Genetic Analysis of a Cohort of 275 Patients with Hyper-IgE Syndromes and/or Chronic Mucocutaneous Candidiasis
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Genetic Analysis of a Cohort of 275 Patients with Hyper-IgE Syndromes and/or Chronic Mucocutaneous Candidiasis. / Frede, Natalie; Rojas-Restrepo, Jessica; Caballero Garcia de Oteyza, Andrés; Buchta, Mary; Hübscher, Katrin; Gámez-Díaz, Laura; Proietti, Michele; Saghafi, Shiva; Chavoshzadeh, Zahra; Soler-Palacin, Pere; Galal, Nermeen; Adeli, Mehdi; Aldave-Becerra, Juan Carlos; Al-Ddafari, Moudjahed Saleh; Ardenyz, Ömür; Atkinson, T Prescott; Kut, Fulya Bektas; Çelmeli, Fatih; Rees, Helen; Kilic, Sara S; Kirovski, Ilija; Klein, Christoph; Kobbe, Robin; Korganow, Anne-Sophie; Lilic, Desa; Lunt, Peter; Makwana, Niten; Metin, Ayse; Özgür, Tuba Turul; Karakas, Ayse Akman; Seneviratne, Suranjith; Sherkat, Roya; Sousa, Ana Berta; Unal, Ekrem; Patiroglu, Turkan; Wahn, Volker; von Bernuth, Horst; Whiteford, Margo; Doffinger, Rainer; Jouhadi, Zineb; Grimbacher, Bodo.
in: J CLIN IMMUNOL, Jahrgang 41, Nr. 8, 11.2021, S. 1804-1838.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung
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TY - JOUR
T1 - Genetic Analysis of a Cohort of 275 Patients with Hyper-IgE Syndromes and/or Chronic Mucocutaneous Candidiasis
AU - Frede, Natalie
AU - Rojas-Restrepo, Jessica
AU - Caballero Garcia de Oteyza, Andrés
AU - Buchta, Mary
AU - Hübscher, Katrin
AU - Gámez-Díaz, Laura
AU - Proietti, Michele
AU - Saghafi, Shiva
AU - Chavoshzadeh, Zahra
AU - Soler-Palacin, Pere
AU - Galal, Nermeen
AU - Adeli, Mehdi
AU - Aldave-Becerra, Juan Carlos
AU - Al-Ddafari, Moudjahed Saleh
AU - Ardenyz, Ömür
AU - Atkinson, T Prescott
AU - Kut, Fulya Bektas
AU - Çelmeli, Fatih
AU - Rees, Helen
AU - Kilic, Sara S
AU - Kirovski, Ilija
AU - Klein, Christoph
AU - Kobbe, Robin
AU - Korganow, Anne-Sophie
AU - Lilic, Desa
AU - Lunt, Peter
AU - Makwana, Niten
AU - Metin, Ayse
AU - Özgür, Tuba Turul
AU - Karakas, Ayse Akman
AU - Seneviratne, Suranjith
AU - Sherkat, Roya
AU - Sousa, Ana Berta
AU - Unal, Ekrem
AU - Patiroglu, Turkan
AU - Wahn, Volker
AU - von Bernuth, Horst
AU - Whiteford, Margo
AU - Doffinger, Rainer
AU - Jouhadi, Zineb
AU - Grimbacher, Bodo
N1 - © 2021. The Author(s).
PY - 2021/11
Y1 - 2021/11
N2 - Hyper-IgE syndromes and chronic mucocutaneous candidiasis constitute rare primary immunodeficiency syndromes with an overlapping clinical phenotype. In recent years, a growing number of underlying genetic defects have been identified. To characterize the underlying genetic defects in a large international cohort of 275 patients, of whom 211 had been clinically diagnosed with hyper-IgE syndrome and 64 with chronic mucocutaneous candidiasis, targeted panel sequencing was performed, relying on Agilent HaloPlex and Illumina MiSeq technologies. The targeted panel sequencing approach allowed us to identify 87 (32 novel and 55 previously described) mutations in 78 patients, which generated a diagnostic success rate of 28.4%. Specifically, mutations in DOCK8 (26 patients), STAT3 (21), STAT1 (15), CARD9 (6), AIRE (3), IL17RA (2), SPINK5 (3), ZNF341 (2), CARMIL2/RLTPR (1), IL12RB1 (1), and WAS (1) have been detected. The most common clinical findings in this cohort were elevated IgE (81.5%), eczema (71.7%), and eosinophilia (62.9%). Regarding infections, 54.7% of patients had a history of radiologically proven pneumonia, and 28.3% have had other serious infections. History of fungal infection was noted in 53% of cases and skin abscesses in 52.9%. Skeletal or dental abnormalities were observed in 46.2% of patients with a characteristic face being the most commonly reported feature (23.1%), followed by retained primary teeth in 18.9% of patients. Targeted panel sequencing provides a cost-effective first-line genetic screening method which allows for the identification of mutations also in patients with atypical clinical presentations and should be routinely implemented in referral centers.
AB - Hyper-IgE syndromes and chronic mucocutaneous candidiasis constitute rare primary immunodeficiency syndromes with an overlapping clinical phenotype. In recent years, a growing number of underlying genetic defects have been identified. To characterize the underlying genetic defects in a large international cohort of 275 patients, of whom 211 had been clinically diagnosed with hyper-IgE syndrome and 64 with chronic mucocutaneous candidiasis, targeted panel sequencing was performed, relying on Agilent HaloPlex and Illumina MiSeq technologies. The targeted panel sequencing approach allowed us to identify 87 (32 novel and 55 previously described) mutations in 78 patients, which generated a diagnostic success rate of 28.4%. Specifically, mutations in DOCK8 (26 patients), STAT3 (21), STAT1 (15), CARD9 (6), AIRE (3), IL17RA (2), SPINK5 (3), ZNF341 (2), CARMIL2/RLTPR (1), IL12RB1 (1), and WAS (1) have been detected. The most common clinical findings in this cohort were elevated IgE (81.5%), eczema (71.7%), and eosinophilia (62.9%). Regarding infections, 54.7% of patients had a history of radiologically proven pneumonia, and 28.3% have had other serious infections. History of fungal infection was noted in 53% of cases and skin abscesses in 52.9%. Skeletal or dental abnormalities were observed in 46.2% of patients with a characteristic face being the most commonly reported feature (23.1%), followed by retained primary teeth in 18.9% of patients. Targeted panel sequencing provides a cost-effective first-line genetic screening method which allows for the identification of mutations also in patients with atypical clinical presentations and should be routinely implemented in referral centers.
U2 - 10.1007/s10875-021-01086-4
DO - 10.1007/s10875-021-01086-4
M3 - SCORING: Journal article
C2 - 34390440
VL - 41
SP - 1804
EP - 1838
JO - J CLIN IMMUNOL
JF - J CLIN IMMUNOL
SN - 0271-9142
IS - 8
ER -