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Kolukisa, Burcu; Baser, Dilek; Akcam, Bengu; Danielson, Jeffrey; Eltan, Sevgi Bilgic; Haliloglu, Yesim; Sefer, Asena Pinar; Babayeva, Royale; Akgun, Gamze; Charbonnier, Louis-Marie; Schmitz-Abe, Klaus; Demirkol, Yasemin Kendir; Zhang, Yu; Gonzaga-Jauregui, Claudia; Heredia, Raul Jimenez; Kasap, Nurhan; Kiykim, Ayca; Yucel, Esra Ozek; Gok, Veysel; Unal, Ekrem; Unal, Ekrem
<?xml version='1.0' encoding='utf-8'?> <resource xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns="http://datacite.org/schema/kernel-4" xsi:schemaLocation="http://datacite.org/schema/kernel-4 http://schema.datacite.org/meta/kernel-4.1/metadata.xsd"> <identifier identifierType="URL">https://aperta.ulakbim.gov.tr/record/235246</identifier> <creators> <creator> <creatorName>Kolukisa, Burcu</creatorName> <givenName>Burcu</givenName> <familyName>Kolukisa</familyName> </creator> <creator> <creatorName>Baser, Dilek</creatorName> <givenName>Dilek</givenName> <familyName>Baser</familyName> </creator> <creator> <creatorName>Akcam, Bengu</creatorName> <givenName>Bengu</givenName> <familyName>Akcam</familyName> </creator> <creator> <creatorName>Danielson, Jeffrey</creatorName> <givenName>Jeffrey</givenName> <familyName>Danielson</familyName> </creator> <creator> <creatorName>Eltan, Sevgi Bilgic</creatorName> <givenName>Sevgi Bilgic</givenName> <familyName>Eltan</familyName> </creator> <creator> <creatorName>Haliloglu, Yesim</creatorName> <givenName>Yesim</givenName> <familyName>Haliloglu</familyName> <affiliation>Erciyes Univ, Dept Med Biol, Sch Med, Kayseri, Turkey</affiliation> </creator> <creator> <creatorName>Sefer, Asena Pinar</creatorName> <givenName>Asena Pinar</givenName> <familyName>Sefer</familyName> </creator> <creator> <creatorName>Babayeva, Royale</creatorName> <givenName>Royale</givenName> <familyName>Babayeva</familyName> </creator> <creator> <creatorName>Akgun, Gamze</creatorName> <givenName>Gamze</givenName> <familyName>Akgun</familyName> </creator> <creator> <creatorName>Charbonnier, Louis-Marie</creatorName> <givenName>Louis-Marie</givenName> <familyName>Charbonnier</familyName> </creator> <creator> <creatorName>Schmitz-Abe, Klaus</creatorName> <givenName>Klaus</givenName> <familyName>Schmitz-Abe</familyName> <affiliation>Harvard Med Sch, Boston Childrens Hosp, Div Immunol & Newborn Med, Boston, MA 02115 USA</affiliation> </creator> <creator> <creatorName>Demirkol, Yasemin Kendir</creatorName> <givenName>Yasemin Kendir</givenName> <familyName>Demirkol</familyName> <affiliation>Univ Hlth Sci, Umraniye Teaching & Res Hosp, Genom Lab GLAB, Istanbul, Turkey</affiliation> </creator> <creator> <creatorName>Zhang, Yu</creatorName> <givenName>Yu</givenName> <familyName>Zhang</familyName> </creator> <creator> <creatorName>Gonzaga-Jauregui, Claudia</creatorName> <givenName>Claudia</givenName> <familyName>Gonzaga-Jauregui</familyName> <affiliation>Regeneron Genet Ctr, Tarrytown, NY USA</affiliation> </creator> <creator> <creatorName>Heredia, Raul Jimenez</creatorName> <givenName>Raul Jimenez</givenName> <familyName>Heredia</familyName> </creator> <creator> <creatorName>Kasap, Nurhan</creatorName> <givenName>Nurhan</givenName> <familyName>Kasap</familyName> </creator> <creator> <creatorName>Kiykim, Ayca</creatorName> <givenName>Ayca</givenName> <familyName>Kiykim</familyName> <affiliation>Istanbul Univ Cerrahpasa, Fac Med Pediat Allergy & Immunol, Istanbul, Turkey</affiliation> </creator> <creator> <creatorName>Yucel, Esra Ozek</creatorName> <givenName>Esra Ozek</givenName> <familyName>Yucel</familyName> <affiliation>Istanbul Univ, Istanbul Fac Med Pediat