Clinical, immunologic and genetic profiles of DOCK8-deficient patients in Kuwait

被引:51
作者
Al-Herz, Waleed [1 ,2 ]
Ragupathy, Raj [3 ]
Massaad, Michel J. [4 ,5 ]
Al-Attiyah, Raja'a [3 ]
Nanda, Arti [6 ]
Engelhardt, Karin R. [7 ,8 ,9 ,10 ]
Grimbacher, Bodo [7 ,8 ,9 ,10 ]
Notarangelo, Luigi [4 ,5 ]
Chatila, Talal [4 ,5 ]
Geha, Raif S. [4 ,5 ]
机构
[1] Kuwait Univ, Dept Pediat, Fac Med, Safat 13110 24923, Kuwait
[2] Al Sabah Hosp, Dept Pediat, Allergy & Clin Immunol Unit, Kuwait, Kuwait
[3] Kuwait Univ, Dept Microbiol, Fac Med, Safat 13110, Kuwait
[4] Harvard Univ, Sch Med, Div Immunol, Childrens Hosp, Boston, MA USA
[5] Harvard Univ, Sch Med, Dept Pediat, Boston, MA 02115 USA
[6] Al Sabah Hosp, Asad Al Hamad Dermatol Ctr, Pediat Dermatol Unit, Kuwait, Kuwait
[7] Univ Freiburg, D-79106 Freiburg, Germany
[8] Univ Med Ctr Freiburg, CCI, Freiburg, Germany
[9] UCL, London, England
[10] Royal Free Hosp, Dept Immunol & Mol Pathol, London NW3 2QG, England
关键词
DOCK8; deficiency; Combined immunodeficiency; IgE; Eczema; Consanguinity; Kuwait; PRIMARY IMMUNODEFICIENCY DISORDERS; DOCK8; MUTATIONS; REGISTRY;
D O I
10.1016/j.clim.2012.03.002
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Deficiency of dedicator of cytokinesis 8 (DOCK8) is a newly described combined primary immunodeficiency disease. It was found to account for 15% of combined immune deficiency cases in the National Primary Immunodeficiency Disorders Registry in Kuwait, a country with high prevalence of consanguinity. We present the clinical, immunologic and molecular characteristics of 9 Kuwaiti patients with DOCK8 deficiency and discuss differences that distinguish DOCK8 deficiency from atopic dermatitis. Clinical immunologists in areas with high incidence of consanguinity should have a high index of suspicion of DOCK8 deficiency in children with recalcitrant eczema, recurrent non-cutaneous infections and lymphopenia. (C) 2012 Elsevier Inc. All rights reserved.
引用
收藏
页码:266 / 272
页数:7
相关论文
共 16 条
[11]   DOCK8 deficiency [J].
Su, Helen C. ;
Jing, Huie ;
Zhang, Qian .
YEAR IN HUMAN AND MEDICAL GENETICS: INBORN ERRORS OF IMMUNITY II, 2011, 1246 :26-33
[12]   Dedicator of cytokinesis 8 (DOCK8) deficiency [J].
Su, Helen C. .
CURRENT OPINION IN ALLERGY AND CLINICAL IMMUNOLOGY, 2010, 10 (06) :515-520
[13]  
Ward A.M., 2004, PRU HDB CLIN IMMUNOC
[14]   The X-linked hyper-IgM syndrome - Clinical and immunologic features of 79 patients [J].
Winkelstein, JA ;
Marino, MC ;
Ochs, H ;
Fuleihan, R ;
Scholl, PR ;
Geha, R ;
Stiehm, ER ;
Conley, ME .
MEDICINE, 2003, 82 (06) :373-384
[15]   Genetic, clinical, and laboratory markers for DOCK8 immunodeficiency syndrome [J].
Zhang, Qian ;
Davis, Jeremiah C. ;
Dove, Christopher G. ;
Su, Helen C. .
DISEASE MARKERS, 2010, 29 (3-4) :131-139
[16]   Combined Immunodeficiency Associated with DOCK8 Mutations [J].
Zhang, Qian ;
Davis, Jeremiah C. ;
Lamborn, Ian T. ;
Freeman, Alexandra F. ;
Jing, Huie ;
Favreau, Amanda J. ;
Matthews, Helen F. ;
Davis, Joie ;
Turner, Maria L. ;
Uzel, Gulbu ;
Holland, Steven M. ;
Su, Helen C. .
NEW ENGLAND JOURNAL OF MEDICINE, 2009, 361 (21) :2046-2055