Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share By
Extended Clinical and Immunological Phenotype and Transplant Outcome in Cd27 and Cd70 Deficiency Publisher Pubmed



Ghosh S1 ; Bal SK2, 3, 4 ; Edwards ESJ5, 6 ; Pillay B5, 6 ; Heredia RJ2, 3, 4 ; Cipe FE7 ; Rao G5 ; Salzer E2, 3, 4, 8 ; Zoghi S2, 3, 4, 9 ; Abolhassani H9, 10 ; Momen T11 ; Gostick E12 ; Price DA12, 13 ; Zhang Y14, 15 Show All Authors
Authors
  1. Ghosh S1
  2. Bal SK2, 3, 4
  3. Edwards ESJ5, 6
  4. Pillay B5, 6
  5. Heredia RJ2, 3, 4
  6. Cipe FE7
  7. Rao G5
  8. Salzer E2, 3, 4, 8
  9. Zoghi S2, 3, 4, 9
  10. Abolhassani H9, 10
  11. Momen T11
  12. Gostick E12
  13. Price DA12, 13
  14. Zhang Y14, 15
  15. Oler AJ15
  16. Gonzagajauregui C16
  17. Erman B17, 18
  18. Metin A19
  19. Ilhan I20
  20. Haskologlu S21
  21. Islamoglu C21
  22. Baskin K21
  23. Ceylaner S22
  24. Yilmaz E23, 24
  25. Unal E23, 24
  26. Karakukcu M23, 24
  27. Berghuis D25
  28. Cole T26
  29. Gupta AK27
  30. Hauck F28
  31. Kogler H8
  32. Hoepelman AIM29
  33. Baris S30
  34. Karakocaydiner E30
  35. Ozen A30, 31, 32
  36. Kager L8
  37. Holzinger D33
  38. Paulussen M34
  39. Kruger R35
  40. Meisel R1
  41. Oommen PT1
  42. Morris E36
  43. Neven B37, 38
  44. Worth A39
  45. Van Montfrans J40
  46. Fraaij PLA41, 42
  47. Choo S26
  48. Dogu F21
  49. Graham Davies E39
  50. Burns S36, 43
  51. Duckers G44
  52. Becker RP44
  53. Von Bernuth H35, 45, 46
  54. Latour S47
  55. Faraci M48
  56. Gattorno M49
  57. Su HC14, 15
  58. Panhammarstrom Q50
  59. Hammarstrom L10, 51
  60. Lenardo MJ15, 52
  61. Ma CS5, 6
  62. Niehues T44
  63. Aghamohammadi A9, 53
  64. Rezaei N9, 53
  65. Ikinciogullari A21
  66. Tangye SG5, 6
  67. Lankester AC25
  68. Boztug K2, 3, 4, 8

Source: Blood Published:2020


Abstract

to lymphoma.; Biallelic mutations in the genes encoding CD27 or its ligand CD70 underlie inborn errors of immunity (IEIs) characterized predominantly by Epstein-Barr virus (EBV)-associated immune dysregulation, such as chronic viremia, severe infectious mononucleosis, hemophagocytic lymphohistiocytosis (HLH), lymphoproliferation, and malignancy. A comprehensive understanding of the natural history, immune characteristics, and transplant outcomes has remained elusive. Here, in a multi-institutional global collaboration, we collected the clinical information of 49 patients from 29 families (CD27, n 5 33; CD70, n 5 16), including 24 previously unreported individuals and identified a total of 16 distinct mutations in CD27, and 8 in CD70, respectively. The majority of patients (90%) were EBV1 at diagnosis, but only ∼30% presented with infectious mononucleosis. Lymphoproliferation and lymphoma were the main clinical manifestations (70% and 43%, respectively), and 9 of the CD27-deficient patients developed HLH. Twenty-one patients (43%) developed autoinflammatory features including uveitis, arthritis, and periodic fever. Detailed immunological characterization revealed aberrant generation of memory B and T cells, including a paucity of EBV-specific T cells, and impaired effector function of CD81 T cells, thereby providing mechanistic insight into cellular defects underpinning the clinical features of disrupted CD27/CD70 signaling. Nineteen patients underwent allogeneic hematopoietic stem cell transplantation (HSCT) prior to adulthood predominantly because of lymphoma, with 95% survival without disease recurrence. Our data highlight the marked predisposition to lymphoma of both CD27- and CD70-deficient patients. The excellent outcome after HSCT supports the timely implementation of this treatment modality particularly in patients presenting with malignant transformation to lymphoma. © 2020 American Society of Hematology. All rights reserved.
3. Inborn Errors of Immunity and Cancers, Cancer Immunology: A Translational Medicine Context# Second Edition (2020)
Experts (# of related papers)
Other Related Docs
4. New Presentation of Cd27 Deficiency; Coronary Ectasia and Covid-19, Iranian Journal of Allergy# Asthma and Immunology (2023)
13. Common Presentations and Diagnostic Approaches, Stiehm's Immune Deficiencies: Inborn Errors of Immunity (2020)
16. Clinical Post-Transplant Lymphoproliferative Disorders, Cardiovascular and Hematological Disorders - Drug Targets (2022)