Identifying Novel Inborn Errors Of The Immune System

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    Identifying Novel Inborn Errors of the Immune System
    Primary Immunodeficiencies with Defective Class Switch and Autoimmunity
    By: Elisabeth Salzer
    Publisher:
    Springer
    Print ISBN: 9783658167950, 3658167955
    eText ISBN: 9783658167967, 3658167963
    Copyright year: 2017
    Format: PDF
    Available from $ 79.99 USD
    SKU 9783658167967
    In her study Elisabeth Salzer describes three novel monogenic diseases. For CD27 deficiency Elisabeth Salzer describes a large cohort of patients. Although all patients shared the same causative missense mutation, they displayed diverse clinical presentations. In another patient she was able to identify a mutation in PRKCD resulting in a primary immunodeficiency with severe Lupus-like autoimmunity. The patient exhibited increased mRNA levels of IL6. Therefore, treatment with Tocilizumab, a humanized anti-IL-6 receptor monoclonal antibody was suggested. In a family with a history of deaths due to inflammatory bowel disease she identified a missense mutation in IL21. She produced wild type and mutated IL-21 protein and demonstrated a loss of function phenotype. As IL-21 is in clinical trials, she proposed a potentially curative treatment option. These discoveries contributed to the understanding of the multifaceted regulatory mechanisms of the immune system and highlighted essential players in these complex signaling networks.
     

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