KEGG   DISEASE: T-B+Severe combined immunodeficiency
Entry
H00091                      Disease                                
Name
T-B+Severe combined immunodeficiency
  Supergrp
Disorders of adaptive immunity [DS:H02526]
Primary immunodeficiency disease [DS:H01725]
Description
Severe combined immunodeficiency (SCID) comprises a heterogeneous group of monogenic disorders that result in early-onset severe infections by a range of pathogens (such as bacteria, viruses and fungi). Typically, patients with SCID have a severe defect in T-cell differentiation, along with direct or indirect impairment of B-cell development and function. SCIDs with lack of circulating T cells but a normal number of B cells accounts for 30 to 50% of all cases of human SCIDs. The most frequent form of SCID, X-linked SCID (SCID-X1), is caused by mutations in the gamma-chain-encoding gene. Gamma-chain is a common subunit shared by several cytokine receptors. It results in an absence of both mature T lymphocytes and NK lymphocytes. The second most common variant is autosomal recessive and due to mutations of the JAK3 gene. IL-7R alpha gene mutations result in a pure T-cell deficiency. Rare cases of SCID consisting of pure T-cell deficiencies have been attributed to defects in key proteins involved in pre-TCR/TCR signaling. Deficiency in the CD45 phosphatase has been reported in two cases of SCID, while defects in CD3 delta, CD3 epsilon and CD3 zeta have also been described.
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
    H00091  T-B+Severe combined immunodeficiency
Pathway-based classification of diseases [BR:br08402]
 Replication and repair
  nt06504  Base excision repair
   H00091  T-B+Severe combined immunodeficiency
  nt06502  Nucleotide excision repair
   H00091  T-B+Severe combined immunodeficiency
  nt06506  Double-strand break repair
   H00091  T-B+Severe combined immunodeficiency
 Signal transduction
  nt06518  JAK-STAT signaling
   H00091  T-B+Severe combined immunodeficiency
 Immune system
  nt06537  TCR/BCR signaling
   H00091  T-B+Severe combined immunodeficiency
Pathway
hsa04630  JAK-STAT signaling pathway
hsa04660  T cell receptor signaling pathway
Network
nt06502 Nucleotide excision repair
nt06504 Base excision repair
nt06506 Double-strand break repair
nt06518 JAK-STAT signaling
nt06537 TCR/BCR signaling
Gene
JAK3 [HSA:3718] [KO:K11218]
(SCIDX1) IL2RG [HSA:3561] [KO:K05070]
(IMD8) CORO1A [HSA:11151] [KO:K13882]
(IMD18) CD3E [HSA:916] [KO:K06451]
(IMD19) CD3D [HSA:915] [KO:K06450]
(IMD25) CD247 [HSA:919] [KO:K06453]
(IMD49) BCL11B [HSA:64919] [KO:K22046]
(IMD104) IL7R [HSA:3575] [KO:K05072]
(IMD105) PTPRC [HSA:5788] [KO:K06478]
(IMD122) POLD3 [HSA:10714] [KO:K03504]
Other DBs
ICD-11: 4A01.10
ICD-10: D81
MeSH: D053632
OMIM: 600802 300400 615401 615615 615617 610163 617237 608971 619924 620869
Reference
  Authors
Fischer A, Le Deist F, Hacein-Bey-Abina S, Andre-Schmutz I, Basile Gde S, de Villartay JP, Cavazzana-Calvo M.
  Title
Severe combined immunodeficiency. A model disease for molecular immunology and therapy.
  Journal
Immunol Rev 203:98-109 (2005)
DOI:10.1111/j.0105-2896.2005.00223.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
Picard C, Al-Herz W, Bousfiha A, Casanova JL, Chatila T, Conley ME, Cunningham-Rundles C, Etzioni A, Holland SM, Klein C, Nonoyama S, Ochs HD, Oksenhendler E, Puck JM, Sullivan KE, Tang ML, Franco JL, Gaspar HB
  Title
Primary Immunodeficiency Diseases: an Update on the Classification from the International Union of Immunological Societies Expert Committee for Primary Immunodeficiency 2015.
