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Yakici, Nalan; Kreins, Alexandra Y.; Catak, Mehmet Cihangir; Babayeva, Royala; Erman, Baran; Kenney, Heather; Gungor, Hatice Eke; Cea, Pablo A.; Kawai, Tomoki; Bosticardo, Marita; Delmonte, Ottavia Maria; Adams, Stuart; Fan, Yu-Tong; Pala, Francesca; Turkyilmaz, Ayberk; Howley, Evey; Worth, Austen; Kot, Hakan; Sefer, Asena Pinar; Kara, Altan
{ "DOI": "10.1016/j.clim.2023.109757", "abstract": "<p>Paired box 1 (PAX1) deficiency has been reported in a small number of patients diagnosed with otofaciocervical syndrome type 2 (OFCS2). We described six new patients who demonstrated variable clinical penetrance. Reduced transcriptional activity of pathogenic variants confirmed partial or complete PAX1 deficiency. Thymic aplasia and hypoplasia were associated with impaired T cell immunity. Corrective treatment was required in 4/6 patients. Hematopoietic stem cell transplantation resulted in poor immune reconstitution with absent naive T cells, contrasting with the superior recovery of T cell immunity after thymus transplantation. Normal ex vivo differentiation of PAX1-deficient CD34+ cells into mature T cells demonstrated the absence of a hematopoietic cell-intrinsic defect. New overlapping features with DiGeorge syndrome included primary hypoparathyroidism (n = 5) and congenital heart defects (n = 2), in line with PAX1 expression during early embryogenesis. Our results highlight new features of PAX1 deficiency, which are relevant to improving early diagnosis and identifying patients requiring corrective treatment.</p>", "author": [ { "family": "Yakici", "given": " Nalan" }, { "family": "Kreins", "given": " Alexandra Y." }, { "family": "Catak", "given": " Mehmet Cihangir" }, { "family": "Babayeva", "given": " Royala" }, { "family": "Erman", "given": " Baran" }, { "family": "Kenney", "given": " Heather" }, { "family": "Gungor", "given": " Hatice Eke" }, { "family": "Cea", "given": " Pablo A." }, { "family": "Kawai", "given": " Tomoki" }, { "family": "Bosticardo", "given": " Marita" }, { "family": "Delmonte", "given": " Ottavia Maria" }, { "family": "Adams", "given": " Stuart" }, { "family": "Fan", "given": " Yu-Tong" }, { "family": "Pala", "given": " Francesca" }, { "family": "Turkyilmaz", "given": " Ayberk" }, { "family": "Howley", "given": " Evey" }, { "family": "Worth", "given": " Austen" }, { "family": "Kot", "given": " Hakan" }, { "family": "Sefer", "given": " Asena Pinar" }, { "family": "Kara", "given": " Altan" } ], "container_title": "CLINICAL IMMUNOLOGY", "id": "265012", "issued": { "date-parts": [ [ 2023, 1, 1 ] ] }, "page": "14", "title": "Expanding the clinical and immunological phenotypes of PAX1-deficient SCID and CID patients", "type": "article-journal", "volume": "255" }
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