Dergi makalesi Açık Erişim
Leiding, Jennifer W.; Vogel, Tiphanie P.; Santarlas, Valentine G. J.; Mhaskar, Rahul; Smith, Madison R.; Carisey, Alexandre; Vargas-Hernandez, Alexander; Silva-Carmona, Manuel; Heeg, Maximilian; Rensing-Ehl, Anne; Neven, Benedicte; Hadjadj, Jerome; Hambleton, Sophie; Leahy, Timothy Ronan; Meesilpavikai, Kornvalee; Cunningham-Rundles, Charlotte; Dutmer, Cullen M.; Sharapova, Svetlana O.; Taskinen, Mervi; Chua, Ignatius
<?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/269722</identifier> <creators> <creator> <creatorName>Leiding, Jennifer W.</creatorName> <givenName>Jennifer W.</givenName> <familyName>Leiding</familyName> </creator> <creator> <creatorName>Vogel, Tiphanie P.</creatorName> <givenName>Tiphanie P.</givenName> <familyName>Vogel</familyName> </creator> <creator> <creatorName>Santarlas, Valentine G. J.</creatorName> <givenName>Valentine G. J.</givenName> <familyName>Santarlas</familyName> <affiliation>Lake Erie Coll Osteopath Med, Erie, PA USA</affiliation> </creator> <creator> <creatorName>Mhaskar, Rahul</creatorName> <givenName>Rahul</givenName> <familyName>Mhaskar</familyName> <affiliation>Univ S Florida, Dept Internal Med, Morsani Coll Med, Tampa, FL USA</affiliation> </creator> <creator> <creatorName>Smith, Madison R.</creatorName> <givenName>Madison R.</givenName> <familyName>Smith</familyName> </creator> <creator> <creatorName>Carisey, Alexandre</creatorName> <givenName>Alexandre</givenName> <familyName>Carisey</familyName> <affiliation>St Jude Childrens Res Hosp, Dept Cell & Mol Biol, Memphis, TN USA</affiliation> </creator> <creator> <creatorName>Vargas-Hernandez, Alexander</creatorName> <givenName>Alexander</givenName> <familyName>Vargas-Hernandez</familyName> </creator> <creator> <creatorName>Silva-Carmona, Manuel</creatorName> <givenName>Manuel</givenName> <familyName>Silva-Carmona</familyName> <affiliation>Texas Childrens Hosp, Baylor Coll Med, Dept Pediat, Houston, TX USA</affiliation> </creator> <creator> <creatorName>Heeg, Maximilian</creatorName> <givenName>Maximilian</givenName> <familyName>Heeg</familyName> <affiliation>Univ Freiburg, Med Ctr, Fac Med, Inst Immunodeficiency,Ctr Chron Immunodeficiency, Freiburg, Germany</affiliation> </creator> <creator> <creatorName>Rensing-Ehl, Anne</creatorName> <givenName>Anne</givenName> <familyName>Rensing-Ehl</familyName> <affiliation>Univ Freiburg, Med Ctr, Fac Med, Inst Immunodeficiency,Ctr Chron Immunodeficiency, Freiburg, Germany</affiliation> </creator> <creator> <creatorName>Neven, Benedicte</creatorName> <givenName>Benedicte</givenName> <familyName>Neven</familyName> <affiliation>Inst Imagine, INSERM, UMR 1163, Lab Immunogenet Pediat Autoimmune Dis, Paris, France</affiliation> </creator> <creator> <creatorName>Hadjadj, Jerome</creatorName> <givenName>Jerome</givenName> <familyName>Hadjadj</familyName> <affiliation>Inst Imagine, INSERM, UMR 1163, Lab Immunogenet Pediat Autoimmune Dis, Paris, France</affiliation> </creator> <creator> <creatorName>Hambleton, Sophie</creatorName> <givenName>Sophie</givenName> <familyName>Hambleton</familyName> <affiliation>Newcastle Univ, Translat & Clin Res Inst, Newcastle Upon Tyne, Tyne & Wear, England</affiliation> </creator> <creator> <creatorName>Leahy, Timothy Ronan</creatorName> <givenName>Timothy Ronan</givenName> <familyName>Leahy</familyName> <affiliation>Childrens Hlth Ireland Crumlin, Dublin, Ireland</affiliation> </creator> <creator> <creatorName>Meesilpavikai, Kornvalee</creatorName> <givenName>Kornvalee</givenName> <familyName>Meesilpavikai</familyName> </creator> <creator> <creatorName>Cunningham-Rundles, Charlotte</creatorName> <givenName>Charlotte</givenName> <familyName>Cunningham-Rundles</familyName> <affiliation>Mt Sinai Sch Med, Dept Med, New York, NY USA</affiliation> </creator> <creator> <creatorName>Dutmer, Cullen M.