KEGG   DISEASE: Immunodeficiency associated with DNA repair defects
Entry
H00094                      Disease                                
Name
Immunodeficiency associated with DNA repair defects
  Subgroup
Ataxia telangiectasia (AT) [DS:H00064]
Ataxia-telangiectasia-like syndrome [DS:H02014]
Nijmegen breakage syndrome [DS:H01344]
DNA ligase I deficiency
DNA ligase IV deficiency [DS:H02015]
Bloom syndrome [DS:H01346]
IMAGE-I syndrome [DS:H02369]
FILS syndrome [DS:H02370]
Lung disease, immunodeficiency, and chromosome breakage syndrome (LICS)
  Supergrp
Disorders of adaptive immunity [DS:H02526]
Primary immunodeficiency disease [DS:H01725]
Description
A number of genetically determined disorders collectively called as the chromosome breakage syndromes or DNA-repair disorders have a characteristic cytogenetic feature, chromosome instability. They are all autosomal recessive, show an increased tendency for chromosomal aberrations and to develop malignancies. Ataxia telangiectasia (AT), Nijmegen breakage syndrome (NBS), and an ataxia-like disorder (ATLD), are chromosome instability disorders that are defective in the ataxia telangiectasia mutated (ATM), NBS, and Mre11 genes, respectively. These genes are critical in maintaining cellular resistance to ionizing radiation (IR), which kills largely by the production of double-strand breaks (DSBs). Bloom syndrome involves a defect in the BLM helicase, which seems to play a role in restarting DNA replication forks that are blocked at lesions, thereby promoting chromosome stability. A point mutational change in DNA ligase I was identified in a unique immunodeficient individual who suffered recurrent sinopulmonary infection leading to bronchiectasis. A non-inactivating mutational change in DNA ligase IV has also been identified in a leukaemia patient, who was dramatically over-sensitive to radiotherapy.
Category
Primary immunodeficiency
Brite
Human diseases in ICD-11 classification [BR:br08403]
 04 Diseases of the immune system
  Primary immunodeficiencies
   4A01  Primary immunodeficiencies due to disorders of adaptive immunity
    H00094  Immunodeficiency associated with DNA repair defects
Pathway-based classification of diseases [BR:br08402]
 Replication and repair
  nt06509  DNA replication
   H00094  Immunodeficiency associated with DNA repair defects
  nt06504  Base excision repair
   H00094  Immunodeficiency associated with DNA repair defects
  nt06506  Double-strand break repair
   H00094  Immunodeficiency associated with DNA repair defects
Pathway
hsa03440  Homologous recombination
hsa03450  Non-homologous end-joining
hsa03410  Base excision repair
Network
nt06504 Base excision repair
nt06506 Double-strand break repair
nt06509 DNA replication
Gene
ATM [HSA:472] [KO:K04728]
MRE11A [HSA:4361] [KO:K10865]
NBS1(Nibrin) [HSA:4683] [KO:K10867]
LIG1 [HSA:3978] [KO:K10747]
LIG4 [HSA:3981] [KO:K10777]
BLM [HSA:641] [KO:K10901]
MCM4 [HSA:4173] [KO:K02212]
(LICS) NSMCE3 [HSA:56160] [KO:K22823]
Other DBs
ICD-11: 4A01.31
ICD-10: D82.8 G11.3
MeSH: D001260 D049932 C564694 D001816
OMIM: 208900 604391 251260 210900 606593 609981 617241
Reference
  Authors
Thompson LH, Schild D
  Title
Recombinational DNA repair and human disease.
  Journal
Mutat Res 509:49-78 (2002)
DOI:10.1016/S0027-5107(02)00224-5
Reference
  Authors
Kumar A, Teuber SS, Gershwin ME.
  Title
Current perspectives on primary immunodeficiency diseases.
  Journal
Clin Dev Immunol 13:223-59 (2006)
DOI:10.1080/17402520600800705
Reference
PMID:9737224
  Authors
Ten RM.
  Title
Primary immunodeficiencies.
  Journal
Mayo Clin Proc 73:865-72 (1998)
DOI:10.4065/73.9.865
Reference
  Authors
Lim MS, Elenitoba-Johnson KS.
  Title
The molecular pathology of primary immunodeficiencies.
  Journal
J Mol Diagn 6:59-83 (2004)
DOI:10.1016/S1525-1578(10)60493-X
Reference
  Authors
Morra M, Geigenmuller U, Curran J, Rainville IR, Brennan T, Curtis J, Reichert V, Hovhannisyan H, Majzoub J, Miller DT.
  Title
Genetic diagnosis of primary immune deficiencies.
  Journal
Immunol Allergy Clin North Am 28:387-412, x (2008)
DOI:10.1016/j.iac.2008.01.004
Reference
  Authors
Geha RS, Notarangelo LD, Casanova JL, Chapel H, Conley ME, Fischer A, Hammarstrom L, Nonoyama S, Ochs HD, Puck JM, Roifman C, Seger R, Wedgwood J.
  Title
Primary immunodeficiency diseases: an update from the International Union of Immunological Societies Primary Immunodeficiency Diseases Classification Committee.
  Journal
J Allergy Clin Immunol 120:776-94 (2007)
DOI:10.1016/j.jaci.2007.08.053
Reference
  Authors
Casey JP, Nobbs M, McGettigan P, Lynch S, Ennis S
  Title
Recessive mutations in MCM4/PRKDC cause a novel syndrome involving a primary immunodeficiency and a disorder of DNA repair.
  Journal
J Med Genet 49:242-5 (2012)
DOI:10.1136/jmedgenet-2012-100803
Reference
PMID:27427983 (LICS)
  Authors
van der Crabben SN, Hennus MP, McGregor GA, Ritter DI, Nagamani SC, Wells OS, Harakalova M, Chinn IK, Alt A, Vondrova L, Hochstenbach R, van Montfrans JM, Terheggen-Lagro SW, van Lieshout S, van Roosmalen MJ, Renkens I, Duran K, Nijman IJ, Kloosterman WP, Hennekam E, Orange JS, van Hasselt PM, Wheeler DA, Palecek JJ, Lehmann AR, Oliver AW, Pearl LH, Plon SE, Murray JM, van Haaften G
  Title
Destabilized SMC5/6 complex leads to chromosome breakage syndrome with severe lung disease.
  Journal
J Clin Invest 126:2881-92 (2016)
DOI:10.1172/JCI82890

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