Table 1.
Gene Defect | Defective Protein, Function | % of SCIDa |
Lymphoctye Profile | ||
---|---|---|---|---|---|
Tb | B | NK | |||
IL2RG (X-linked) |
Common γ-chain (γc) of receptors for IL-2, 4, 7, 9, 15, 21 | 45- 50% |
− | + | − |
ADA | Adenosine deaminase | 16% | − | −/+ | − |
IL7R | α chain of IL-7 receptor | 9% | − | + | + |
JAK3 | Janus kinase 3 activated by γc | 6% | − | + | − |
DCLRE1C | Artemis, T and B cell antigen receptor rearrangement | <5% | − | − | + |
RAG1/2 | T and B cell antigen receptor rearrangement | <5% | − | − | + |
LIG4 | DNA ligase IV antigen receptor rejoining | rare | − | + | + |
CD45 | Protein tyrosine phosphatase receptor (PTPRC), required for T, B activation by antigen |
rare | −/low | + | +/low |
TCRD, TCRE, TCRZ |
CD3 δ, ε, and ζ deficiency with impaired T cell development |
rare | −/low | + | + |
LCK | Lymphocyte tyrosine kinase p56lck, T cell development and activation |
rare | −/low | + | + |
FOXN1 | Forkhead box N1, thymus and hair follicle development (ortholog of nude mouse) |
rare | −/low | + | + |
Currently unknown |
Unknown, including reticular dysgenesis and congenital anomaly syndromes with SCID |
~10% | −/low | +/− | +/− |
Based on Buckley,1 Cavazzana-Calvo et al.26 and unpublished estimates (J. Puck).
Some patients have substantial numbers of maternally derived T cells at time of diagnosis.