ImmunogeneticsPub Date : 2023-06-01DOI: 10.1007/s00251-022-01284-3
Anshika Srivastava, Jill A Hollenbach
{"title":"The immunogenetics of COVID-19.","authors":"Anshika Srivastava, Jill A Hollenbach","doi":"10.1007/s00251-022-01284-3","DOIUrl":"https://doi.org/10.1007/s00251-022-01284-3","url":null,"abstract":"<p><p>The worldwide coronavirus disease 2019 pandemic was sparked by the severe acute respiratory syndrome caused by coronavirus 2 (SARS-CoV-2) that first surfaced in December 2019 (COVID-19). The effects of COVID-19 differ substantially not just between patients individually but also between populations with different ancestries. In humans, the human leukocyte antigen (HLA) system coordinates immune regulation. Since HLA molecules are a major component of antigen-presenting pathway, they play an important role in determining susceptibility to infectious disease. It is likely that differential susceptibility to SARS-CoV-2 infection and/or disease course in COVID-19 in different individuals could be influenced by the variations in the HLA genes which are associated with various immune responses to SARS-CoV-2. A growing number of studies have identified a connection between HLA variation and diverse COVID-19 outcomes. Here, we review research investigating the impact of HLA on individual responses to SARS-CoV-2 infection and/or progression, also discussing the significance of MHC-related immunological patterns and its use in vaccine design.</p>","PeriodicalId":13446,"journal":{"name":"Immunogenetics","volume":"75 3","pages":"309-320"},"PeriodicalIF":3.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9762652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9518355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ImmunogeneticsPub Date : 2023-06-01DOI: 10.1007/s00251-023-01294-9
Julia Maret Hermens, Can Kesmir
{"title":"Role of T cells in severe COVID-19 disease, protection, and long term immunity.","authors":"Julia Maret Hermens, Can Kesmir","doi":"10.1007/s00251-023-01294-9","DOIUrl":"https://doi.org/10.1007/s00251-023-01294-9","url":null,"abstract":"<p><p>Infection with SARS-CoV-2 causes wide range of disease severities from asymptomatic to life-threatening disease. Understanding the contribution of immunological traits in immunity against SARS-CoV-2 and in protection against severe COVID-19 could result in effective measures to prevent development of severe disease. While the role of cytokines and antibodies has been thoroughly studied, this is not the case for T cells. In this review, the association between T cells and COVID-19 disease severity and protection upon reexposure is discussed. While infiltration of overactivated cytotoxic T cells might be harmful in the infected tissue, fast responding T cells are important in the protection against severe COVID-19. This protection could even be viable in the long term as long-living memory T cells seem to be stabilized and mutations do not appear to have a large impact on T cell responses. Thus, after vaccination and infections, memory T cells should be able to help prevent onset of severe disease for most cases. Considering this, it would be useful to add N or M proteins in vaccinations, alongside the S protein which is currently used, as this results in a broader T cell response.</p>","PeriodicalId":13446,"journal":{"name":"Immunogenetics","volume":"75 3","pages":"295-307"},"PeriodicalIF":3.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9905767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9521546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ImmunogeneticsPub Date : 2023-06-01Epub Date: 2023-04-21DOI: 10.1007/s00251-023-01306-8
Stephen Tukwasibwe, Gerald Mboowa, Ivan Sserwadda, Joaniter I Nankabirwa, Emmanuel Arinaitwe, Isaac Ssewanyana, Yoweri Taremwa, Gerald Tumusiime, Moses R Kamya, Prasanna Jagannathan, Annettee Nakimuli
