Papers

Peer-reviewed
Jul, 2017

Common Variable Immunodeficiency Caused by FANC Mutations

JOURNAL OF CLINICAL IMMUNOLOGY
  • Yujin Sekinaka
  • Noriko Mitsuiki
  • Kohsuke Imai
  • Miharu Yabe
  • Hiromasa Yabe
  • Kanako Mitsui-Sekinaka
  • Kenichi Honma
  • Masatoshi Takagi
  • Ayako Arai
  • Kenichi Yoshida
  • Yusuke Okuno
  • Yuichi Shiraishi
  • Kenichi Chiba
  • Hiroko Tanaka
  • Satoru Miyano
  • Hideki Muramatsu
  • Seiji Kojima
  • Asuka Hira
  • Minoru Takata
  • Osamu Ohara
  • Seishi Ogawa
  • Tomohiro Morio
  • Shigeaki Nonoyama
  • Display all

Volume
37
Number
5
First page
434
Last page
444
Language
English
Publishing type
Research paper (scientific journal)
DOI
10.1007/s10875-017-0396-4
Publisher
SPRINGER/PLENUM PUBLISHERS

Common variable immunodeficiency (CVID) is the most common adult-onset primary antibody deficiency disease due to various causative genes. Several genes, which are known to be the cause of different diseases, have recently been reported as the cause of CVID in patients by performing whole exome sequencing (WES) analysis. Here, we found FANC gene mutations as a cause of adult-onset CVID in two patients. B cells were absent and CD4(+) T cells were skewed toward CD45RO(+) memory T cells. T-cell receptor excision circles (TRECs) and signal joint kappa-deleting recombination excision circles (sjKRECs) were undetectable in both patients. Both patients had no anemia, neutropenia, or thrombocytopenia. Using WES, we identified compound heterozygous mutations of FANCE in one patient and homozygous mutation of FANCA in another patient. The impaired function of FANC protein complex was confirmed by a monoubiquitination assay and by chromosome fragility test. We then performed several immunological evaluations including quantitative lymphocyte analysis and TRECs/sjKRECs analysis for 32 individuals with Fanconi anemia (FA). In total, 22 FA patients (68.8%) were found to have immunological abnormalities, suggesting that such immunological findings may be common in FA patients. These data indicate that FANC mutations are involved in impaired lymphogenesis probably by the accumulation of DNA replication stress, leading to CVID. It is important to diagnose FA because it drastically changes clinical management. We propose that FANC mutations can cause isolated immunodeficiency in addition to bone marrow failure and malignancy.

Link information
DOI
https://doi.org/10.1007/s10875-017-0396-4
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/28493158
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000404607300007&DestApp=WOS_CPL
URL
http://www.scopus.com/inward/record.url?eid=2-s2.0-85019092595&partnerID=MN8TOARS
URL
http://orcid.org/0000-0002-2497-3419
ID information
  • DOI : 10.1007/s10875-017-0396-4
  • ISSN : 0271-9142
  • eISSN : 1573-2592
  • ORCID - Put Code : 33561901
  • Pubmed ID : 28493158
  • SCOPUS ID : 85019092595
  • Web of Science ID : WOS:000404607300007

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