Genetics and clinical phenotypes in common variable immunodeficiency

Common variable immunodeficiency (CVID) is one of the most common symptomatic groups of inborn errors of immunity. In addition to infections resulting from insufficient levels of immune globulins and antibodies, many patients develop inflammatory or autoimmune conditions, which are associated with i...

Full description

Bibliographic Details
Main Authors: Charlotte Cunningham-Rundles, Jean-Laurent Casanova, Bertrand Boisson
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-01-01
Series:Frontiers in Genetics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fgene.2023.1272912/full
_version_ 1797357616593108992
author Charlotte Cunningham-Rundles
Charlotte Cunningham-Rundles
Charlotte Cunningham-Rundles
Jean-Laurent Casanova
Jean-Laurent Casanova
Jean-Laurent Casanova
Jean-Laurent Casanova
Jean-Laurent Casanova
Bertrand Boisson
Bertrand Boisson
Bertrand Boisson
author_facet Charlotte Cunningham-Rundles
Charlotte Cunningham-Rundles
Charlotte Cunningham-Rundles
Jean-Laurent Casanova
Jean-Laurent Casanova
Jean-Laurent Casanova
Jean-Laurent Casanova
Jean-Laurent Casanova
Bertrand Boisson
Bertrand Boisson
Bertrand Boisson
author_sort Charlotte Cunningham-Rundles
collection DOAJ
description Common variable immunodeficiency (CVID) is one of the most common symptomatic groups of inborn errors of immunity. In addition to infections resulting from insufficient levels of immune globulins and antibodies, many patients develop inflammatory or autoimmune conditions, which are associated with increased mortality. This aspect of CVID has been the focus of many studies, and dissecting the clinical phenotypes of CVID, has had the goal of providing biomarkers to identify these subjects, potentially at the time of diagnosis. With the application of whole exome (WES) and whole genome analyses, an increasing number of monogenic causes of CVID have been elucidated. From the standpoint of the practicing physician, an important question is whether the clinical phenotype, particularly the occurrence of autoinflammation of autoimmunity, might suggest the likelihood of identifying a causative mutation, and if possible the gene most likely to underlie CVID. We addressed this question in a patient group of 405 subjects diagnosed with CVID from one medical center.
first_indexed 2024-03-08T14:47:49Z
format Article
id doaj.art-3a2aba5ee6774183b578f329f137924b
institution Directory Open Access Journal
issn 1664-8021
language English
last_indexed 2024-03-08T14:47:49Z
publishDate 2024-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Genetics
spelling doaj.art-3a2aba5ee6774183b578f329f137924b2024-01-11T05:28:18ZengFrontiers Media S.A.Frontiers in Genetics1664-80212024-01-011410.3389/fgene.2023.12729121272912Genetics and clinical phenotypes in common variable immunodeficiencyCharlotte Cunningham-Rundles0Charlotte Cunningham-Rundles1Charlotte Cunningham-Rundles2Jean-Laurent Casanova3Jean-Laurent Casanova4Jean-Laurent Casanova5Jean-Laurent Casanova6Jean-Laurent Casanova7Bertrand Boisson8Bertrand Boisson9Bertrand Boisson10Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United StatesDepartment of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY, United StatesDivision of Clinical Immunology, Departments of Medicine and Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY, United StatesSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY, United StatesLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM, Necker Hospital for Sick Children, Paris, FranceParis Cité Université, Imagine Institute, Paris, FranceDepartment of Pediatrics, Necker Hospital for Sick Children, Paris, FranceHoward Hughes Medical Institute, New York, NY, United StatesSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY, United StatesLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM, Necker Hospital for Sick Children, Paris, FranceParis Cité Université, Imagine Institute, Paris, FranceCommon variable immunodeficiency (CVID) is one of the most common symptomatic groups of inborn errors of immunity. In addition to infections resulting from insufficient levels of immune globulins and antibodies, many patients develop inflammatory or autoimmune conditions, which are associated with increased mortality. This aspect of CVID has been the focus of many studies, and dissecting the clinical phenotypes of CVID, has had the goal of providing biomarkers to identify these subjects, potentially at the time of diagnosis. With the application of whole exome (WES) and whole genome analyses, an increasing number of monogenic causes of CVID have been elucidated. From the standpoint of the practicing physician, an important question is whether the clinical phenotype, particularly the occurrence of autoinflammation of autoimmunity, might suggest the likelihood of identifying a causative mutation, and if possible the gene most likely to underlie CVID. We addressed this question in a patient group of 405 subjects diagnosed with CVID from one medical center.https://www.frontiersin.org/articles/10.3389/fgene.2023.1272912/fullcommon variable immunodeficiencygeneticsautoimmunitylung diseasegranulomatous diseasecancer
spellingShingle Charlotte Cunningham-Rundles
Charlotte Cunningham-Rundles
Charlotte Cunningham-Rundles
Jean-Laurent Casanova
Jean-Laurent Casanova
Jean-Laurent Casanova
Jean-Laurent Casanova
Jean-Laurent Casanova
Bertrand Boisson
Bertrand Boisson
Bertrand Boisson
Genetics and clinical phenotypes in common variable immunodeficiency
Frontiers in Genetics
common variable immunodeficiency
genetics
autoimmunity
lung disease
granulomatous disease
cancer
title Genetics and clinical phenotypes in common variable immunodeficiency
title_full Genetics and clinical phenotypes in common variable immunodeficiency
title_fullStr Genetics and clinical phenotypes in common variable immunodeficiency
title_full_unstemmed Genetics and clinical phenotypes in common variable immunodeficiency
title_short Genetics and clinical phenotypes in common variable immunodeficiency
title_sort genetics and clinical phenotypes in common variable immunodeficiency
topic common variable immunodeficiency
genetics
autoimmunity
lung disease
granulomatous disease
cancer
url https://www.frontiersin.org/articles/10.3389/fgene.2023.1272912/full
work_keys_str_mv AT charlottecunninghamrundles geneticsandclinicalphenotypesincommonvariableimmunodeficiency
AT charlottecunninghamrundles geneticsandclinicalphenotypesincommonvariableimmunodeficiency
AT charlottecunninghamrundles geneticsandclinicalphenotypesincommonvariableimmunodeficiency
AT jeanlaurentcasanova geneticsandclinicalphenotypesincommonvariableimmunodeficiency
AT jeanlaurentcasanova geneticsandclinicalphenotypesincommonvariableimmunodeficiency
AT jeanlaurentcasanova geneticsandclinicalphenotypesincommonvariableimmunodeficiency
AT jeanlaurentcasanova geneticsandclinicalphenotypesincommonvariableimmunodeficiency
AT jeanlaurentcasanova geneticsandclinicalphenotypesincommonvariableimmunodeficiency
AT bertrandboisson geneticsandclinicalphenotypesincommonvariableimmunodeficiency
AT bertrandboisson geneticsandclinicalphenotypesincommonvariableimmunodeficiency
AT bertrandboisson geneticsandclinicalphenotypesincommonvariableimmunodeficiency