Case Report: A child with NFKB1 haploinsufficiency explaining the linkage between immunodeficiency and short stature

We report the case of a patient with common variable immunodeficiency (CVID) presenting with short stature and treated with recombinant human growth hormone (rhGH). Whole exome sequencing revealed a novel single-nucleotide duplication in the NFKB1 gene (c.904dup, p.Ser302fs), leading to a frameshift...

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Main Authors: S. Ricci, S. Abu-Rumeileh, N. Campagna, F. Barbati, S. Stagi, C. Canessa, L. Lodi, B. Palterer, L. Maggi, A. Matucci, A. Vultaggio, F. Annunziato, C. Azzari
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2023.1224603/full
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author S. Ricci
S. Ricci
S. Abu-Rumeileh
N. Campagna
F. Barbati
S. Stagi
S. Stagi
C. Canessa
C. Canessa
L. Lodi
L. Lodi
B. Palterer
L. Maggi
A. Matucci
A. Vultaggio
A. Vultaggio
F. Annunziato
F. Annunziato
C. Azzari
C. Azzari
author_facet S. Ricci
S. Ricci
S. Abu-Rumeileh
N. Campagna
F. Barbati
S. Stagi
S. Stagi
C. Canessa
C. Canessa
L. Lodi
L. Lodi
B. Palterer
L. Maggi
A. Matucci
A. Vultaggio
A. Vultaggio
F. Annunziato
F. Annunziato
C. Azzari
C. Azzari
author_sort S. Ricci
collection DOAJ
description We report the case of a patient with common variable immunodeficiency (CVID) presenting with short stature and treated with recombinant human growth hormone (rhGH). Whole exome sequencing revealed a novel single-nucleotide duplication in the NFKB1 gene (c.904dup, p.Ser302fs), leading to a frameshift and thus causing NFKB1 haploinsufficiency. The variant was considered pathogenic and was later found in the patient’s mother, also affected by CVID. This is the first reported case of a patient with CVID due to NFKB1 mutation presenting with short stature. We analyzed the interconnection between NFKB1 and GH – IGF-1 pathways and we hypothesized a common ground for both CVID and short stature in our patient.
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spelling doaj.art-25d1895af70a454585a0878b350e07472023-08-03T08:09:35ZengFrontiers Media S.A.Frontiers in Immunology1664-32242023-08-011410.3389/fimmu.2023.12246031224603Case Report: A child with NFKB1 haploinsufficiency explaining the linkage between immunodeficiency and short statureS. Ricci0S. Ricci1S. Abu-Rumeileh2N. Campagna3F. Barbati4S. Stagi5S. Stagi6C. Canessa7C. Canessa8L. Lodi9L. Lodi10B. Palterer11L. Maggi12A. Matucci13A. Vultaggio14A. Vultaggio15F. Annunziato16F. Annunziato17C. Azzari18C. Azzari19Department of Health Sciences, University of Florence, Florence, ItalyImmunology Division, Section of Pediatrics, Meyer Children’s Hospital Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Florence, ItalyDepartment of Health Sciences, University of Florence, Florence, ItalyDepartment of Health Sciences, University of Florence, Florence, ItalyDepartment of Health Sciences, University of Florence, Florence, ItalyDepartment of Health Sciences, University of Florence, Florence, ItalyEndocrinology Division, Section of Pediatrics, Meyer Children’s Hospital Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Florence, ItalyDepartment of Health Sciences, University of Florence, Florence, ItalyImmunology Division, Section of Pediatrics, Meyer Children’s Hospital Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Florence, ItalyDepartment of Health Sciences, University of Florence, Florence, ItalyImmunology Division, Section of Pediatrics, Meyer Children’s Hospital Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Florence, ItalyDepartment of Experimental and Clinical Medicine, University of Florence, Florence, ItalyDepartment of Experimental and Clinical Medicine, University of Florence, Florence, ItalyImmunoallergology Unit, Careggi University Hospital, Florence, ItalyDepartment of Experimental and Clinical Medicine, University of Florence, Florence, ItalyImmunoallergology Unit, Careggi University Hospital, Florence, ItalyDepartment of Experimental and Clinical Medicine, University of Florence, Florence, ItalyFlow Cytometry Diagnostic Center and Immunotherapy, Careggi University Hospital, Florence, ItalyDepartment of Health Sciences, University of Florence, Florence, ItalyImmunology Division, Section of Pediatrics, Meyer Children’s Hospital Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Florence, ItalyWe report the case of a patient with common variable immunodeficiency (CVID) presenting with short stature and treated with recombinant human growth hormone (rhGH). Whole exome sequencing revealed a novel single-nucleotide duplication in the NFKB1 gene (c.904dup, p.Ser302fs), leading to a frameshift and thus causing NFKB1 haploinsufficiency. The variant was considered pathogenic and was later found in the patient’s mother, also affected by CVID. This is the first reported case of a patient with CVID due to NFKB1 mutation presenting with short stature. We analyzed the interconnection between NFKB1 and GH – IGF-1 pathways and we hypothesized a common ground for both CVID and short stature in our patient.https://www.frontiersin.org/articles/10.3389/fimmu.2023.1224603/fullNFKB1whole exome sequencingcommon variable immunodeficiencyshort staturegrowth hormone
spellingShingle S. Ricci
S. Ricci
S. Abu-Rumeileh
N. Campagna
F. Barbati
S. Stagi
S. Stagi
C. Canessa
C. Canessa
L. Lodi
L. Lodi
B. Palterer
L. Maggi
A. Matucci
A. Vultaggio
A. Vultaggio
F. Annunziato
F. Annunziato
C. Azzari
C. Azzari
Case Report: A child with NFKB1 haploinsufficiency explaining the linkage between immunodeficiency and short stature
Frontiers in Immunology
NFKB1
whole exome sequencing
common variable immunodeficiency
short stature
growth hormone
title Case Report: A child with NFKB1 haploinsufficiency explaining the linkage between immunodeficiency and short stature
title_full Case Report: A child with NFKB1 haploinsufficiency explaining the linkage between immunodeficiency and short stature
title_fullStr Case Report: A child with NFKB1 haploinsufficiency explaining the linkage between immunodeficiency and short stature
title_full_unstemmed Case Report: A child with NFKB1 haploinsufficiency explaining the linkage between immunodeficiency and short stature
title_short Case Report: A child with NFKB1 haploinsufficiency explaining the linkage between immunodeficiency and short stature
title_sort case report a child with nfkb1 haploinsufficiency explaining the linkage between immunodeficiency and short stature
topic NFKB1
whole exome sequencing
common variable immunodeficiency
short stature
growth hormone
url https://www.frontiersin.org/articles/10.3389/fimmu.2023.1224603/full
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