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X-linked severe combined immunodeficiency

What is X-linked severe combined immunodeficiency?

X-linked severe combined immunodeficiency (SCID) is an inherited disorder of the immune system that occurs almost exclusively in males. Boys with X-linked SCID are prone to recurrent and persistent infections caused by certain bacteria, viruses, and fungi. These infections can be very serious or life-threatening. The organisms that cause infection in people with X-linked SCID are described as opportunistic because they ordinarily do not cause illness in healthy people. Many infants with X-linked SCID experience chronic diarrhea and skin rashes, and grow more slowly than other children. Without treatment, affected males usually do not live beyond infancy.

How common is X-linked severe combined immunodeficiency?

X-linked SCID is the most common form of severe combined immunodeficiency. The exact incidence is unknown, but the condition probably affects at least 1 in 50,000 to 100,000 births.

What genes are related to X-linked severe combined immunodeficiency?

Mutations in the IL2RG gene cause X-linked severe combined immunodeficiency.

The IL2RG gene provides instructions for making a protein that is essential to immune system function. This protein is necessary for the growth and maturation of developing immune system cells called lymphocytes. Lymphocytes defend the body against potentially harmful invaders, make antibodies, and help regulate the entire immune system. Mutations in the IL2RG gene prevent these cells from developing and functioning normally. Without functional lymphocytes, the body is unable to fight off infections.

How do people inherit X-linked severe combined immunodeficiency?

This condition is inherited in an X-linked recessive pattern. A condition is considered X-linked if the mutated gene that causes the disorder is located on the X chromosome, one of the two sex chromosomes. In males (who have only one X chromosome), one altered copy of the gene in each cell is sufficient to cause the condition. In females (who have two X chromosomes), a mutation must be present in both copies of the gene to cause the disorder; this situation occurs only rarely. Therefore, males are affected by X-linked recessive disorders much more frequently than females.

Severe Combined Immunodeficiency on Wikipedia

'''Severe Combined Immunodeficiency,''' or '''SCID''', is a genetic disorder in which both "arms" (B cells and T cells) of the adaptive immune system are crippled, due to a defect in one of several possible genes. SCID is a severe form of heritable immunodeficiency. It is also known as the "bubble boy" disease because its victims are extremely vulnerable to infectious diseases and must live (if untreated) in a completely sterile environment. The most famous case is the boy David Vetter. SCID affects about 1 in 80,000 live births. These babies, if untreated, usually die within 1 year due to severe, recurrent infections. Chronic diarrhea, ear infections, recurrent Pneumocystis carinii pneumonia pneumonia, and profuse oral candidiasis commonly occur. Severe_Combined_Immune_Deficiency_Syndrome#Treatment options are much improved since David Vetter, and living in a bubble is no longer necessary.

Types

IL-7 signalling pathway

Most cases of SCID are derived from mutations in the γc chain in the receptors for interleukins IL-2, IL-4, IL-7, IL-9 and IL-15. These interleukins and their receptors form part of the IL-7 signalling pathway. The IL-2 receptor γ (IL-2Rγ) gene is located on the X chromosome and mutation of this gene causes X-linked SCID. Janus kinase-3 (JAK3) is an enzyme that mediates transduction of the γc signal. Mutation of its gene also causes SCID.

VDJ recombination

The manufacture of immunoglobulins requires recombinase enzymes derived from the recombination activating genes RAG-1 and RAG-2. These enzymes are involved in the first stage of VDJ recombination, the process by which segements of a B cell or T cell's DNA are rearranged to create a new T cell receptor or B cell receptor (and, in the B cell's case, the template for antibodies). Certain mutations of the RAG-1 or RAG-2 genes prevent VDJ recombination, ...   [ Read More ]


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