{"title":"Impact of high human genetic diversity in Africa on immunogenicity and efficacy of RTS,S/AS01 vaccine.","authors":"Stephen Tukwasibwe, Gerald Mboowa, Ivan Sserwadda, Joaniter I Nankabirwa, Emmanuel Arinaitwe, Isaac Ssewanyana, Yoweri Taremwa, Gerald Tumusiime, Moses R Kamya, Prasanna Jagannathan, Annettee Nakimuli","doi":"10.1007/s00251-023-01306-8","DOIUrl":"10.1007/s00251-023-01306-8","url":null,"abstract":"<p><p>In modern medicine, vaccination is one of the most effective public health strategies to prevent infectious diseases. Indisputably, vaccines have saved millions of lives by reducing the burden of many serious infections such as polio, tuberculosis, measles, pneumonia, and tetanus. Despite the recent recommendation by the World Health Organization (WHO) to roll out RTS,S/AS01, this malaria vaccine still faces major challenges of variability in its efficacy partly due to high genetic variation in humans and malaria parasites. Immune responses to malaria vary between individuals and populations. Human genetic variation in immune system genes is the probable cause for this heterogeneity. In this review, we will focus on human genetic factors that determine variable responses to vaccination and how variation in immune system genes affect the immunogenicity and efficacy of the RTS,S/AS01 vaccine.</p>","PeriodicalId":13446,"journal":{"name":"Immunogenetics","volume":"75 3","pages":"207-214"},"PeriodicalIF":2.9,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10119520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9513091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ImmunogeneticsPub Date : 2023-04-01DOI: 10.1007/s00251-022-01282-5
Elijah Kolawole Oladipo, Olawumi Elizabeth Akindiya, Glory Jesudara Oluwasanya, Gideon Mayowa Akanbi, Seun Elijah Olufemi, Daniel Adewole Adediran, Favour Oluwadara Bamigboye, Rasidat Oyindamola Aremu, Kehinde Temitope Kolapo, Jerry Ayobami Oluwasegun, Hezekiah Oluwajoba Awobiyi, Esther Moradeyo Jimah, Boluwatife Ayobami Irewolede, Elizabeth Oluwatoyin Folakanmi, Odunola Abimbola Olubodun, Samuel Adebowale Akintibubo, Foluso Daniel Odunlami, Taiwo Ooreoluwa Ojo, Omodamola Paulina Akinro, Oluwaseun Samuel Hezikiah, Adenike Titilayo Olayinka, Grace Asegunloluwa Abiala, Akindele Felix Idowu, James Akinwunmi Ogunniran, Mary Omotoyinbo Ikuomola, Hadijat Motunrayo Adegoke, Usman Abiodun Idowu, Oluwaseyi Paul Olaniyan, Olutoyin Omolara Bamigboye, Sunday Babatunde Akinde, Musa Oladayo Babalola
{"title":"Bioinformatics analysis of structural protein to approach a vaccine candidate against Vibrio cholerae infection.","authors":"Elijah Kolawole Oladipo, Olawumi Elizabeth Akindiya, Glory Jesudara Oluwasanya, Gideon Mayowa Akanbi, Seun Elijah Olufemi, Daniel Adewole Adediran, Favour Oluwadara Bamigboye, Rasidat Oyindamola Aremu, Kehinde Temitope Kolapo, Jerry Ayobami Oluwasegun, Hezekiah Oluwajoba Awobiyi, Esther Moradeyo Jimah, Boluwatife Ayobami Irewolede, Elizabeth Oluwatoyin Folakanmi, Odunola Abimbola Olubodun, Samuel Adebowale Akintibubo, Foluso Daniel Odunlami, Taiwo Ooreoluwa Ojo, Omodamola Paulina Akinro, Oluwaseun Samuel Hezikiah, Adenike Titilayo Olayinka, Grace Asegunloluwa Abiala, Akindele Felix Idowu, James Akinwunmi Ogunniran, Mary Omotoyinbo Ikuomola, Hadijat Motunrayo Adegoke, Usman Abiodun Idowu, Oluwaseyi Paul Olaniyan, Olutoyin Omolara Bamigboye, Sunday Babatunde Akinde, Musa Oladayo Babalola","doi":"10.1007/s00251-022-01282-5","DOIUrl":"https://doi.org/10.1007/s00251-022-01282-5","url":null,"abstract":"<p><p>The bacteria Vibrio cholerae causes cholera, an acute diarrheal infection that can lead to dehydration and even death. Over 100,000 people die each year as a result of epidemic diseases; vaccination has emerged as a successful strategy for combating cholera. This study uses bioinformatics tools to create a multi-epitope vaccine against cholera infection using five structural polyproteins from the V. cholerae (CTB, TCPA, TCPF, OMPU, and OMPW). The antigenic retrieved protein sequence were analyzed using BCPred and IEDB bioinformatics tools to predict B cell and T cell epitopes, respectively, which were then linked with flexible linkers together with an adjuvant to boost it immunogenicity. The construct has a theoretical PI of 6.09, a molecular weight of 53.85 kDa, and an estimated half-life for mammalian reticulocytes in vitro of 4.4 h. These results demonstrate the construct's longevity. The vaccine design was docked against the human toll-like receptor (TLR) to evaluate compatibility and effectiveness; also other additional post-vaccination assessments were carried out on the designed vaccine. Through in silico cloning, its expression was determined. The results show that it has a CAI value of 0.1 and GC contents of 58.97% which established the adequate expression and downstream processing of the vaccine construct, and our research demonstrated that the multi-epitope subunit vaccine exhibits antigenic characteristics. Additionally, we carried out an in silico immunological simulation to examine the immune reaction to an injection. Our results strongly suggest that the vaccine candidate on further validation would induce immune response against the V. cholerae infection.