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. 2022 Jan 12;63(1):75–89. doi: 10.1007/s12016-021-08916-8
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