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Immunodeficiency 15a(IMD15A)

MedGen UID:
1648385
Concept ID:
C4748694
Disease or Syndrome
Synonyms: IMD15A; IMMUNODEFICIENCY 15A
 
Gene (location): IKBKB (8p11.21)
 
Monarch Initiative: MONDO:0032599
OMIM®: 618204

Definition

Immunodeficiency 15A (IMD15A) is an autosomal dominant primary immunodeficiency disorder characterized by relatively late onset of recurrent respiratory tract infections and lymphopenia, combined with immune activation of both CD4+ and CD8+ T cells. One patient presented with inflammatory disease and possible ectodermal defect. [from OMIM]

Clinical features

From HPO
Recurrent sinusitis
MedGen UID:
107919
Concept ID:
C0581354
Disease or Syndrome
A recurrent form of sinusitis.
Recurrent respiratory infections
MedGen UID:
812812
Concept ID:
C3806482
Finding
An increased susceptibility to respiratory infections as manifested by a history of recurrent respiratory infections.
Chronic mucocutaneous candidiasis
MedGen UID:
2426
Concept ID:
C0006845
Disease or Syndrome
Recurrent or persistent superficial Candida infections of the skin, mucous membranes, and nails.
Cutaneous abscess
MedGen UID:
450991
Concept ID:
C0149777
Pathologic Function
A circumscribed area of pus or necrotic debris in the skin.
Acne inversa
MedGen UID:
57993
Concept ID:
C0162836
Disease or Syndrome
A chronic skin condition involving the inflammation of the apocrine sweat glands, forming pimple-like bumps known as abscesses.
Recurrent otitis media
MedGen UID:
155436
Concept ID:
C0747085
Disease or Syndrome
Increased susceptibility to otitis media, as manifested by recurrent episodes of otitis media.
Decreased proportion of CD8-positive T cells
MedGen UID:
374188
Concept ID:
C1839305
Finding
A decreased proportion of circulating CD8-positive, alpha-beta T cells relative to total number of T cells.
Decreased proportion of memory B cells
MedGen UID:
893145
Concept ID:
C4072913
Finding
A reduction in the normal proportion of memory B cells (CD19+/CD27+) in circulation relative to the total number of B cells. Memory B cells develop from naive B cells. Upon antigen rechallenge, memory B cells rapidly expand and differentiate into plasma cells under the cognate control of memory Th cells (Phase IV).
Decreased proportion of CD4-positive helper T cells
MedGen UID:
1719772
Concept ID:
C5235140
Finding
A decreased proportion of circulating CD4-positive helper T cells relative to total T cell count.

Recent clinical studies

Etiology

Meinck F, Orkin M, Cluver L
BMC Med 2021 Nov 11;19(1):263. doi: 10.1186/s12916-021-02137-8. PMID: 34758838Free PMC Article
Hernstadt H, Cheung A, Hurem D, Vasilunas N, Phuong LK, Quinn P, Agrawal R, Daley AJ, Cole T, Gwee A
Pediatr Infect Dis J 2020 Jan;39(1):1-6. doi: 10.1097/INF.0000000000002489. PMID: 31815835
Gudowska-Sawczuk M, Mroczko B
Biomed Res Int 2019;2019:8382132. Epub 2019 Dec 9 doi: 10.1155/2019/8382132. PMID: 31886258Free PMC Article
Hudelson SE, McConnell MS, Bagenda D, Piwowar-Manning E, Parsons TL, Nolan ML, Bakaki PM, Thigpen MC, Mubiru M, Fowler MG, Eshleman SH
AIDS 2010 Feb 20;24(4):557-61. doi: 10.1097/QAD.0b013e3283346e60. PMID: 20057308Free PMC Article
Stamatiou G, Foscolos GB, Fytas G, Kolocouris A, Kolocouris N, Pannecouque C, Witvrouw M, Padalko E, Neyts J, De Clercq E
Bioorg Med Chem 2003 Dec 1;11(24):5485-92. doi: 10.1016/j.bmc.2003.09.024. PMID: 14642592

