Impaired B-Cell Differentiation in a Patient With STAT1 Gain-of-Function Mutation.

Impaired B-Cell Differentiation in a Patient With STAT1 Gain-of-Function Mutation.
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DOI:
10.3389/fimmu.2020.557521
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发表时间:
2020
影响因子:
7.3
通讯作者:
Kusuhara K
Kusuhara K
中科院分区:
医学2区
文献类型:
--
作者:
Nemoto K;Kawanami T;Hoshina T;Ishimura M;Yamasaki K;Okada S;Kanegane H;Yatera K;Kusuhara K

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低丙种球蛋白血症是STAT1功能获得性(GOF)突变的罕见并发症。我们报告一位在治疗播散性隐球菌病期间,因B细胞耗竭而诊断为低丙种球蛋白血症的成人患者。患者携带STAT1 GOF突变(c.820C>T,p.R274W)。对他的骨髓进行的流式细胞术分析显示,B细胞分化在前B1b和前B2细胞之间的阶段被阻断。另一方面,他携带相同突变的兄弟显示正常的B细胞计数,从而表明相同或其他基因中未识别的变异可能与患者的异常B细胞分化有关。总之,骨髓中B细胞分化受损可导致STAT1 GOF突变患者的低丙种球蛋白血症。
Hypogammaglobulinemia is a rare complication of STAT1 gain-of-function (GOF) mutations. We report an adult patient diagnosed with hypogammaglobulinemia caused by B-cell depletion during the treatment of disseminated cryptococcosis. The patient carried the STAT1 GOF mutation (c.820C>T, p.R274W). The flow cytometric analysis of his bone marrow revealed that B-cell differentiation was blocked in the stages between pre-B1b and pre-B2 cells. On the other hand, his brother who carried the same mutation displayed normal B-cell counts, thereby indicating that the unrecognized variants in same or other gene might be associated with abnormal B-cell differentiation in the patients. In conclusion, impaired B-cell differentiation in the bone marrow can cause hypogammaglobulinemia in patients with STAT1 GOF mutations.
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