Mutations in activation-induced cytidine deaminase in patients with hyper IgM syndrome

  • Yoshiyuki Minegishi
  • , Aubert Lavoie
  • , Charlotte Cunningham-Rundles
  • , Pierre Michel Bédard
  • , Jacques Hébert
  • , Louise Côté
  • , Kazuo Dan
  • , Debra Sedlak
  • , Rebecca H. Buckley
  • , Alain Fischer
  • , Anne Durandy
  • , Mary Ellen Conley

Research output: Contribution to journalArticlepeer-review

129 Scopus citations

Abstract

Recent studies have shown that mutations in a newly described RNA editing enzyme, activation-induced cytidine deaminase (AID), can cause an autoso. mal recessive form of hyper IgM syndrome. To deter. mine the relative frequency of mutations in AID, we evaluated a group of 27 patients with hyper IgM syndrome who did not have defects in CD40 ligand and 23 patients with common variable immunodeficiency. Three different mutations in AID were identified in 18 patients with hyper IgM syndrome, including 14 French Canadians, 2 Lumbee Indians, and a brother and sister from Okinawa. No mutations were found in the remaining 32 patients. In the group of patients with hyper IgM syndrome, the patients with mutations in AID were older at the age of diagnosis, were more likely to have positive isohemagglutinins, and were less likely to have anemia, neutropenia, or thrombocytopenia. Lymphoid hyperplasia was seen in patients with hyper IgM syndrome and normal AID as well as the patients with hyper IgM syndrome and defects in AID. (C) 2000 Academic Press.

Original languageEnglish
Pages (from-to)203-210
Number of pages8
JournalClinical Immunology
Volume97
Issue number3
DOIs
StatePublished - 2000

Keywords

  • B cells
  • Class switch recombination
  • IgM
  • Immunodeficiency
  • Lymphoid hyperplasia
  • RNA editing
  • Somatic mutation

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