FHL1 = 10% FHL2 = 20% (FHL2 = 30% in Turkish patients) FHL2 = 20–40% (mutations and polymorphism) |
‘Characterisation of diverse PRF1 mutations leading to decreased NK cell activity in North American families with haemophagocytic lymphohistiocytosis’[31] |
50 families from North America 43 studied for perforin mutations (the other 7 unlikely to be FHL2) 25 families FHL2 |
FHL2 = 50% |
‘Genetic subtypes of familial hemophagocytic lymphohistiocytosis: correlations with clinical features and cytotoxic T lymphocyte/natural killer cell functions’[39] |
35 patients with FHL in Japan 11 patients FHL2 8 patients FHL3 16 patients non-FHL2/FH3 |
FHL2 = 31% FHL3 = 23% Non-FHL2/3 = 46% |
‘Spectrum and clinical implications of syntaxin 11 gene mutations in FHL: association with disease-free remissions and haematopoietic malignancies’[43] |
28 families non-FHL2, various countries of origin 4 families FHL4 (all Turkish) |
FHL4 = 14% of non-FHL2 |
‘Novel Munc13–4 mutations in children and young adults with haemophagocytic lymphohistiocytosis’[38] |
30 families with FHL, non- FHL2 (26 of Italian origin) 15 families FHL3 |
FHL3 = 50% of non-FHL2 cases |
‘Mutation spectrum in children with primary hemophagocytic lymphohistiocytosis: molecular and functional analysis of PRF1, UNC13D, STX11 and RAB27A’[35] |
63 unrelated patients from various ethnic backgrounds 38 patients with mutations 20 patients FHL1 12 patients FHL2 6 patients FHL4 (all Turkish) |
FHL2 = 32% FHL3 = 19% FHL4 = 9·5% Gene defect found; 80% of Turkish and 30% of German patients |
‘Familial hemophagocytic lymphohistiocytosis: protein screening, genetic analysis and ethnicity’ Walshe D, Peraj R, Maeney C XIIth Meeting of the ESID, 2006 |
88 FHL patients from various ethnic backgrounds underwent protein screening |
Perforin = 19% Munc13–4 = 25% SAP = 4% 52% cause not identified |
‘Munc18-2 deficiency causes familial hemophagocytic lymphohistiocytosis type 5 and impairs cytotoxic granule exocytosis in patient NK cells’[45] |
80 FHL patients, ethnic background not reported |
FHL2 + FHL3 + FHL4 = 80% FHL5 = 10% Unknown = 10% |