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. 2023 Feb 22;32(167):220188. doi: 10.1183/16000617.0188-2022

TABLE 3.

Main genes and proteins currently implicated in childhood interstitial lung disease (chILD) groups, their mode of transmission and the associated phenotypes

Gene (protein) Inheritance pattern Phenotypes
Inherited surfactant disorders
SFTPA1, SFTPA2 AD Very rarely chILD, adult ILD and adenocarcinoma of the lung
SFTPB AR Neonatal respiratory distress ± PH
SFTPC AD Neonatal respiratory distress; ILD in infants or children, adults
ABCA3 AR Neonatal respiratory distress ± PH; ILD in infants or children, adults
NKX2-1 AD Brain–lung–thyroid syndrome
PAP
MARS AR PAP; hepatomegaly with cholestasis, anaemia, neurological impairment
CSF2RA, CSF2RB GR and AR PAP (infants, children, adults)
GATA2 AR Secondary PAP; immune deficiency with myelodysplasia
Autoinflammatory disorders
TMEM173 AD Early chILD with autoimmune and inflammatory disease ± joint and skin involvement
COPA AD Early chILD or DAH with autoimmune and inflammatory disease ± joint and kidney involvement
ZNFX1 chILD with severe viral infections, neurological symptoms, thrombotic microangiopathy
OAS1 AD PAP with immunodeficiency and autoinflammation
Other chILD
FLNA GA and GD chILD with emphysema; cardiac abnormalities, neurological impairment; girls>boys
NHLRC2 AR FINCA
Diffuse abnormalities of lung development
FOXF1 AD chILD with PH; alveolar capillary dysplasia ± misalignment of pulmonary veins
TBX4, FGFR2 AD and AR chILD with PH; acinar dysplasia
EIF2AK4 AR chILD with PH; pulmonary haemangiomatosis; veno-occlusive disease

AR: autosomal recessive; AD: autosomal dominant; GR: gonosomal recessive; GD: gonosomal dominant; PH: pulmonary hypertension; PAP: pulmonary alveolar proteinosis; DAH: diffuse alveolar haemorrhage; FINCA: fibrosis, neurodegeneration and cerebral angiomatosis.