Skip to main content
. 2019 Feb 1;143(2):e20182300. doi: 10.1542/peds.2018-2300

TABLE 4.

Characteristics, Treatments, and Outcomes of 49 Infants With SCID Diagnosed by Using NBS

SCID Genotype (No. Cases) SCID Phenotypea Nursery TREC Result Outcome After Treatmentb
Urgent Positivec Positive Died (Posttransplant d, Cause) Full T and B Cell Recovery and Off IgG, Treatmentd T but Not B Cells Reconstituted, Still on IgG, Treatment
IL2RG (14) Typical Regular 12 0 1 (218 d, SOSe, CMV) 2 cond MUD, 1 GT, 1 cond MUD after GT 6 MMRD, 1 cond MUDf, 1 GT, 1 GT after MMRD
NICU 2 0
ADA (9) Typical Regular 5 2 0 8 GT, 1 MSD 0
NICU 1 0
Leaky Regular 0 1
RAG1 (8) Typical Regular 2 0 1 (28 d, SOS) 1 cond MSD 0
Leaky Regular 2 leaky, 1 Omenn syndrome 1 leaky, 2 Omenn syndrome 0 4 cond MMRD 2 cond MMRD (1 of whom planning to stop IgG)
IL7R (6) Typical Regular 5 0 0 4 MMRD, 1 MUD, 1 cond MSD after MSD 0
Typical NICU 0 1
JAK3 (3) Typical Regular 3 0 0 1 cond MSD, 1 cond MUD 1 MMRD
RAG2 (3) Typical Regular 2 0 0 1 MSD, 2 cond MUD 0
Leaky Regular 0 1
BCL11B (1) Leaky Regular 1 0 0 1 cond MUD 0
RMRP (1) Leaky Regular 0 1 0 1 cond MUD 0
Unknown (4) Typical Regular 1 1 1 (69 d, CMV) 0 1 cond MUD planning to stop IgG
NICU 1 0 0 0 1 Cond MUD
Leaky Regular 1 0 0 0 1 cond MUD planning to stop IgG

Cond, conditioning with busulfan chemotherapy and, in some instances, fludarabine or other agents; MMRD, mismatched related donor; MSD, matched sibling donor; MUD, matched adult or cord blood unrelated donor.

a

Criteria from the PIDTC for typical SCID and leaky SCID; Omenn syndrome, a subset of leaky SCID, includes erythroderma rash, adenopathy, oligoclonal T-cell expansion, eosinophilia, and elevated immunoglobin E levels.

b

One infant not included in this table had urgent-positive TRECs and the TBNK+ SCID lymphocyte profile but left the United States before HCT; no genotype or follow-up is available.

c

Three or fewer TREC copies with a normal control polymerase chain reaction copy number by the EnLite kit assay or equivalent with a previous in-laboratory assay.

d

Treatments included GT with low-dose busulfan followed by autologous CD34+ bone marrow cells transduced with a correct copy of the mutated gene (IL2RG or ADA), MMRD (usually a parent who is haploidentical), MSD, MUD. Cond, conditioning with busulfan chemotherapy and (in some instances) fludarabine or other agents (other infants may have had serotherapy with rabbit antithymocyte globulin or anti-CD52).

e

Posttransplant hepatic sinusoidal obstruction syndrome after busulfan chemotherapy.

f

One patient left the United States after conditioned MUD HCT and reconstitution; it is not known if the patient is still on IgG.