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Isolated agammaglobulinemia

MedGen UID:
1639972
Concept ID:
C4707181
Disease or Syndrome
Synonym: Isolated hypogammaglobulinemia
SNOMED CT: Isolated agammaglobulinemia (764858009)
Modes of inheritance:
Autosomal recessive inheritance
MedGen UID:
141025
Concept ID:
C0441748
Intellectual Product
Source: Orphanet
A mode of inheritance that is observed for traits related to a gene encoded on one of the autosomes (i.e., the human chromosomes 1-22) in which a trait manifests in individuals with two pathogenic alleles, either homozygotes (two copies of the same mutant allele) or compound heterozygotes (whereby each copy of a gene has a distinct mutant allele).
Autosomal dominant inheritance
MedGen UID:
141047
Concept ID:
C0443147
Intellectual Product
Source: Orphanet
A mode of inheritance that is observed for traits related to a gene encoded on one of the autosomes (i.e., the human chromosomes 1-22) in which a trait manifests in heterozygotes. In the context of medical genetics, an autosomal dominant disorder is caused when a single copy of the mutant allele is present. Males and females are affected equally, and can both transmit the disorder with a risk of 50% for each child of inheriting the mutant allele.
X-linked recessive inheritance
MedGen UID:
375779
Concept ID:
C1845977
Finding
Source: Orphanet
A mode of inheritance that is observed for recessive traits related to a gene encoded on the X chromosome. In the context of medical genetics, X-linked recessive disorders manifest in males (who have one copy of the X chromosome and are thus hemizygotes), but generally not in female heterozygotes who have one mutant and one normal allele.
 
Monarch Initiative: MONDO:0016462
Orphanet: ORPHA229717

Definition

The non-syndromic form of a primary immunodeficiency disease characterised by deficient gamma globulins and associated predisposition to frequent and recurrent infections from infancy. Two forms have been described: X-linked represents approximately 85% of the affected patients, and autosomal which includes recessive and dominant cases but is far less frequent. The clinical signs of the two forms are very similar and include recurrent bacterial infections, diarrhoea and skin infections with onset in infancy. Defects in B lymphocyte development and maturation appear to underlie agammaglobulinaemia. Mutations in seven genes have been reported to be related to IA: BTK (Xq21.33-q22), BLNK (10q23.2-q23.33), CD79A (19q13.2), CD79B (17q23), IGHM(14q32.33), IGLL1 (22q11.23), PIK3R1 (5q13.1) and TCF3 (19p13.3). [from SNOMEDCT_US]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVIsolated agammaglobulinemia

Professional guidelines

PubMed

Drzymalla E, Green RF, Knuth M, Khoury MJ, Dotson WD, Gundlapalli A
Clin Immunol 2022 Oct;243:109097. Epub 2022 Aug 13 doi: 10.1016/j.clim.2022.109097. PMID: 35973637Free PMC Article
Jacobs CF, Eldering E, Kater AP
Blood Adv 2021 Feb 9;5(3):913-925. doi: 10.1182/bloodadvances.2020003768. PMID: 33560402Free PMC Article
Smith CI
Oncogene 2017 Apr;36(15):2045-2053. Epub 2016 Sep 26 doi: 10.1038/onc.2016.343. PMID: 27669440Free PMC Article

Recent clinical studies

Etiology

van Leeuwen LPM, GeurtsvanKessel CH, Ellerbroek PM, de Bree GJ, Potjewijd J, Rutgers A, Jolink H, van de Veerdonk F, van Gorp ECM, de Wilt F, Bogers S, Gommers L, Geers D, Bruns AHW, Leavis HL, van Haga JW, Lemkes BA, van der Veen A, de Kruijf-Bazen SFJ, van Paassen P, de Leeuw K, van de Ven AAJM, Verbeek-Menken PH, van Wengen A, Arend SM, Ruten-Budde AJ, van der Ent MW, van Hagen PM, Sanders RW, Grobben M, van der Straten K, Burger JA, Poniman M, Nierkens S, van Gils MJ, de Vries RD, Dalm VASH
J Allergy Clin Immunol 2022 Jun;149(6):1949-1957. Epub 2022 Apr 11 doi: 10.1016/j.jaci.2022.04.002. PMID: 35421449Free PMC Article
Parvaneh L, Sharifi N, Azizi G, Abolhassani H, Sharifi L, Mohebbi A, Bahraminia E, Delavari S, Alebouyeh M, Tajeddin E, Mohebbi SR, Yazdani R, Behniafard N, Aghamohammadi A
Eur Ann Allergy Clin Immunol 2019 Jan;51(1):32-37. Epub 2018 Nov 12 doi: 10.23822/EurAnnACI.1764-1489.77. PMID: 30417635
Janssen LMA, Macken T, Creemers MCW, Pruijt JFM, Eijk JJJ, de Vries E
Clin Exp Immunol 2018 Feb;191(2):203-211. Epub 2017 Oct 27 doi: 10.1111/cei.13065. PMID: 28984901Free PMC Article
Bearden D, Collett M, Quan PL, Costa-Carvalho BT, Sullivan KE
J Allergy Clin Immunol Pract 2016 Nov-Dec;4(6):1059-1065. Epub 2016 Feb 13 doi: 10.1016/j.jaip.2015.12.015. PMID: 26883540
Morrison VA
Semin Oncol 1998 Feb;25(1):98-106. PMID: 9482531

