Update on inborn errors of immunity

被引:5
作者
Ijspeert, Hanna [1 ]
Edwards, Emily S. J. [4 ,5 ,6 ]
O'Hehir, Robyn E. [4 ,5 ,6 ]
Dalm, Virgil A. S. H. [2 ,3 ]
van Zelm, Menno C. [2 ,4 ,5 ,6 ]
机构
[1] Erasmus MC, Univ Med Ctr, Dept Clin Genet, Rotterdam, Netherlands
[2] Erasmus MC, Univ Med Ctr, Dept Immunol, Dr Molewaterplein 40, NL-3015 GD Rotterdam, Netherlands
[3] Erasmus MC, Dept Internal Med, Div Allergy & Clin Immunol, Univ Med Ctr, Rotterdam, Netherlands
[4] Monash Univ, Sch Translat Med, Dept Immunol, Melbourne, Australia
[5] Alfred Hlth, Allergy Asthma & Clin Immunol, Melbourne, Australia
[6] Jeffrey Modell Ctr, Melbourne, Australia
关键词
Inborn errors of immunity; diagnosis; newborn screening; hematopoietic stem cell transplantation; gene therapy; V(D)J recombination; STATE; JAK inhibitor; PI3K inhibitor; PRIMARY IMMUNODEFICIENCY DISEASES; RECEPTOR EXCISION CIRCLES; COVID-19; VACCINATION; GENE-THERAPY; GUIDELINES; INHIBITOR; MUTATIONS; DIAGNOSIS; VARIANTS; PATIENT;
D O I
10.1016/j.jaci.2024.12.1075
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Ever since the first description of an inherited immunodeficiency in 1952 in a boy with gammaglobulin deficiency, new insights have progressed rapidly in disorders that are now referred to as inborn errors of immunity. In a field where fundamental molecular biology, genetics, immune signaling, and clinical care are tightly intertwined, 2022-24 saw a multitude of advances. Here we report a selection of research updates with a main focus on (1) diagnosis and screening, (2) new genetic defects, (3) susceptibility to severe coronavirus disease 2019 infection and impact of vaccination, and (4) treatment. Importantly, new pathogenic insights more rapidly affect treatment outcomes, either through an earlier and more precise diagnosis or through implementation of novel, personalized treatment. The field is growing rapidly, so awareness, communication, and collaboration are key to improving treatment outcomes. (J Allergy Clin Immunol 2025;155:740-51.)
引用
收藏
页码:740 / 751
页数:12
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