Recent advances in primary immunodeficiencies: identification of novel genetic defects and unanticipated phenotypes.

Abstract:

:Primary immunodeficiencies (PIDs) have traditionally been defined according to their immunologic phenotype. Far from being concluded, the search for human genes that, when mutated, cause PID is actively being pursued. During the last year, four novel genetic defects that cause severe combined immunodeficiency and severe congenital neutropenia have been identified. At the same time, the immunologic definition of primary immunodeficiencies has been expanded by the recognition that genetic defects affecting innate immunity may result in selective predisposition to certain infections, such as mycobacterial disease, herpes simplex encephalitis, and invasive pneumococcal infections. Studies of genetically determined susceptibility to infections have recently shown that immunologic defects may also account for novel infectious phenotypes, such as malaria or leprosy. Finally, a growing body of evidence indicates that primary immunodeficiencies may present with a noninfectious clinical phenotype that may be restricted to single organs, as in the case of atypical hemolytic uremic syndrome or pulmonary alveolar proteinosis. Overall, these achievements highlight the importance of human models, which often differ from the corresponding animal models.

journal_name

Pediatr Res

journal_title

Pediatric research

authors

Pessach I,Walter J,Notarangelo LD

doi

10.1203/PDR.0b013e31819dbe1e

subject

Has Abstract

pub_date

2009-05-01 00:00:00

pages

3R-12R

issue

5 Pt 2

eissn

0031-3998

issn

1530-0447

journal_volume

65

pub_type

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