Diagnosis

Chear CT, Ismail IH, Chan KC, Noh LM, Kassim A, Latiff AHA, Gill SS, Ramly NH, Tan KK, Sundaraj C, Choo CM, Mohamed SAS, Baharin MF, Zamri AS, Yahya SNHS, Mohamad SB, Ripen AM
Front Immunol 2023;14:1252765. Epub 2023 Sep 22 doi: 10.3389/fimmu.2023.1252765. PMID: 37809070Free PMC Article
Jindal AK, Chaudhary H, Tyagi R, Rawat A, Suri D, Patra PK, Arora K, Chawla S, Vyas S, Arora M, Aggarwal R, Basu S, Bansal R, Sachdeva MUS, Gupta A, Pandiarajan V, Sankhyan N, Suthar R, Sahu JK, Singh M, Mani R, Sharma R, Saka R, Imai K, Ohara O, Nonoyama S, Hammarström L, Chan KW, Lau YL, Singh S
J Neuroimmunol 2022 Oct 15;371:577952. Epub 2022 Aug 18 doi: 10.1016/j.jneuroim.2022.577952. PMID: 36030644
Janssen LMA, Macken T, Creemers MCW, Pruijt JFM, Eijk JJJ, de Vries E
Clin Exp Immunol 2018 Feb;191(2):203-211. Epub 2017 Oct 27 doi: 10.1111/cei.13065. PMID: 28984901Free PMC Article
Wilson MR, Naccache SN, Samayoa E, Biagtan M, Bashir H, Yu G, Salamat SM, Somasekar S, Federman S, Miller S, Sokolic R, Garabedian E, Candotti F, Buckley RH, Reed KD, Meyer TL, Seroogy CM, Galloway R, Henderson SL, Gern JE, DeRisi JL, Chiu CY
N Engl J Med 2014 Jun 19;370(25):2408-17. Epub 2014 Jun 4 doi: 10.1056/NEJMoa1401268. PMID: 24896819Free PMC Article
Stewart DM, Tian L, Notarangelo LD, Nelson DL
Immunol Res 2007;38(1-3):391-9. doi: 10.1007/s12026-007-0052-9. PMID: 17917049

Therapy

Jindal AK, Chaudhary H, Tyagi R, Rawat A, Suri D, Patra PK, Arora K, Chawla S, Vyas S, Arora M, Aggarwal R, Basu S, Bansal R, Sachdeva MUS, Gupta A, Pandiarajan V, Sankhyan N, Suthar R, Sahu JK, Singh M, Mani R, Sharma R, Saka R, Imai K, Ohara O, Nonoyama S, Hammarström L, Chan KW, Lau YL, Singh S
J Neuroimmunol 2022 Oct 15;371:577952. Epub 2022 Aug 18 doi: 10.1016/j.jneuroim.2022.577952. PMID: 36030644
van Leeuwen LPM, GeurtsvanKessel CH, Ellerbroek PM, de Bree GJ, Potjewijd J, Rutgers A, Jolink H, van de Veerdonk F, van Gorp ECM, de Wilt F, Bogers S, Gommers L, Geers D, Bruns AHW, Leavis HL, van Haga JW, Lemkes BA, van der Veen A, de Kruijf-Bazen SFJ, van Paassen P, de Leeuw K, van de Ven AAJM, Verbeek-Menken PH, van Wengen A, Arend SM, Ruten-Budde AJ, van der Ent MW, van Hagen PM, Sanders RW, Grobben M, van der Straten K, Burger JA, Poniman M, Nierkens S, van Gils MJ, de Vries RD, Dalm VASH
J Allergy Clin Immunol 2022 Jun;149(6):1949-1957. Epub 2022 Apr 11 doi: 10.1016/j.jaci.2022.04.002. PMID: 35421449Free PMC Article
Smith CI
Oncogene 2017 Apr;36(15):2045-2053. Epub 2016 Sep 26 doi: 10.1038/onc.2016.343. PMID: 27669440Free PMC Article
Bearden D, Collett M, Quan PL, Costa-Carvalho BT, Sullivan KE
J Allergy Clin Immunol Pract 2016 Nov-Dec;4(6):1059-1065. Epub 2016 Feb 13 doi: 10.1016/j.jaip.2015.12.015. PMID: 26883540
Morrison VA
Semin Oncol 1998 Feb;25(1):98-106. PMID: 9482531

