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Discovery of single-gene inborn errors of immunity by next generation sequencing

Identifieur interne : 002B65 ( Main/Exploration ); précédent : 002B64; suivant : 002B66

Discovery of single-gene inborn errors of immunity by next generation sequencing

Auteurs : Mary Ellen Conley [États-Unis] ; Jean-Laurent Casanova [États-Unis]

Source :

RBID : PMC:4198453

Abstract

Many patients with clinical and laboratory evidence of primary immunodeficiency do not have a gene specific diagnosis. The use of next generation sequencing, particularly whole exome sequencing, has given us an extraordinarily powerful tool to identify the disease-causing genes in some of these patients. At least 34 new gene defects have been identified in the last 4 years. These findings document the striking heterogeneity of the phenotype in patients with mutations in the same gene. In some cases this can be attributed to loss-of-function mutations in some patients, but gain-of-function mutations in others. In addition, the surprisingly high frequency of autosomal dominant immunodeficiencies with variable penetrance, and de novo mutations in disorders with a severe phenotype has been unmasked.


Url:
DOI: 10.1016/j.coi.2014.05.004
PubMed: 24886697
PubMed Central: 4198453


Affiliations:


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