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A new case of autosomal recessive agammaglobulinaemia with impaired pre-B cell differentiation due to a large deletion of the IGH locus

dc.contributor.authorMilili, M
dc.contributor.authorAntunes, H
dc.contributor.authorBlanco-Betancourt, C
dc.contributor.authorNogueiras, A
dc.contributor.authorSantos, E
dc.contributor.authorVasconcelos, J
dc.contributor.authorCastro e Melo, J
dc.contributor.authorSchiff, C
dc.date.accessioned2013-12-13T15:24:44Z
dc.date.available2013-12-13T15:24:44Z
dc.date.issued2002
dc.description.abstractMales with X-linked agammaglobulinaemia (XLA) due to mutations in the Bruton tyrosine kinase gene constitute the major group of congenital hypogammaglobulinaemia with absence of peripheral B cells. In these cases, blockages between the pro-B and pre-B cell stage in the bone marrow are found. The remaining male and female cases clinically similar to XLA represent a genotypically heterogeneous group of diseases. In these patients, various autosomal recessive disorders have been identified such as mutations affecting IGHM, CD79A, IGLL1 genes involved in the composition of the pre-B cell receptor (pre-BCR) or the BLNK gene implicated in pre-BCR signal transduction. In this paper, we report on a young female patient characterised by a severe non-XLA agammaglobulinaemia that represents a new case of Igmu defect. We show that the B cell blockage at the pro-B to pre-B cell transition is due to a large homologous deletion in the IGH locus encompassing the IGHM gene leading to the inability to form a functional pre-BCR. The deletion extends from the beginning of the diversity (D) region to the IGHG2 gene, with all JH segments and IGHM, IGHD, IGHG3 and IGHG1 genes missing. CONCLUSION: alteration in Igmu expression seems to be relatively frequent and could account for most of the reported cases of autosomal recessive agammaglobulinaemia.por
dc.identifier.citationEur J Pediatr. 2002;161(9):479-84por
dc.identifier.urihttp://hdl.handle.net/10400.23/562
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherSpringerpor
dc.subjectAgamaglobulinemiapor
dc.subjectDeleção Cromossómicapor
dc.subjectGenes de Imunoglobulinaspor
dc.subjectGlicoproteínas de Membranapor
dc.titleA new case of autosomal recessive agammaglobulinaemia with impaired pre-B cell differentiation due to a large deletion of the IGH locuspor
dc.typejournal article
dspace.entity.typePublication
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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