Table 2.
Genetic PD-1 deficiency | PD-1 or PD-L1 immune checkpoint inhibitor | |||||||
---|---|---|---|---|---|---|---|---|
Main clinical phenotypes | % | Immune/histological phenotype | Ref. | All (%) | Grade 3-5(%) | Immune/histological phenotype | Ref. | |
Dermatologic manifestation | Present* | Impaired IFN-γ production by T cells. Decreased Vδ2+ γδ T cells, mucosal-associated invariant T cells, and CD56bright natural killer cells. Increased CD4- CD8- double-negative αβ T cells. |
(96) | 16-50% | <3% | Dermatologic: Increased serum IL-6 and skin CD8/CD4 ratio. Gastrointestinal: Neutrophilic and lymphocytic inflammation. Liver: lymphocyte infiltration and rare plasma cell and eosinophil. |
(28, 97–100) | |
Thyroid diseases | Present | 8-24.5% | <1% | (28, 98, 101–105) | ||||
Gastrointestinal manifestation | Not described | 1-20% | 1-2% | (98, 102, 105–107) | ||||
Respiratory tract manifestation | Present | 2.2-16% | 1-2% | (98, 101, 102, 105) | ||||
Liver manifestation | Present | 5.2-18% | <1% | (98, 103, 108) | ||||
Type 1 diabetes | Present | <1% | <1% | (28, 101, 104) | ||||
Tuberculosis | Present | – | – |
* - Only one child with inherited PD-1 deficiency is described yet.