Disease | Gene | Clinical findings |
---|---|---|
STAT-1 GOF | STAT-1 |
• Chronic mucocutaneous candidiasis • Recurrent respiratory infections • Organ specific autoimmunity • Combined immune deficiency |
STAT-3 GOF: early-onset lymphoproli-feration with multiorgan autoimmunity | STAT-3 |
• Early-onset recurrent infections • Lymphadenopathy • Hepatosplenomegaly • Autoimmune disorders (hemolytic anemia, thrombocytopenia, neutropenia, enteropathy, type I diabetes, scleroderma, arthritis, atopic dermatitis, and inflammatory lung disease) • Failure to thrive • Decreased regulatory T cells • Hypogammaglobulinemia • Low memory B cells |
APDS1 and APDS2 (activated phosphoinositide 3-kinase syndrome) |
PIK3CD (GOF) PIK3R1 (LOF) |
• Lymphoproliferation • Recurrent sinopulmonary infections • Airway damage • Chronic herpesvirus viremia • ± elevated IgM |
CTLA-4 deficiency | CTLA-4 |
• Autoimmune cytopenias • Lymphoproliferation • Hypogammaglobulinemia • Lymphocytic infiltration of non-lymphoid organs • Increased risk of lymphoma |
LRBA deficiency | LRBA |
• Lymphoproliferation • Autoimmunity • Hypogammaglobulinemia • Recurrent infections • Increased risk of lymphoma |
CVID (common variable immune deficiency) | Multifactorial |
• Hypogammaglobulinemia, low IgA or M • Poor response to vaccines • Low memory B cells • Recurrent sinopulmonary infections, bronchiectasis • Autoimmunity |
HIGM (hyper-IgM syndrome) | ||
CD40L CD40 |
• Recurrent sinopulmonary infections • Susceptibility to opportunistic infections • Neutropenia • Autoimmunity |
|
AID UNG |
• Recurrent sinopulmonary infections • Gastrointestinal infections (Giardia or viruses) • Splenomegaly • Lymphadenopathy • Autoimmune cytopenia • Hepatitis • Inflammatory bowel syndrome • Arthritis |
|
SCID (severe combined immune deficiency) |
• Severe recurrent infections • Failure to thrive • Thrush • Diarrhea |
|
IL2-Rγc-chain JAK3 |
• T-B + NK- | |
IL7Rα def | • T-B + NK + | |
RAG1/2 | • T-B-NK + | |
ADA |
• T-B-NK- • Deficiency of adenosine deaminase is toxic to lymphocytes • Neurodevelopmental deficits • Sensorineural deafness • Skeletal abnormalities • Hepatic abnormalities |
|
HLH (hemophagocytic lympho-histiocytosis) |
Familial: 1: chromsm-9 2: PRF1 3: UNC13D 4: STX11 5: STXBP2 X-linked (XLP): SH2D1A XIAP |
• Fever • Hepatomegaly/splenomegaly • Rash • Lymphadenopathy • Thrombocytopenia • Kidney abnormalities • Cardiac • Increased risk for certain cancers |
GATA2 deficiency | GATA2 |
• Monocytopenia and Mycobacterial infection syndrome: dendritic cell, monocyte, B and NK lymphoid deficiency • Familial myelodysplastic syndromes (MDS) and acute myeloid leukemia (AML) • Emberger syndrome: deafness-lymphedema-leukemia syndrome • NK cell deficiency • Variable symptoms: o Severe infections (viral or nontuberculous mycobacterial infections) o Respiratory problems o Hearing loss o Lymphedema o Myelodysplasia, acute myeloid leukemia, or chronic myelomonocytic leukemia |
CGD (chronic granulomatous disease), (defects in genes for subunits of NADPH oxidase) |
CYBA CYBB NCF1 NCF2 NCF4 |
• Indolent bacterial and fungal infections • Granulomas of the gastrointestinal tract and the genitourinary system • Abscesses of lungs, liver, spleen, bones, or skin • Lymphadenopathy • Diarrhea • [CYBB form is x-linked, others are AR recessive] |
CTPS1 deficiency (rare type of SCID) | CTPS1 |
• Early-onset, severe viral infections with EBV and VZV • Recurrent sinopulmonary bacterial infections • Defective T and B cell proliferation |
WAS (Wiskott Aldrich syndrome) | WAS |
• Thrombocytopenia, bleeding • Eczema • Combined immunodeficiency • opportunistic infections • Autoimmunity: autoimmune hemolytic anemia, neutropenia, vasculitis, inflammatory bowel disease, renal disease, and arthritis • High risk of B cell lymphomas |
NK cell deficiencies | FCGR3A |
• Recurrent infections, (herpes, papillomavirus) • Lymphoproliferation • Decreased or normal NK cell number • Defective NK function in spontaneous cellular cytotoxicity • Antibody-dependent cellular cytotoxicity unaffected |
GATA-binding protein 2 gene |
• Pulmonary alveolar proteinosis • Aplastic anemia • Recurrent infections (viruses and fungi, mycobacteria) • Cytopenia: monocytes, dendritic cells, neutrophils, and B cells • Decreased NK cells and NK cell precursors • Deficient NK cell-mediated and antibody-mediated cytotoxicity • Susceptibility to myelodysplasia and myeloid leukemia |