Abstract:
:Hematopoietic stem cell transplantation (HSCT) is curative for severe combined immunodeficiency (SCID), but data on long-term impact of pre-HSCT chemotherapy, immune reconstitution and quality of life (QoL) of specific SCID genotypes are limited. We evaluated the long-term immune-reconstitution, health outcome and QoL in IL7Rα SCID, Artemis and RAG1 and 2 SCID survivors > 2 years post-HSCT in our center. Clinical data and immune reconstitution parameters were collated, and patients/families answered PedsQL generic core scale v4.0 questionnaires. Thirty-nine patients with a diagnosis of IL7Rα SCID (17 patients), Artemis SCID (8 patients) and RAG1/2 SCID (13 patients) had undergone HSCT with median age at last follow up for IL7Rα SCID, 14 years (range 4-27) and Artemis and RAG1/2 SCID, 10 years (range 2-18). Many patients have ongoing medical issues at latest follow-up [IL7Rα (73%), Artemis (85%), RAG1/2 (55%)]. Artemis SCID patients experienced more sequela than RAG1/2 SCID. Conditioned recipients with Artemis and RAG SCID had more CD4+ naïve lymphocytes compared to unconditioned recipients. All patients except those of IL7Rα SCID reported lower QoL; further subset group analysis showed parents and Artemis and RAG1/2 survivors without ongoing medical issues reported normal QoL. Conditioned recipients have superior long-term thymopoiesis, chimerism and immunoglobulin-independence. QoL was normal in those who did not have medical issues at long-term follow-up.
journal_name
J Clin Immunoljournal_title
Journal of clinical immunologyauthors
Abd Hamid IJ,Slatter MA,McKendrick F,Pearce MS,Gennery ARdoi
10.1007/s10875-018-0540-9subject
Has Abstractpub_date
2018-08-01 00:00:00pages
727-732issue
6eissn
0271-9142issn
1573-2592pii
10.1007/s10875-018-0540-9journal_volume
38pub_type
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journal_title:Journal of clinical immunology
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journal_title:Journal of clinical immunology
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doi:10.1007/s10875-012-9800-2
更新日期:2013-01-01 00:00:00
abstract::IL-15 is essential for the development and differentiation of NK cells. It selectively induces proliferation of CD8+ memory T lymphocytes. Despite its importance in both innate and adaptive immune responses, little is known about its production in HIV-infected persons. We report here that IL-15 levels are significantl...
journal_title:Journal of clinical immunology
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journal_title:Journal of clinical immunology
pub_type: 杂志文章,评审
doi:10.1007/BF01546317
更新日期:1994-11-01 00:00:00
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journal_title:Journal of clinical immunology
pub_type: 杂志文章
doi:10.1007/BF00918800
更新日期:1991-11-01 00:00:00
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journal_title:Journal of clinical immunology
pub_type: 杂志文章
doi:10.1007/BF01541734
更新日期:1995-03-01 00:00:00
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journal_title:Journal of clinical immunology
pub_type: 杂志文章
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更新日期:2003-01-01 00:00:00
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更新日期:2012-06-01 00:00:00
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journal_title:Journal of clinical immunology
pub_type: 杂志文章
doi:10.1007/BF00918141
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journal_title:Journal of clinical immunology
pub_type: 杂志文章
doi:10.1007/BF00920243
更新日期:1993-09-01 00:00:00
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journal_title:Journal of clinical immunology
pub_type: 杂志文章
doi:10.1007/s10875-011-9589-4
更新日期:2011-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-11-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s10875-019-00604-9
更新日期:2019-02-01 00:00:00
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journal_title:Journal of clinical immunology
pub_type: 杂志文章
doi:10.1007/BF01489489
更新日期:1995-01-01 00:00:00
abstract::T lymphocytes expressing NK1.1 marker (NK1.1+) have been suggested as being important in peripheral immune modulation. Alteration of the balance between Th1 proinflammatory and Th2 anti-inflammatory cytokine-producing cells can ameliorate immune-mediated disorders. The aim of the study was to determine the role of NK1...
journal_title:Journal of clinical immunology
pub_type: 杂志文章
doi:10.1023/a:1019974005134
更新日期:2002-09-01 00:00:00
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journal_title:Journal of clinical immunology
pub_type: 杂志文章
doi:10.1007/BF00916702
更新日期:1990-09-01 00:00:00
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journal_title:Journal of clinical immunology
pub_type: 杂志文章
doi:10.1007/s10875-006-9052-0
更新日期:2007-01-01 00:00:00
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pub_type: 杂志文章,收录出版
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journal_title:Journal of clinical immunology
pub_type: 杂志文章,多中心研究
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更新日期:2016-04-01 00:00:00
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journal_title:Journal of clinical immunology
pub_type: 杂志文章
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更新日期:2017-05-01 00:00:00
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journal_title:Journal of clinical immunology
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journal_title:Journal of clinical immunology
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期:2002-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2013-07-01 00:00:00
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journal_title:Journal of clinical immunology
pub_type: 杂志文章
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更新日期:2000-05-01 00:00:00
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journal_title:Journal of clinical immunology
pub_type: 杂志文章
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更新日期:2015-05-01 00:00:00
abstract::Familial Hemophagocytic Lymphohistiocytosis type 2 (FHL2) results from mutations in PRF1. We described two unrelated individuals who presented with FHL, in whom severely impaired NK cytotoxicity and decrease perforin expression was observed. DNA sequencing of PRF1 demonstrated that both were not only heterozygous for ...
journal_title:Journal of clinical immunology
pub_type: 杂志文章
doi:10.1007/s10875-015-0169-x
更新日期:2015-07-01 00:00:00
abstract::The concentrations of the neuropeptides substance P, somatostatin, and calcitonin gene-related peptide in human nasal secretions were quantified by radioimmunoassays, concurrently with that of histamine, in the course of nasal challenge of allergic and control subjects with ryegrass antigen to examine contributions of...
journal_title:Journal of clinical immunology
pub_type: 杂志文章
doi:10.1007/BF00917898
更新日期:1988-03-01 00:00:00