mendelian susceptibility to mycobacterial disease due to il-12rβ1 deficiency in three iranian children

نویسندگان

shokouh azam sarrafzadeh

maryam mahloojirad

maryam nouriza­deh

jean-laurent casanova

چکیده

mendelian susceptibility to mycobacterial diseases (msmd) is a rare inheritance syndrome, characterized by a disseminated infection with mycobacterium in children following bcg vaccination at birth. regarding the vaccination program in iran, it may consider as a public health problem. the pathogenesis of msmd is dependent on either insufficient production of ifn-gamma (γ) or inadequate response to it. here, we want to introduce three cases including two siblings and one girl from two unrelated families with severe mycobacterial infections referred to immunology, asthma and allergy research institute (iaari), from 2013 to 2015; their msmd was confirmed by both cytokine assessment and genetic analysis. regarding the clinical features of the patients, cell proliferation against a mitogen and bcg antigen was ordered in a lymphocyte transformation test (ltt) setting. elisa was performed for the measurement of il-12p70 and ifn- γ in whole blood samples activated by bcg + recombinant human ifn-γ and bcg + recombinant human il-12, respectively. in contrast to mitogen, the antigen-dependent proliferation activity of the patients’ leukocytes was significantly lower than that in normal range. we identified a homozygous mutation in il12rb1 gene for two kindred who had a homozygous mutation affecting an essential splice site. for the third patient, a novel frameshift deletion in il12rb1 gene was found. the genetic study results confirmed the impaired function of stimulated lymphocytes to release ifn-γ following stimulation with bcg+il-12 while the response to rhifn-γ for il-12p70 production was relatively intact. our findings show that cellular and molecular assessments are needed for precise identification of immunodeficiency disorders especially those without clear-cut diagnostic criteria.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Mendelian Susceptibility to Mycobacterial Disease due to IL-12Rβ1 Deficiency in Three Iranian Children

Mendelian susceptibility to mycobacterial diseases (MSMD) is a rare inheritance syndrome, characterized by a disseminated infection with mycobacterium in children following BCG vaccination at birth. Regarding the vaccination program in Iran, it may consider as a public health problem. The pathogenesis of MSMD is dependent on either insufficient production of IFN-gamma (γ) or inadequate response...

متن کامل

Mendelian Susceptibility to Mycobacterial Disease in Egyptian Children

BACKGROUND Tuberculosis remains a major health problem in developing countries especially with the emergence of multidrug resistant strains. Mendelian Susceptibility to Mycobacterial Disease (MSMD) is a rare disorder with impaired immunity against mycobacterial pathogens. Reported MSMD etiologies highlight the crucial role of the Interferon gamma /Interleukin 12 (IFN-γ/ IL-12) axis and the phag...

متن کامل

Impaired in-vitro responses to IL-12 and IFN-γ in Iranian patients with Mendelian susceptibility to mycobacterial disease.

INTRODUCTION Diagnosis of specific molecular defects of Mendelian susceptibility to mycobacterial diseases (MSMD) patients is important with respect to their clinical outcomes and their response to therapy. The aim of this study was to perform functional tests on blood samples of a group of patients who were suspected of having MSMD. METHODS This study was performed on 11 cases who had mycoba...

متن کامل

Infectious diseases, autoimmunity and midline defect in a patient with a novel bi-allelic mutation in IL12RB1 gene.

Clinical disease caused by weakly pathogenic mycobacterial species, which is known as Mendelian susceptibility to mycobacterial disease (MSMD), is a rare entity. IFN-γ and IL-17 production are defective due to insufficient response to IL-2 and IL-23 in IL-12Rβ1 deficiency; so this also causes tendency to intracellular microorganisms and candidal diseases. Here, we present a patient who suffers ...

متن کامل

IL-12Rβ1 Deficiency in Two of Fifty Children with Severe Tuberculosis from Iran, Morocco, and Turkey

BACKGROUND AND OBJECTIVES In the last decade, autosomal recessive IL-12Rβ1 deficiency has been diagnosed in four children with severe tuberculosis from three unrelated families from Morocco, Spain, and Turkey, providing proof-of-principle that tuberculosis in otherwise healthy children may result from single-gene inborn errors of immunity. We aimed to estimate the fraction of children developin...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
iranian journal of public health

جلد ۴۵، شماره ۳، صفحات ۳۷۰-۳۷۵

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023