Advertisement

Journal of Clinical Immunology

, Volume 38, Issue 5, pp 543–545 | Cite as

IKBA S32 Mutations Underlie Ectodermal Dysplasia with Immunodeficiency and Severe Noninfectious Systemic Inflammation

  • Kunihiko Moriya
  • Yoji Sasahara
  • Hidenori Ohnishi
  • Tomoki Kawai
  • Hirokazu Kanegane
Letter to Editor

To the Editor:

We report two novel heterozygous point mutations, S32R and S32N, in the NFKBIA gene encoding IκBα in two Japanese patients with severe clinical phenotypes of an autosomal dominant (AD) form of anhidrotic ectodermal dysplasia with immunodeficiency (EDA-ID).

Patient 1 (P1) was born from non-consanguineous healthy Japanese parents after an uncomplicated pregnancy. He was transferred to a hospital because of persistent skin rash soon after birth. Although he was healthy and had no signs of infection, respiratory failure and seizure occurred at the age of 2 months. Since immunodeficiency was suspected from the results of laboratory data, he was referred to our hospital. Routine laboratory evaluation demonstrated persistent elevation of C-reactive protein (CRP), high white blood cell (WBC) counts with lymphocytosis, and low immunogloblin levels. He showed multiple erythemas with scales on the face and limbs and had oral candidiasis (Fig. E1). He had symptoms of conical teeth...

Notes

Acknowledgements

The authors thank all of our patients and their parents for participating in this study. We also thank Dr. Atsuo Kikuchi for technical assistance.

Funding

This work was supported by grants from the Japanese Ministry of Health, Labour and Welfare (H29-013, H29-020) and a grant from the Japan Agency for Medical Research and Development (17ek0109200h0001) to YS.

Compliance with Ethical Standards

Conflict of Interest

The authors have no conflict of interest to declare.

Informed Consent

Written informed consent was obtained from the parents of all patients.

Supplementary material

10875_2018_522_MOESM1_ESM.docx (741 kb)
ESM 1 (DOCX 740 kb)

References

  1. 1.
    Ohnishi H, Miyata R, Suzuki T, Nose T, Kubota K, Kato Z, et al. A rapid screening method to detect autosomal-dominant ectodermal dysplasia with immune deficiency syndrome. J Allergy Clin Immunol. 2012;129:578–80.CrossRefPubMedGoogle Scholar
  2. 2.
    Courtois G, Smahi A, Reichenbach J, Döffinger R, Cancrini C, Bonnet M, et al. A hypermorphic IκBα mutation is associated with autosomal dominant anhidrotic ectodermal dysplasia and T cell immunodeficiency. J Clin Invest. 2003;112:1108–15.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Boisson B, Puel A, Picard C, Casanova JL. Human IκBα gain of function: a severe and syndromic immunodeficiency. J Clin Immunol. 2017;37:397–412.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Yoshioka T, Nishikomori R, Hara J, Okada K, Hashii Y, Okafuji I, et al. Autosomal dominant anhidrotic dysplasia with immunodeficiency caused by a novel NFKBIA mutation, p.Ser36Tyr, presents with mild ectodermal dysplasia and non-infectious systemic inflammation. J Clin Immunol. 2013;33:1165–74.CrossRefPubMedGoogle Scholar
  5. 5.
    Petersheim D, Massaad MJ, Lee S, et al. Mechanisms of genotype-phenotype correlation in autosomal dominant anhidrotic ectodermal dysplasia with immune deficiency. J Allergy Clin Immunol. 2017;141:1060–73.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of PediatricsTohoku University Graduate School of MedicineSendaiJapan
  2. 2.Department of Pediatrics, Graduate School of MedicineGifu UniversityGifuJapan
  3. 3.Department of Pediatrics, Graduate School of MedicineKyoto UniversityKyotoJapan
  4. 4.Department of Pediatrics and Developmental Biology, Graduate School of MedicineTokyo Medical and Dental UniversityTokyoJapan

Personalised recommendations