Diagnosis

Meinck F, Orkin M, Cluver L
BMC Med 2021 Nov 11;19(1):263. doi: 10.1186/s12916-021-02137-8. PMID: 34758838Free PMC Article
Gudowska-Sawczuk M, Mroczko B
Biomed Res Int 2019;2019:8382132. Epub 2019 Dec 9 doi: 10.1155/2019/8382132. PMID: 31886258Free PMC Article
Wu XJ, Pu XM, Zhao ZF, Zhao YN, Kang XJ, Wu WD, Zou YM, Wu CY, Qu YY, Zhang DZ, Feng YY, Liu JY
Tumour Biol 2015 Jan;36(1):437-46. Epub 2014 Oct 1 doi: 10.1007/s13277-014-2626-1. PMID: 25266797
Liu J, Du B, Zhang P, Haleyurgirisetty M, Zhao J, Ragupathy V, Lee S, DeVoe DL, Hewlett IK
Biosens Bioelectron 2014 Nov 15;61:177-83. Epub 2014 May 9 doi: 10.1016/j.bios.2014.04.057. PMID: 24880655
Yang Y, Wisbeski MH, Mendoza M, Dorf S, Xu D, Nguyen M, Yeh S, Sun R
Biologicals 1999 Dec;27(4):315-23. doi: 10.1006/biol.1999.0226. PMID: 10686058

Therapy

Meinck F, Orkin M, Cluver L
BMC Med 2021 Nov 11;19(1):263. doi: 10.1186/s12916-021-02137-8. PMID: 34758838Free PMC Article
Hernstadt H, Cheung A, Hurem D, Vasilunas N, Phuong LK, Quinn P, Agrawal R, Daley AJ, Cole T, Gwee A
Pediatr Infect Dis J 2020 Jan;39(1):1-6. doi: 10.1097/INF.0000000000002489. PMID: 31815835
Tossing G
Eur J Med Res 2002 Jan 29;7(1):44-6. PMID: 11827840
Tossing G
Eur J Med Res 2001 Jun 28;6(6):272-4. PMID: 11432799
Tossing G
Eur J Med Res 2001 Feb 28;6(2):47-65. PMID: 11313191

Prognosis

Ghafouri-Fard S, Mahmud Hussen B, Abak A, Taheri M, Abdulmajid Ayatollahi S
Int Immunopharmacol 2022 Feb;103:108460. Epub 2021 Dec 20 doi: 10.1016/j.intimp.2021.108460. PMID: 34942460
Meinck F, Orkin M, Cluver L
BMC Med 2021 Nov 11;19(1):263. doi: 10.1186/s12916-021-02137-8. PMID: 34758838Free PMC Article
Gudowska-Sawczuk M, Mroczko B
Biomed Res Int 2019;2019:8382132. Epub 2019 Dec 9 doi: 10.1155/2019/8382132. PMID: 31886258Free PMC Article
Wu XJ, Pu XM, Zhao ZF, Zhao YN, Kang XJ, Wu WD, Zou YM, Wu CY, Qu YY, Zhang DZ, Feng YY, Liu JY
Tumour Biol 2015 Jan;36(1):437-46. Epub 2014 Oct 1 doi: 10.1007/s13277-014-2626-1. PMID: 25266797
Tossing G
Eur J Med Res 2001 Feb 28;6(2):47-65. PMID: 11313191

Clinical prediction guides

Gudowska-Sawczuk M, Mroczko B
Biomed Res Int 2019;2019:8382132. Epub 2019 Dec 9 doi: 10.1155/2019/8382132. PMID: 31886258Free PMC Article
Moonsamy S, Bhakat S, Soliman ME
J Recept Signal Transduct Res 2015;35(4):346-56. Epub 2015 Sep 10 doi: 10.3109/10799893.2014.984310. PMID: 26355431
Contreras GA, Bell CS, Del Bianco GP, Pérez N, Kleinosky MT, Murphy JR, Heresi GP
J Antimicrob Chemother 2013 Oct;68(10):2344-8. Epub 2013 Jun 3 doi: 10.1093/jac/dkt198. PMID: 23732699
Rusconi S, Vitiello P, Adorni F, Bruzzone B, De Luca A, Micheli V, Meraviglia P, Maserati R, Di Pietro M, Colao G, Penco G, Di Biagio A, Punzi G, Monno L, Zazzi M; Antiretroviral Resistance Cohort Analysis Collaborative Group
Clin Microbiol Infect 2013 Oct;19(10):936-42. Epub 2013 Jan 4 doi: 10.1111/1469-0691.12100. PMID: 23289841
Cardoso VC, Cervi MC, Cintra OA, Salathiel AS, Gomes AC
J Pediatr (Rio J) 2006 Jan-Feb;82(1):51-7. doi: 10.2223/JPED.1437. PMID: 16532148

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