</p>","PeriodicalId":13446,"journal":{"name":"Immunogenetics","volume":"75 2","pages":"99-114"},"PeriodicalIF":3.2,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9716527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10268564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ImmunogeneticsPub Date : 2023-04-01DOI: 10.1007/s00251-023-01297-6
Erick C Castelli, Gabriela Sato Paes, Isabelle Mira da Silva, Philippe Moreau, Eduardo A Donadi
{"title":"The + 3010/C single nucleotide polymorphism (rs1710) at the HLA-G 3' untranslated region is associated with a short transcript exhibiting a deletion of 92 nucleotides.","authors":"Erick C Castelli, Gabriela Sato Paes, Isabelle Mira da Silva, Philippe Moreau, Eduardo A Donadi","doi":"10.1007/s00251-023-01297-6","DOIUrl":"https://doi.org/10.1007/s00251-023-01297-6","url":null,"abstract":"<p><p>The physiological expression of HLA-G is mainly observed in the placenta, playing an essential role in maternal-fetal tolerance. Among the HLA-G mRNA alternative transcripts, the one lacking 92 bases at the HLA-G 3' untranslated region (3'UTR), the 92bDel transcript, is more stable, is associated with increased HLA-G soluble levels, and was observed in individuals presenting a 14 bp insertion (14 bp<sup>+</sup>) at the 3'UTR. We investigated the presence of the 92bDel transcript in placenta samples, correlating its expression levels with the HLA-G polymorphisms at the 3'UTR. The 14 bp<sup>+</sup> allele correlates with the presence of the 92bDel transcript. However, the polymorphism triggering this alternative splicing is the + 3010/C allele (rs1710, allele C). Most 14 bp<sup>+</sup> haplotypes (UTR-2/-5/-7) present allele + 3010/C. However, 14 bp<sup>-</sup> haplotypes such as UTR-3 are also associated with + 3010/C, and the 92bDel transcript can be detected in homozygous samples for the 14 bp- allele carrying at least one copy of UTR-3. The UTR-3 haplotype is associated with alleles G*01:04 and the HLA-G lineage HG0104, which is a high-expressing lineage. The only HLA-G lineage that is not likely to produce this transcript is HG010101, associated with the + 3010/G allele. This functional difference may be advantageous, considering the high worldwide frequency of the HG010101 lineage. Therefore, HLA-G lineages are functionally distinct regarding the 92bDel transcript expression, and the 3010/C allele triggers the alternative splicing that produces this shorter and more stable transcript.</p>","PeriodicalId":13446,"journal":{"name":"Immunogenetics","volume":"75 2","pages":"155-160"},"PeriodicalIF":3.2,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9196769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ImmunogeneticsPub Date : 2023-04-01DOI: 10.1007/s00251-022-01279-0
L M Parra, B G C Sartori, D R Fernandes, L R V Fachin, M R S Nogueira, A F F Belone, A J F Nunes, F C Souza-Santana
{"title":"HLA-G expression in Merkel cell carcinoma and the correlation with Merkel cell polyomavirus infection.","authors":"L M Parra, B G C Sartori, D R Fernandes, L R V Fachin, M R S Nogueira, A F F Belone, A J F Nunes, F C Souza-Santana","doi":"10.1007/s00251-022-01279-0","DOIUrl":"https://doi.org/10.1007/s00251-022-01279-0","url":null,"abstract":"<p><p>Merkel cell carcinoma (MCC) is a rare aggressive neuroendocrine cutaneous carcinoma with a high mortality rate. The MCC etiology is not fully understood. Merkel cell-associated polyomavirus (MCPyV) was found in MCC patients, indicating a risk factor for the tumor. Caucasian, elderly, and immunocompromised individuals are more likely to develop this tumor. HLA-G