Allergy & Immunol, Istanbul, Turkey</affiliation> </creator> <creator> <creatorName>Gok, Veysel</creatorName> <givenName>Veysel</givenName> <familyName>Gok</familyName> <affiliation>Erciyes Univ, Sch Med Pediat Hematol & Oncol, Kayseri, Turkey</affiliation> </creator> <creator> <creatorName>Unal, Ekrem</creatorName> <givenName>Ekrem</givenName> <familyName>Unal</familyName> <affiliation>Erciyes Univ, Sch Med Pediat Hematol & Oncol, Kayseri, Turkey</affiliation> </creator> <creator> <creatorName>Unal, Ekrem</creatorName> <givenName>Ekrem</givenName> <familyName>Unal</familyName> <affiliation>Erciyes Univ, Sch Med Pediat Hematol & Oncol, Kayseri, Turkey</affiliation> </creator> </creators> <titles> <title>Evolution And Long-Term Outcomes Of Combined Immunodeficiency Due To Carmil2 Deficiency</title> </titles> <publisher>Aperta</publisher> <publicationYear>2022</publicationYear> <dates> <date dateType="Issued">2022-01-01</date> </dates> <resourceType resourceTypeGeneral="Text">Journal article</resourceType> <alternateIdentifiers> <alternateIdentifier alternateIdentifierType="url">https://aperta.ulakbim.gov.tr/record/235246</alternateIdentifier> </alternateIdentifiers> <relatedIdentifiers> <relatedIdentifier relatedIdentifierType="DOI" relationType="IsIdenticalTo">10.1111/all.15010</relatedIdentifier> </relatedIdentifiers> <rightsList> <rights rightsURI="http://www.opendefinition.org/licenses/cc-by">Creative Commons Attribution</rights> <rights rightsURI="info:eu-repo/semantics/openAccess">Open Access</rights> </rightsList> <descriptions> <description descriptionType="Abstract">Background Biallelic loss-of-function mutations in CARMIL2 cause combined immunodeficiency associated with dermatitis, inflammatory bowel disease (IBD), and EBV-related smooth muscle tumors. Clinical and immunological characterizations of the disease with long-term follow-up and treatment options have not been previously reported in large cohorts. We sought to determine the clinical and immunological features of CARMIL2 deficiency and long-term efficacy of treatment in controlling different disease manifestations. Methods The presenting phenotypes, long-term outcomes, and treatment responses were evaluated prospectively in 15 CARMIL2-deficient patients, including 13 novel cases. Lymphocyte subpopulations, protein expression, regulatory T (Treg), and circulating T follicular helper (cT(FH)) cells were analyzed. Three-dimensional (3D) migration assay was performed to determine T-cell shape. Results Mean age at disease onset was 38 +/- 23 months. Main clinical features were skin manifestations (n = 14, 93%), failure to thrive (n = 10, 67%), recurrent infections (n = 10, 67%), allergic symptoms (n = 8, 53%), chronic diarrhea (n = 4, 27%), and EBV-related leiomyoma (n = 2, 13%). Skin manifestations ranged from atopic and seborrheic dermatitis to psoriasiform rash. Patients had reduced proportions of memory CD4(+) T cells, Treg, and cT(FH) cells. Memory B and NK cells were also decreased. CARMIL2-deficient T cells exhibited reduced T-cell proliferation and cytokine production following CD28 co-stimulation and normal morphology when migrating in a high-density 3D collagen gel matrix. IBD was the most severe clinical manifestation, leading to growth retardation, requiring multiple interventional treatments. All patients were alive with a median follow-up of 10.8 years (range: 3-17 years). Conclusion This cohort provides clinical and immunological features and long-term follow-up of different manifestations of CARMIL2 deficiency.</description> </descriptions> </resource>
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