</creatorName> <givenName>Cullen M.</givenName> <familyName>Dutmer</familyName> <affiliation>Univ Colorado, Sch Med, Childrens Hosp Colorado, Aurora, CO USA</affiliation> </creator> <creator> <creatorName>Sharapova, Svetlana O.</creatorName> <givenName>Svetlana O.</givenName> <familyName>Sharapova</familyName> <affiliation>Belarusian Res Ctr Pediat Oncol Hematol & Immunol, Minsk, BELARUS</affiliation> </creator> <creator> <creatorName>Taskinen, Mervi</creatorName> <givenName>Mervi</givenName> <familyName>Taskinen</familyName> </creator> <creator> <creatorName>Chua, Ignatius</creatorName> <givenName>Ignatius</givenName> <familyName>Chua</familyName> </creator> </creators> <titles> <title>Monogenic Early-Onset Lymphoproliferation And Autoimmunity: Natural History Of Stat3 Gain-Of-Function Syndrome</title> </titles> <publisher>Aperta</publisher> <publicationYear>2023</publicationYear> <dates> <date dateType="Issued">2023-01-01</date> </dates> <resourceType resourceTypeGeneral="Text">Journal article</resourceType> <alternateIdentifiers> <alternateIdentifier alternateIdentifierType="url">https://aperta.ulakbim.gov.tr/record/269722</alternateIdentifier> </alternateIdentifiers> <relatedIdentifiers> <relatedIdentifier relatedIdentifierType="DOI" relationType="IsIdenticalTo">10.1016/j.jaci.2022.09.002</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"><p>Background: In 2014, germline signal transducer and activator of transcription (STAT) 3 gain-of-function (GOF) mutations were first described to cause a novel multisystem disease of early-onset lymphoproliferation and autoimmunity. Objective: This pivotal cohort study defines the scope, natural history, treatment, and overall survival of a large global cohort of patients with pathogenic STAT3 GOF variants. Methods: We identified 191 patients from 33 countries with 72 unique mutations. Inclusion criteria included symptoms of immune dysregulation and a biochemically confirmed germline heterozygous GOF variant in STAT3. Results: Overall survival was 88%, median age at onset of symptoms was 2.3 years, and median age at diagnosis was 12 years. Immune dysregulatory features were present in all patients: lymphoproliferation was the most common manifestation (73%); increased frequencies of double-negative (CD4-CD8-) T cells were found in 83% of patients tested. Autoimmune cytopenias were the second most common clinical manifestation (67%), followed by growth delay, enteropathy, skin disease, pulmonary disease, endocrinopathy, arthritis, autoimmune hepatitis, neurologic disease, vasculopathy, renal disease, and malignancy. Infections were reported in 72% of the cohort. A cellular and humoral immunodeficiency was observed in 37% and 51% of patients, respectively. Clinical symptoms dramatically improved in patients treated with JAK inhibitors, while a variety of other immunomodulatory treatment modalities were less efficacious. Thus far, 23 patients have undergone bone marrow transplantation, with a 62% survival rate. Conclusion: : STAT3 GOF patients present with a wide array of immune-mediated disease including lymphoproliferation, autoimmune cytopenias, and multisystem autoimmunity. Patient care tends to be siloed, without a clear treatment strategy. Thus, early identification and prompt treatment implementation are lifesaving for STAT3 GOF syndrome. (J Allergy Clin Immunol 2023;151:1081-95.)</p></description> </descriptions> </resource>
Görüntülenme | 0 |
İndirme | 0 |
Veri hacmi | 0 Bytes |
Tekil görüntülenme | 0 |
Tekil indirme | 0 |