| H00091 | |
| H番号 | H00091 |
| 名称 | T-B+ 重症複合免疫不全症 |
| 概要 | Severe combined immunodeficiency (SCID) comprises a heterogeneous group of monogenic disorders that result in early-onset severe infections by a range of pathogens (such as bacteria, viruses and fungi). Typically, patients with SCID have a severe defect in T-cell differentiation, along with direct or indirect impairment of B-cell development and function. SCIDs with lack of circulating T cells but a normal number of B cells accounts for 30 to 50% of all cases of human SCIDs. The most frequent form of SCID, X-linked SCID (SCID-X1), is caused by mutations in the gamma-chain-encoding gene. Gamma-chain is a common subunit shared by several cytokine receptors. It results in an absence of both mature T lymphocytes and NK lymphocytes. The second most common variant is autosomal recessive and due to mutations of the JAK3 gene. IL-7R alpha gene mutations result in a pure T-cell deficiency. Rare cases of SCID consisting of pure T-cell deficiencies have been attributed to defects in key proteins involved in pre-TCR/TCR signaling. Deficiency in the CD45 phosphatase has been reported in two cases of SCID, while defects in CD3 delta, CD3 epsilon and CD3 zeta have also been described. |
| カテゴリ | 原発性免疫不全症 |
| ネットワーク | nt06518(H00091) JAK-STAT signaling nt06528(H00091) Calcium signaling |
| 病因遺伝子 | IL2RG [HSA:3561] [KO:K05070] JAK3 [HSA:3718] [KO:K11218] IL7R [HSA:3575] [KO:K05072] PTPRC [HSA:5788] [KO:K06478] CD3D [HSA:915] [KO:K06450] CD3E [HSA:916] [KO:K06451] CD247 [HSA:919] [KO:K06453] CORO1A [HSA:11151] [KO:K13882] BCL11B [HSA:64919] [KO:K22046] |
| 病原体 | - |
| 環境要因 | - |
| 発癌物質 | - |
| 治療薬 | - |
| コメント | - |
| リンク | ICD-11: 4A01.10 ICD-10: D81 MeSH: D053632 OMIM: 608971 300400 606367 610163 615401 617237 |
| 文献 | PMID:15661024 著者 Fischer A, Le Deist F, Hacein-Bey-Abina S, Andre-Schmutz I, Basile Gde S, de Villartay JP, Cavazzana-Calvo M. タイトル Severe combined immunodeficiency. A model disease for molecular immunology and therapy. 雑誌 Immunol Rev 203:98-109 (2005) DOI:10.1111/j.0105-2896.2005.00223.x PMID:18424339 著者 Morra M, Geigenmuller U, Curran J, Rainville IR, Brennan T, Curtis J, Reichert V, Hovhannisyan H, Majzoub J, Miller DT. タイトル Genetic diagnosis of primary immune deficiencies. 雑誌 Immunol Allergy Clin North Am 28:387-412, x (2008) DOI:10.1016/j.iac.2008.01.004 PMID:17952897 著者 Geha RS, Notarangelo LD, Casanova JL, Chapel H, Conley ME, Fischer A, Hammarstrom L, Nonoyama S, Ochs HD, Puck JM, Roifman C, Seger R, Wedgwood J. タイトル Primary immunodeficiency diseases: an update from the International Union of Immunological Societies Primary Immunodeficiency Diseases Classification Committee. 雑誌 J Allergy Clin Immunol 120:776-94 (2007) DOI:10.1016/j.jaci.2007.08.053 PMID:26482257 (IL2RG, JAK3, IL7R, PTPRC, CD3D, CD3E, CD247, CORO1A) 著者 Picard C, Al-Herz W, Bousfiha A, Casanova JL, Chatila T, Conley ME, Cunningham-Rundles C, Etzioni A, Holland SM, Klein C, Nonoyama S, Ochs HD, Oksenhendler E, Puck JM, Sullivan KE, Tang ML, Franco JL, Gaspar HB タイトル Primary Immunodeficiency Diseases: an Update on the Classification from the International Union of Immunological Societies Expert Committee for Primary Immunodeficiency 2015. 雑誌 J Clin Immunol 35:696-726 (2015) DOI:10.1007/s10875-015-0201-1 PMID:27959755 (BCL11B) 著者 Punwani D, Zhang Y, Yu J, Cowan MJ, Rana S, Kwan A, Adhikari AN, Lizama CO, Mendelsohn BA, Fahl SP, Chellappan A, Srinivasan R, Brenner SE, Wiest DL, Puck JM タイトル Multisystem Anomalies in Severe Combined Immunodeficiency with Mutant BCL11B. 雑誌 N Engl J Med 375:2165-2176 (2016) DOI:10.1056/NEJMoa1509164 |