Evidence map›Paper›PMID 22424479›Full record

ArticleItalian journal of pediatrics2012

Novel mutatıons and diverse clinical phenotypes in recombinase-activating gene 1 deficiency.

Necil Kutukculer, Nesrin Gulez, Neslihan Edeer Karaca, Guzide Aksu, Afig Berdeli

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Article in Italian journal of pediatrics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
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  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Predicting the Occurrence of Variants in RAG1 and RAG2.Journal of clinical immunology · 2019
    Article
  10. Article
  11. Review
  12. Article
  13. Review
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

5 authors.

Necil KutukculerDepartment of Pediatrics, Faculty of Medicine, Ege University, 35100 Bornova, Izmir, Turkey.
Nesrin Gulez
Neslihan Edeer Karaca
Guzide Aksu
Afig Berdeli

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere combined immunodeficiency is within a heterogeneous group of inherited defects throughout the development of T- and/or B-lymphocytes. Mutations in recombinase-activating genes 1 or 2 (RAG1/2) represent approximately 10% of all SCID cases. RAG1/2 are essential for V(D)J rearrangement of the B- and T-cell receptors.

objectivesThe aim of this study was to review clinical, immunological and molecular findings of Turkish SCID patients with RAG1 defects and to draw attention to novel mutations, genotype-phenotype correlations and the high rate of BCG infections within this group.

methodsEleven patients (F/M: 6/5) were included. Molecular, immunological and clinical data were evaluated.

resultsFive patients were classified as T-B-NK + SCID, four patients as T + B-NK + SCID (two of these patients were diagnosed as classical Omenn syndrome) and two patients as T + B + NK + SCID with respect to clinical presentations and immunological data. Mean age of the whole study group, mean age at onset of symptoms and mean age at diagnosis were: 33.0 ± 42.8, 3.1 ± 3.3 and 10.4 ± 13.5 months, respectively. Consanguinity rate was 54%. Some novel mutations were found in RAG1 gene in addition to previously reported mutations. Genotype-phenotype correlation was not significantly apparent in most of the cases. BCG infection was observed in 36.4% of patients (two BCG-osis and two BCG-itis).

conclusionEpigenetic factors such as compound genetic defects, enviromental factors, and exposure to recurrent infections may modify phenotypical characteristics of RAG deficiencies. Inoculation of live vaccines such as BCG should be postponed until primary immunodeficiency disease is excluded with appropriate screening tests in suspected cases.

Indexed as

MutationAdultBCG VaccineB-LymphocytesConsanguinityEpigenesis, GeneticFemaleGenes, RAG-1GenotypeHumansMalePhenotypeSevere Combined ImmunodeficiencyT-LymphocytesTurkeyBCG Vaccine

Identifiers

PMID22424479
PMCPMC3394211

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.