Remission of inflammatory bowel disease in Glucose-6-Phosphatase 3 deficiency by allogeneic haematopoietic stem cell transplantation

Mendelian disorders in glucose-6-phosphate metabolism can present with inflammatory bowel disease (IBD). Using whole genome sequencing we identified a homozygous variant in the glucose-6-phosphatase G6PC3 (c.911dupC; p.Q305fs*82) in an adult patient with congenital neutropenia, lymphopenia and child...

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Main Authors: Bolton, C, Burch, N, Morgan, J, Harrison, B, Pandey, S, Pagnamenta, AT, Taylor, JC, Taylor, JM, Marsh, JCW, Potter, V, Travis, S, Uhlig, HH
Format: Journal article
Language:English
Published: Oxford University Press 2019
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author Bolton, C
Burch, N
Morgan, J
Harrison, B
Pandey, S
Pagnamenta, AT
Taylor, JC
Taylor, JM
Marsh, JCW
Potter, V
Travis, S
Uhlig, HH
author_facet Bolton, C
Burch, N
Morgan, J
Harrison, B
Pandey, S
Pagnamenta, AT
Taylor, JC
Taylor, JM
Marsh, JCW
Potter, V
Travis, S
Uhlig, HH
author_sort Bolton, C
collection OXFORD
description Mendelian disorders in glucose-6-phosphate metabolism can present with inflammatory bowel disease (IBD). Using whole genome sequencing we identified a homozygous variant in the glucose-6-phosphatase G6PC3 (c.911dupC; p.Q305fs*82) in an adult patient with congenital neutropenia, lymphopenia and childhood-onset, therapy-refractory Crohn’s disease. Since G6PC3 is expressed in several haematopoietic and non-haematopoietic cells it was unclear whether allogeneic stem cell transplantation (HSCT) would benefit this patient with intestinal inflammation. We show that HSCT resolves G6PC3-associated immunodeficiency and the Crohn’s disease phenotype. It illustrates how even in adulthood, next generation sequencing can have a significant impact on clinical practice and healthcare utilization in patients with immunodeficiency and monogenic IBD.
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spelling oxford-uuid:99493526-be3e-4129-b651-265945c5b38f2022-03-27T00:13:16ZRemission of inflammatory bowel disease in Glucose-6-Phosphatase 3 deficiency by allogeneic haematopoietic stem cell transplantationJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:99493526-be3e-4129-b651-265945c5b38fEnglishSymplectic Elements at OxfordOxford University Press2019Bolton, CBurch, NMorgan, JHarrison, BPandey, SPagnamenta, ATTaylor, JCTaylor, JMMarsh, JCWPotter, VTravis, SUhlig, HHMendelian disorders in glucose-6-phosphate metabolism can present with inflammatory bowel disease (IBD). Using whole genome sequencing we identified a homozygous variant in the glucose-6-phosphatase G6PC3 (c.911dupC; p.Q305fs*82) in an adult patient with congenital neutropenia, lymphopenia and childhood-onset, therapy-refractory Crohn’s disease. Since G6PC3 is expressed in several haematopoietic and non-haematopoietic cells it was unclear whether allogeneic stem cell transplantation (HSCT) would benefit this patient with intestinal inflammation. We show that HSCT resolves G6PC3-associated immunodeficiency and the Crohn’s disease phenotype. It illustrates how even in adulthood, next generation sequencing can have a significant impact on clinical practice and healthcare utilization in patients with immunodeficiency and monogenic IBD.
spellingShingle Bolton, C
Burch, N
Morgan, J
Harrison, B
Pandey, S
Pagnamenta, AT
Taylor, JC
Taylor, JM
Marsh, JCW
Potter, V
Travis, S
Uhlig, HH
Remission of inflammatory bowel disease in Glucose-6-Phosphatase 3 deficiency by allogeneic haematopoietic stem cell transplantation
title Remission of inflammatory bowel disease in Glucose-6-Phosphatase 3 deficiency by allogeneic haematopoietic stem cell transplantation
title_full Remission of inflammatory bowel disease in Glucose-6-Phosphatase 3 deficiency by allogeneic haematopoietic stem cell transplantation
title_fullStr Remission of inflammatory bowel disease in Glucose-6-Phosphatase 3 deficiency by allogeneic haematopoietic stem cell transplantation
title_full_unstemmed Remission of inflammatory bowel disease in Glucose-6-Phosphatase 3 deficiency by allogeneic haematopoietic stem cell transplantation
title_short Remission of inflammatory bowel disease in Glucose-6-Phosphatase 3 deficiency by allogeneic haematopoietic stem cell transplantation
title_sort remission of inflammatory bowel disease in glucose 6 phosphatase 3 deficiency by allogeneic haematopoietic stem cell transplantation
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