consists of a non-classical class I (Ib) HLA molecule with an immunoregulatory function and was associated with tumor escape in different types of tumors, nonetheless, never been studied in MCC. The purpose of this study was to evaluate the HLA-G expression and also to detect the MCPyV in MCC patients and correlate it with the clinical course of the disease. Forty-five MCC patients were included in a retrospective study. Formalin-fixed paraffin-embedded cutaneous skin biopsies were used by immunohistochemistry and RT-PCR to verify the HLA-G expression and MCPyV infection. HLA-G expression was found in 7 (15.6%), while the presence of MCPyV was detected in 28 (62.2%) of the studied patients. No significant association was found between HLA-G expression and MCPyV infection (p = 0.250). The presence of MCPyV was associated with areas of low sunlight exposure (p = 0.042) and the HLA-G expression with progression to death (p = 0.038). HLA-G expression was detected in MCC patients, as well as the MCPyV presence was confirmed. These markers could represent factors with a possible impact on patient survival; however, further studies with a greater number of patients are needed, to better elucidate the possible role in disease progression.</p>","PeriodicalId":13446,"journal":{"name":"Immunogenetics","volume":"75 2","pages":"81-89"},"PeriodicalIF":3.2,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9200943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ImmunogeneticsPub Date : 2023-04-01DOI: 10.1007/s00251-022-01287-0
Isaiah Obara, Ard Nijhof, Patrick Atimnedi, Domnic Mijele, Anne Nanteza, Khawla Elati, Richard Bishop
{"title":"The antigen recognition portion of African buffalo class I MHC is highly polymorphic, consistent with a complex pathogen challenge environment, and the 3' region suggests distinct haplotype configurations.","authors":"Isaiah Obara, Ard Nijhof, Patrick Atimnedi, Domnic Mijele, Anne Nanteza, Khawla Elati, Richard Bishop","doi":"10.1007/s00251-022-01287-0","DOIUrl":"https://doi.org/10.1007/s00251-022-01287-0","url":null,"abstract":"<p><p>African buffalo (Syncerus caffer) have been distinct from the Auroch lineage leading to domestic cattle for 5 million years, and are reservoirs of multiple pathogens, that affect introduced domestic cattle. To date, there has been no analysis of the class I MHC locus in African buffalo. We present the first data on African buffalo class I MHC, which demonstrates that gene and predicted protein coding sequences are approximately 86-87% similar to that of African domestic cattle in the peptide binding region. The study also shows concordance in the distribution of codons with elevated posterior probabilities of positive selection in the buffalo class I MHC and known antigen binding sites in cattle. Overall, the diversity in buffalo class I sequences appears greater than that in cattle, perhaps related to a more complex pathogen challenge environment in Africa. However, application of NetMHCpan suggested broad clustering of peptide binding specificities between buffalo and cattle. Furthermore, in the case of at least 20 alleles, critical peptide-binding residues appear to be conserved with those of cattle, including at secondary anchor residues. Alleles with six different length transmembrane regions were detected. This preliminary analysis suggests that like cattle, but unlike most other mammals, African buffalo appears to exhibit configuration (haplotype) variation in which the loci are expressed in distinct combinations.</p>","PeriodicalId":13446,"journal":{"name":"Immunogenetics","volume":"75 2","pages":"115-132"},"PeriodicalIF":3.2,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10039833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9196397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ImmunogeneticsPub Date : 2023-04-01DOI: 10.1007/s00251-023-01298-5
Jiahui Wang, Amro M Soliman, Jeff Norlin, Daniel R Barreda, James L Stafford