Prognosis

Chear CT, Ismail IH, Chan KC, Noh LM, Kassim A, Latiff AHA, Gill SS, Ramly NH, Tan KK, Sundaraj C, Choo CM, Mohamed SAS, Baharin MF, Zamri AS, Yahya SNHS, Mohamad SB, Ripen AM
Front Immunol 2023;14:1252765. Epub 2023 Sep 22 doi: 10.3389/fimmu.2023.1252765. PMID: 37809070Free PMC Article
Inoue K, Sasaki S, Yasumi T, Imai K, Kusunoki T, Morio T, Kanegane H
J Clin Immunol 2020 Nov;40(8):1132-1137. Epub 2020 Sep 10 doi: 10.1007/s10875-020-00830-6. PMID: 32914284
O'Driscoll DN, De Santi C, McKiernan PJ, McEneaney V, Molloy EJ, Greene CM
Pediatr Res 2017 May;81(5):831-837. Epub 2017 Jan 6 doi: 10.1038/pr.2017.2. PMID: 28060792
Zamora MR
Transpl Infect Dis 2001;3 Suppl 2:49-56. doi: 10.1034/j.1399-3062.2001.00010.x. PMID: 11926751
Morrison VA
Semin Oncol 1998 Feb;25(1):98-106. PMID: 9482531

Clinical prediction guides

Chear CT, Ismail IH, Chan KC, Noh LM, Kassim A, Latiff AHA, Gill SS, Ramly NH, Tan KK, Sundaraj C, Choo CM, Mohamed SAS, Baharin MF, Zamri AS, Yahya SNHS, Mohamad SB, Ripen AM
Front Immunol 2023;14:1252765. Epub 2023 Sep 22 doi: 10.3389/fimmu.2023.1252765. PMID: 37809070Free PMC Article
van Leeuwen LPM, Grobben M, GeurtsvanKessel CH, Ellerbroek PM, de Bree GJ, Potjewijd J, Rutgers A, Jolink H, van de Veerdonk FL, van Gils MJ, de Vries RD, Dalm VASH; VACOPID Research Group
J Clin Immunol 2023 Aug;43(6):1104-1117. Epub 2023 May 26 doi: 10.1007/s10875-023-01514-7. PMID: 37231290Free PMC Article
Jindal AK, Chaudhary H, Tyagi R, Rawat A, Suri D, Patra PK, Arora K, Chawla S, Vyas S, Arora M, Aggarwal R, Basu S, Bansal R, Sachdeva MUS, Gupta A, Pandiarajan V, Sankhyan N, Suthar R, Sahu JK, Singh M, Mani R, Sharma R, Saka R, Imai K, Ohara O, Nonoyama S, Hammarström L, Chan KW, Lau YL, Singh S
J Neuroimmunol 2022 Oct 15;371:577952. Epub 2022 Aug 18 doi: 10.1016/j.jneuroim.2022.577952. PMID: 36030644
Jacobs CF, Eldering E, Kater AP
Blood Adv 2021 Feb 9;5(3):913-925. doi: 10.1182/bloodadvances.2020003768. PMID: 33560402Free PMC Article
Tonnelle C, Cuisinier AM, Gauthier L, Guelpa-Fonlupt V, Milili M, Schiff C, Fougereau M
Ann N Y Acad Sci 1995 Sep 29;764:231-41. doi: 10.1111/j.1749-6632.1995.tb55833.x. PMID: 7486530

Recent systematic reviews

Drzymalla E, Green RF, Knuth M, Khoury MJ, Dotson WD, Gundlapalli A
Clin Immunol 2022 Oct;243:109097. Epub 2022 Aug 13 doi: 10.1016/j.clim.2022.109097. PMID: 35973637Free PMC Article

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