Clinical features and lymphocyte immunophenotyping analysis in primary immunodeficiency patients with non-transplant lymphoproliferative disorders

Wen I. Lee*, Jing Long Huang, Meng Ying Hsieh, Li Chen Chen, Kuo Wei Yeh, Liang Shiou Ou, Tsung Chieh Yao, Chao Yi Wu, Syh Jae Lin, Shih Hsiang Chen, Tang Her Jaing, Chi Jou Liang, Chen Chen Kang

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

1 Scopus citations

Abstract

Lymphoproliferative disorders (LPD) comprise a heterogeneous group and are originally classified into the “Disease of immune dysregulation” category. Of 96 Taiwanese patients during 2003–2022, 31 (median 66, range 0.03–675 months) developed LPD, mainly including palpable lymphadenopathy (in 10 patients), intestinal lymphadenopathy associated with refractory inflammatory bowel disease (IBD in 8) and hepatosplenomegaly (in 7) during long-term follow-up (median 144, range 3–252 months). They distributed in the categories of antibody deficiency (2 CVID, 2 TTC37, PIK3CD, PIK3R1 and AICDA each), phagocyte (4 CYBB, 1 STAT1 and 1 IFNRG1), immune dysregulation (2 FOXP3, 2 XIAP and 2 HLH), combined immunodeficiencies (2 IL2RG; CD40L, ZAP70 and unknown each), syndromic features (2 STAT3-LOF, 1 WAS and 1 ATM) and three with anti-IFN-γ autoantibodies. An increased senescent (CD8 + CD57+) and CD21-low, disturbed transitional B (CD38 + IgM++), plasmablast B (CD38++IgM-), memory B (CD19 + CD27+) and TEMRA (CD27-IgD-) components were often observed in cross-sectional immunophenotyping and trended to develop LPD.

Original languageEnglish
Article number110269
Pages (from-to)110269
JournalClinical Immunology
Volume265
DOIs
StatePublished - 08 2024
Externally publishedYes

Bibliographical note

Copyright © 2024 Elsevier Inc. All rights reserved.

Keywords

  • CD21-low
  • Immunophenotyping
  • Lymphoproliferative disorders (LPD)
  • Memory cells
  • Plasamablast B
  • Primary immunodeficiency diseases (PID)
  • Senescent T
  • Transitional B
  • Immunologic Deficiency Syndromes/immunology
  • Humans
  • Middle Aged
  • Child, Preschool
  • Male
  • Infant
  • Lymphocytes/immunology
  • Young Adult
  • Adolescent
  • Female
  • Adult
  • Lymphoproliferative Disorders/immunology
  • Child

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