{"title":"Expression analysis of Carassius auratus-leukocyte-immune-type receptors (CaLITRs) during goldfish kidney macrophage development and in activated kidney leukocyte cultures.","authors":"Jiahui Wang, Amro M Soliman, Jeff Norlin, Daniel R Barreda, James L Stafford","doi":"10.1007/s00251-023-01298-5","DOIUrl":"https://doi.org/10.1007/s00251-023-01298-5","url":null,"abstract":"<p><p>Carassius auratus leukocyte immune-type receptors (CaLITRs) were recently discovered immunoregulatory receptors in goldfish that have diverse immunoglobulin-like (Ig-like) ectodomains and intracellular signaling motifs. Genomic analysis shows that CaLITR-types are also located as distinct gene clusters across multiple goldfish chromosomes. For example, CaLITR1 (unplaced) is a functionally ambiguous receptor having two Ig-like domains, a transmembrane domain (TM), and a short cytoplasmic tail (CYT) devoid of any recognizable signaling motifs. CaLITR2 (Chr47) is a putative inhibitory receptor containing four Ig-like domains, a TM, and a long CYT with an immunoreceptor tyrosine-based inhibition motif (ITIM) and immunoreceptor tyrosine-based switch motif (ITSM). A putative activating receptor-type, CaLITR3 (Chr3), has four Ig-like domains, a TM, and a short CYT containing a positively charged histidine residue and CaLITR4 (ChrLG28B) is a receptor with putative multifunctional signaling potential as well as five Ig-like domains, a TM, and a long tyrosine-motif containing CYT region. The variable genomic locations of the CaLITRs suggest that they are likely under the influence of different cis- and/or trans-regulatory elements. To better understand the transcriptional activities of select CaLITRs from variable genomic regions, we used an RT-qPCR-based approach to examine the expression of CaLITR1, CaLITR2, CaLITR3, and CaLITR4 during goldfish primary kidney macrophage (PKM) development and in mixed leukocyte reaction cultures (MLRs) of the goldfish. Our results showed that the select CaLITRs are differentially expressed during PKM development and in goldfish MLRs exposed to T-cell mitogens/immunosuppressive drugs, supporting that the transcription of these CaLITRs is likely regulated by distinct cis- and/or trans-regulatory elements.</p>","PeriodicalId":13446,"journal":{"name":"Immunogenetics","volume":"75 2","pages":"171-189"},"PeriodicalIF":3.2,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9250691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Whole exome sequencing identified a novel splice donor site variant in interleukin 2 receptor alpha chain.","authors":"Nadia Waheed, Maryam Naseer, Nighat Haider, Sufyan Suleman, Asmat Ullah","doi":"10.1007/s00251-022-01278-1","DOIUrl":"https://doi.org/10.1007/s00251-022-01278-1","url":null,"abstract":"<p><p>Interleukin 2 receptor alpha chain (IL-2Rα or CD25) deficiency (OMIM #606367) is an immune dysregulation disorder segregating in autosomal recessive form. The disease is caused by biallelic variants in the IL-2Rα gene encoding IL-2Rα also known as CD25 protein. IL-2Rα combines with γ and β chains of interleukin 2 receptor to form a functional interleukin 2 receptor (IL-2R). In the present study, we identified a Pakistani family presenting a unique presentation of IL-2Rα deficiency. Clinical whole exome sequencing revealed a novel splice donor site variant (NM_001378789.1 (NP_001365718); c.64 + 1G > A) in the IL-2Rα gene. American College of Medical Genetics (ACMG) guidelines interpreted the identified variant as likely pathogenic. The IL-2Rα gene mutation usually presents with autoimmunity and immunodeficiency but in our patient, it presents with congenital diarrhea, metabolic crisis, and strong family history of death in infancy due to the similar complications. Her congenital diarrhea is attributed to autoimmunity in the form of autoimmune enteropathy and eczema. The laboratory findings revealed severe metabolic acidosis hypokalemia and elevated lactate and ammonia levels. This is a new presentation of IL-2Rα gene mutation. The present study highlights the importance of clinical whole exome sequencing in the correct diagnosis of congenital disorders. The study will also help clinical geneticists for genetic counseling and prevention of the disease in the affected family.</p>","PeriodicalId":13446,"journal":{"name":"Immunogenetics","volume":"75 2","pages":"71-79"},"PeriodicalIF":3.2,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9548656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}