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Identical Twins with a Mutation in the STK4 Gene Showing Clinical Manifestations of the Mutation at Different Ages: A Case Report | ||
Iranian Journal of Immunology | ||
مقاله 8، دوره 17، شماره 4، اسفند 2020، صفحه 333-340 اصل مقاله (328.8 K) | ||
نوع مقاله: Case Report | ||
شناسه دیجیتال (DOI): 10.22034/iji.2020.83003.1607 | ||
نویسندگان | ||
Farhad Abolnezhadian1؛ Sara Iranparast* 2؛ Fatemeh Ahmadpour3 | ||
1Farhad Abolnezhadian Dept. Of Immunology and Allergy, Abuzar Children’s Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran | ||
2Department of Immunology, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran | ||
3Department of clinical biochemistry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran | ||
چکیده | ||
Combined immunodeficiencies (CIDs) are a heterogeneous group of disorders characterized by various gene mutations. The mutations in the STK4 (Serine Threonine Kinase 4) gene, which has a role in the regulation of apoptosis and proliferation, can be a cause of immunodeficiency. In the current paper, we reported a case of identical twin brothers with a novel STK4 mutation, one of whom showed clinical manifestations associated with this mutation with a delay of two years. The mutation in the STK4 gene was identified employing Whole Exome Sequencing (WES), and we described the probable reasons for this delay. We found that the STK4 genetic defect caused almost the same clinical symptoms of immunodeficiency in the twin brothers. Meanwhile, the severity of the disease was higher in one of them, which may be due to extra genetic defect in LRBA, and likely differences in the percentage of B lymphocyte population and CD4+/ CD8+ state. | ||
کلیدواژهها | ||
Combined immunodeficiency؛ STK4؛ identical twin؛ symptoms؛ LRBA defect | ||
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