Caldirola María Soledad, Daiana Espantoso, Gomez Raccio Andrea Cecilia, García Ana Luz, Bernacchia Agustin, Medín Martín, Gaillard Maria Isabel, Di Giovanni Daniela
Servicio de Inmunología, Hospital de Niños "Dr. Ricardo Gutiérrez", Buenos Aires, Argentina.
Instituto Multidisciplinario de Investigaciones en Patologías Pediátricas (IMIPP-CONICET-GCBA), Buenos Aires, Argentina.
Front Pediatr. 2024 Jun 28;12:1423858. doi: 10.3389/fped.2024.1423858. eCollection 2024.
Common variable immunodeficiency is a heterogeneous symptomatic group of inborn errors of immunity that mainly affects antibodies production and/or function, predisposing patients to recurrent and severe infections. More than half of them usually develop autoimmunity, lymphoproliferation, enteropathy, and malignancies. Among these conditions, chronic lung disease such as granulomatous-lymphocytic interstitial lung disease is one of the leading causes of death in these patients. Recently, many genes that play a key role in B and T cells' development, maintenance, and/or cytokines signaling pathways have been implicated in the pathogenesis of the disease. Here, we describe the first Argentinian patient presenting with common variable immunodeficiency and granulomatous-lymphocytic interstitial lung disease, harboring two heterozygous variants in the gene.
常见变异型免疫缺陷是一组异质性的先天性免疫缺陷症状群,主要影响抗体产生和/或功能,使患者易患反复严重感染。其中一半以上患者通常会出现自身免疫、淋巴增殖、肠病和恶性肿瘤。在这些病症中,慢性肺病如肉芽肿性淋巴细胞间质性肺病是这些患者的主要死因之一。最近,许多在B细胞和T细胞发育、维持和/或细胞因子信号通路中起关键作用的基因与该疾病的发病机制有关。在此,我们描述了首例患有常见变异型免疫缺陷和肉芽肿性淋巴细胞间质性肺病的阿根廷患者,该基因存在两个杂合变异。