  Journal
J Clin Immunol 35:696-726 (2015)
DOI:10.1007/s10875-015-0201-1
Reference
PMID:7659163 (JAK3)
  Authors
Macchi P, Villa A, Giliani S, Sacco MG, Frattini A, Porta F, Ugazio AG, Johnston JA, Candotti F, O'Shea JJ, et al.
  Title
Mutations of Jak-3 gene in patients with autosomal severe combined immune deficiency (SCID).
  Journal
Nature 377:65-8 (1995)
DOI:10.1038/377065a0
Reference
PMID:8462096 (SCIDX1)
  Authors
Noguchi M, Yi H, Rosenblatt HM, Filipovich AH, Adelstein S, Modi WS, McBride OW, Leonard WJ
  Title
Interleukin-2 receptor gamma chain mutation results in X-linked severe combined immunodeficiency in humans.
  Journal
Cell 73:147-57 (1993)
DOI:10.1016/0092-8674(93)90167-o
Reference
PMID:19097825 (IMD8)
  Authors
Shiow LR, Paris K, Akana MC, Cyster JG, Sorensen RU, Puck JM
  Title
Severe combined immunodeficiency (SCID) and attention deficit hyperactivity disorder (ADHD) associated with a Coronin-1A mutation and a chromosome 16p11.2  deletion.
  Journal
Clin Immunol 131:24-30 (2009)
DOI:10.1016/j.clim.2008.11.002
Reference
PMID:15546002 (IMD18 IMD19)
  Authors
de Saint Basile G, Geissmann F, Flori E, Uring-Lambert B, Soudais C, Cavazzana-Calvo M, Durandy A, Jabado N, Fischer A, Le Deist F
  Title
Severe combined immunodeficiency caused by deficiency in either the delta or the epsilon subunit of CD3.
  Journal
J Clin Invest 114:1512-7 (2004)
DOI:10.1172/JCI22588
Reference
PMID:16672702 (IMD25)
  Authors
Rieux-Laucat F, Hivroz C, Lim A, Mateo V, Pellier I, Selz F, Fischer A, Le Deist F
  Title
Inherited and somatic CD3zeta mutations in a patient with T-cell deficiency.
  Journal
N Engl J Med 354:1913-21 (2006)
DOI:10.1056/NEJMoa053750
Reference
PMID:27959755 (IMD49)
  Authors
Punwani D, Zhang Y, Yu J, Cowan MJ, Rana S, Kwan A, Adhikari AN, Lizama CO, Mendelsohn BA, Fahl SP, Chellappan A, Srinivasan R, Brenner SE, Wiest DL, Puck JM
  Title
Multisystem Anomalies in Severe Combined Immunodeficiency with Mutant BCL11B.
  Journal
N Engl J Med 375:2165-2176 (2016)
DOI:10.1056/NEJMoa1509164
Reference
PMID:9843216 (IMD104)
  Authors
Puel A, Ziegler SF, Buckley RH, Leonard WJ
  Title
Defective IL7R expression in T(-)B(+)NK(+) severe combined immunodeficiency.
  Journal
Nat Genet 20:394-7 (1998)
DOI:10.1038/3877
Reference
PMID:10700239 (IMD105)
  Authors
Kung C, Pingel JT, Heikinheimo M, Klemola T, Varkila K, Yoo LI, Vuopala K, Poyhonen M, Uhari M, Rogers M, Speck SH, Chatila T, Thomas ML
  Title
Mutations in the tyrosine phosphatase CD45 gene in a child with severe combined immunodeficiency disease.
  Journal
Nat Med 6:343-5 (2000)
DOI:10.1038/73208
Reference
PMID:37030525 (IMD122)
  Authors
Mehawej C, Chouery E, Azar-Atallah S, Shebaby W, Delague V, Mansour I, Mustapha M, Lefranc G, Megarbane A
  Title
POLD3 deficiency is associated with severe combined immunodeficiency, neurodevelopmental delay, and hearing impairment.
  Journal
Clin Immunol 251:109326 (2023)
DOI:10.1016/j.clim.2023.109326

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