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  1. Article ; Online: Complement Activation in 22q11.2 Deletion Syndrome.

    Grinde, Dina / Øverland, Torstein / Lima, Kari / Schjalm, Camilla / Mollnes, Tom Eirik / Abrahamsen, Tore G

    Journal of clinical immunology

    2020  Volume 40, Issue 3, Page(s) 515–523

    Abstract: The 22q11.2 deletion syndrome (22q11.2 del), also known as DiGeorge syndrome, is a genetic disorder with an estimated incidence of 1:3000 to 1:6000 births. These patients may suffer from affection of many organ systems with cardiac malformations, ... ...

    Abstract The 22q11.2 deletion syndrome (22q11.2 del), also known as DiGeorge syndrome, is a genetic disorder with an estimated incidence of 1:3000 to 1:6000 births. These patients may suffer from affection of many organ systems with cardiac malformations, immunodeficiency, hypoparathyroidism, autoimmunity, palate anomalies, and psychiatric disorders being the most frequent. The importance of the complement system in 22q11.2 del has not been investigated. The objective of this study was to evaluate the complement system in relation to clinical and immunological parameters in patients. A national cohort of patients (n = 69) with a proven heterozygous deletion of chromosome 22q11.2 and a group of age and sex matched controls (n = 56) were studied. Functional capacity of the classical, lectin, and alternative pathways of the complement system as well as complement activation products C3bc and terminal complement complex (TCC) were accessed and correlated to clinical features. All patients in our study had normal complement activation in both classical and alternative pathways. The frequency of mannose-binding lectin deficiency was comparable to the normal population. The patients had significantly raised plasma levels of C3bc and a slight, but not significant, increase in TCC compared with controls. This increase was associated with the presence of psychiatric disorders in patients. The present study shows no complement deficiencies in 22q11.2 deletion syndrome. On the contrary, there are signs of increased complement activation in these patients. Complement activation is particularly associated with the presence of psychiatric disorders.
    MeSH term(s) Adolescent ; Child ; Child, Preschool ; Cohort Studies ; Complement Activation/physiology ; Complement C3b ; Complement Membrane Attack Complex/metabolism ; Complement Pathway, Alternative ; DiGeorge Syndrome/epidemiology ; DiGeorge Syndrome/immunology ; Female ; Humans ; Male ; Mental Disorders/epidemiology ; Norway/epidemiology ; Peptide Fragments/blood ; Up-Regulation
    Chemical Substances C3 beta c ; Complement Membrane Attack Complex ; Peptide Fragments ; Complement C3b (80295-43-8)
    Language English
    Publishing date 2020-03-09
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 779361-3
    ISSN 1573-2592 ; 0271-9142
    ISSN (online) 1573-2592
    ISSN 0271-9142
    DOI 10.1007/s10875-020-00766-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Lymphocyte Apoptosis and FAS Expression in Patients with 22q11.2 Deletion Syndrome.

    Aresvik, Dina M / Øverland, Torstein / Lima, Kari / Pettersen, Rolf D / Abrahamsen, Tore G

    Journal of clinical immunology

    2018  Volume 39, Issue 1, Page(s) 65–74

    Abstract: Purpose: Immunodeficiency is one of the key features of 22q11.2 deletion syndrome (del), and it is seen in approximately 75% of the patients. The degree of immunodeficiency varies widely, from no circulating T cells to normal T cell counts. It has been ... ...

    Abstract Purpose: Immunodeficiency is one of the key features of 22q11.2 deletion syndrome (del), and it is seen in approximately 75% of the patients. The degree of immunodeficiency varies widely, from no circulating T cells to normal T cell counts. It has been hypothesized that the low number of T cells may at least in part be due to increased apoptosis of T cells. Increased spontaneous T cell apoptosis has been reported in one patient with 22q11.2del, but this has not been further investigated.
    Methods: A national cohort of patients with a proven heterozygous deletion of chromosome 22q11.2 diagnosed by FISH or MLPA and a group of age and sex matched controls were studied. Spontaneous and activation-induced apoptosis, in addition to FAS expression on lymphocytes, were measured using flow cytometry. Serum levels of FASL were analyzed using ELISA.
    Results: There was no increased spontaneous apoptosis in patients with 22q11.2del. Upon activation, anti-FAS-induced apoptosis was significantly increased in patients compared to those in controls, while there was no difference in activation induced cell death or activated cell autonomous death. We also found a significant increase in expression of FAS on freshly isolated lymphocytes from patients, while there was no difference in serum levels of FASL. Patients with congenital heart defects (CHD) had significantly higher serum levels of FASL compared to non-CHD patients.
    Conclusion: We have shown increased FAS expression on lymphocytes from patients with 22q11.2del as well as increased levels of FASL in patients with CHD. Those changes may contribute to the pathophysiology of the 22q11.2del.
    MeSH term(s) Adolescent ; Apoptosis/immunology ; Child ; Child, Preschool ; Chromosomes, Human, Pair 22/genetics ; Chromosomes, Human, Pair 22/immunology ; DiGeorge Syndrome/genetics ; DiGeorge Syndrome/immunology ; Female ; Humans ; Male ; T-Lymphocytes/immunology ; fas Receptor/genetics
    Chemical Substances FAS protein, human ; fas Receptor
    Language English
    Publishing date 2018-12-19
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 779361-3
    ISSN 1573-2592 ; 0271-9142
    ISSN (online) 1573-2592
    ISSN 0271-9142
    DOI 10.1007/s10875-018-0579-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Neonatal Levels of T-cell Receptor Excision Circles (TREC) in Patients with 22q11.2 Deletion Syndrome and Later Disease Features.

