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通过新生儿重症联合免疫缺陷筛查检测到的GATA2缺乏症:一例报告。

GATA2 deficiency detected by newborn screening for SCID: A case report.

作者信息

Escobar Vasco Alejandra, Broglie Larisa, Talano Julie-An, Routes John, Verbsky James, Remiker Allison

机构信息

Division of Hematology/Oncology/Blood and Marrow Transplantation, Department of Pediatrics, Medical College of Wisconsin and Children's Wisconsin, Milwaukee, WI, United States.

Division of Allergy and Clinical Immunology, Department of Pediatrics, Medical College of Wisconsin and Children's Wisconsin, Milwaukee, WI, United States.

出版信息

Front Pediatr. 2023 Jan 16;10:1031106. doi: 10.3389/fped.2022.1031106. eCollection 2022.

DOI:10.3389/fped.2022.1031106
PMID:36726998
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9886089/
Abstract

The early diagnosis and treatment of inborn errors of immunity (IEI) is crucial in reducing the morbidity and mortality due to these disorders. The institution of newborn screening (NBS) for the diagnosis of Severe Combined Immune Deficiency (SCID) has decreased the mortality of this disorder and led to the discovery of novel genetic defects that cause this disease. GATA2 deficiency is an autosomal dominant, pleiotropic disease with clinical manifestations that include bone marrow failure, monocyte and B cell deficiency, leukemia, pulmonary alveolar proteinosis and lymphedema. We present the case of an infant identified by newborn screening for SCID due to GATA2 deficiency.

摘要

先天性免疫缺陷(IEI)的早期诊断和治疗对于降低这些疾病所致的发病率和死亡率至关重要。开展新生儿筛查(NBS)以诊断重症联合免疫缺陷(SCID)降低了该疾病的死亡率,并促成了导致该病的新型基因缺陷的发现。GATA2缺陷是一种常染色体显性多效性疾病,其临床表现包括骨髓衰竭、单核细胞和B细胞缺陷、白血病、肺泡蛋白沉积症和淋巴水肿。我们报告了一例因GATA2缺陷通过新生儿筛查确诊为SCID的婴儿病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be34/9886089/b67fb65caf7e/fped-10-1031106-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be34/9886089/b67fb65caf7e/fped-10-1031106-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be34/9886089/b67fb65caf7e/fped-10-1031106-g001.jpg

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本文引用的文献

1
The importance of defining the age-specific TREC/KREC levels for detection of various inborn errors of immunity in pediatric and adult patients.确定特定年龄的TREC/KREC水平对于检测儿科和成年患者各种先天性免疫缺陷的重要性。
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Gene Therapy for Inborn Errors of Immunity: Severe Combined Immunodeficiencies.免疫先天缺陷的基因治疗:严重联合免疫缺陷。
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GATA 2 Deficiency: Focus on Immune System Impairment.
GATA2 缺陷:关注免疫系统损伤。
Front Immunol. 2022 Jun 13;13:865773. doi: 10.3389/fimmu.2022.865773. eCollection 2022.
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Pediatric Donor Cell Acute Lymphoblastic Leukemia Following Bone Marrow Transplant for GATA2 Mutation.儿童供者细胞急性淋巴细胞白血病继发于 GATA2 突变的骨髓移植后。
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GATA2 and marrow failure.GATA2 与骨髓衰竭。
Best Pract Res Clin Haematol. 2021 Jun;34(2):101278. doi: 10.1016/j.beha.2021.101278. Epub 2021 Jun 17.
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GATA2 deficiency syndrome: A decade of discovery.GATA2 缺陷综合征:十年的探索。
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