    Gul, Kiran A / Øverland, Torstein / Osnes, Liv / Baumbusch, Lars O / Pettersen, Rolf D / Lima, Kari / Abrahamsen, Tore G

    Journal of clinical immunology

    2015  Volume 35, Issue 4, Page(s) 408–415

    Abstract: Purpose: Newborns with severe T-cell lymphopenia, including those with 22q11.2 deletion syndrome (DS), have low numbers of T-cell receptor excision circles (TRECs). The aim of this study was to determine a possible correlation between neonatal TRECs in ... ...

    Abstract Purpose: Newborns with severe T-cell lymphopenia, including those with 22q11.2 deletion syndrome (DS), have low numbers of T-cell receptor excision circles (TRECs). The aim of this study was to determine a possible correlation between neonatal TRECs in 22q11.2DS and the development of different phenotypes to elucidate the prognostic value of TREC in this disease.
    Methods: In this national survey including 46 patients with 22q11.2DS born after 2005, TREC levels were determined using stored newborn screening blood spots on filter cards. Patients were grouped into quartiles according to their TREC values, except the two infants with thymus aplasia.
    Results: The two patients with thymic aplasia had no detectable TREC. The rest had no severe clinical immunodeficiency. There was a significant correlation between low TRECs and the proportion of patients with CD3(+)CD4(+)T-cells below the 5th percentile of healthy infants (p = 0.027) as well as the proportion with an abnormal thymus feature either no thymus or remnant thymus as observed during heart surgery (p = 0.022). Significantly lower TRECs (p = 0.019) were found in patients with cardiac defects compared to no such defects. Patients within the lowest quartile of TREC values (<71 TRECs/μL, n = 11) had more frequent severe cardiac defects than the other quartiles (p = 0.010). Eight of these patients in the lowest quartile needed an operation/intervention within two weeks after birth or died because of a cardiac defect.
    Conclusion: The low TREC values not only correlate with decreased T-cell immunity, but also with the occurrence of heart defects in the patients.
    MeSH term(s) Chromosome Deletion ; DNA, Circular/blood ; DNA, Circular/genetics ; DiGeorge Syndrome/blood ; DiGeorge Syndrome/complications ; DiGeorge Syndrome/diagnosis ; DiGeorge Syndrome/genetics ; Female ; Heart Defects, Congenital ; Humans ; Immunophenotyping ; Infant, Newborn ; Infection/etiology ; Male ; Organ Size ; Receptors, Antigen, T-Cell/blood ; Receptors, Antigen, T-Cell/genetics ; T-Lymphocyte Subsets/metabolism ; Thymus Gland/pathology
    Chemical Substances DNA, Circular ; Receptors, Antigen, T-Cell
    Language English
    Publishing date 2015-05
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 779361-3
    ISSN 1573-2592 ; 0271-9142
    ISSN (online) 1573-2592
    ISSN 0271-9142
    DOI 10.1007/s10875-015-0153-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Second-Tier Next Generation Sequencing Integrated in Nationwide Newborn Screening Provides Rapid Molecular Diagnostics of Severe Combined Immunodeficiency.

    Strand, Janne / Gul, Kiran Aftab / Erichsen, Hans Christian / Lundman, Emma / Berge, Mona C / Trømborg, Anette K / Sørgjerd, Linda K / Ytre-Arne, Mari / Hogner, Silje / Halsne, Ruth / Gaup, Hege Junita / Osnes, Liv T / Kro, Grete A B / Sorte, Hanne S / Mørkrid, Lars / Rowe, Alexander D / Tangeraas, Trine / Jørgensen, Jens V / Alme, Charlotte /
    Bjørndalen, Trude E H / Rønnestad, Arild E / Lang, Astri M / Rootwelt, Terje / Buechner, Jochen / Øverland, Torstein / Abrahamsen, Tore G / Pettersen, Rolf D / Stray-Pedersen, Asbjørg

    Frontiers in immunology

    2020  Volume 11, Page(s) 1417

    Abstract: Severe combined immunodeficiency (SCID) and other T cell lymphopenias can be detected during newborn screening (NBS) by measuring T cell receptor excision circles (TRECs) in dried blood spot (DBS) DNA. Second tier next generation sequencing (NGS) with an ...

    Abstract Severe combined immunodeficiency (SCID) and other T cell lymphopenias can be detected during newborn screening (NBS) by measuring T cell receptor excision circles (TRECs) in dried blood spot (DBS) DNA. Second tier next generation sequencing (NGS) with an amplicon based targeted gene panel using the same DBS DNA was introduced as part of our prospective pilot research project in 2015. With
    MeSH term(s) Biomarkers/blood ; Cell-Free Nucleic Acids/blood ; DNA, Circular/blood ; Dried Blood Spot Testing/methods ; Early Diagnosis ; Female ; High-Throughput Nucleotide Sequencing/methods ; Humans ; Infant, Newborn ; Male ; Neonatal Screening/methods ; Prospective Studies ; Severe Combined Immunodeficiency/diagnosis
    Chemical Substances Biomarkers ; Cell-Free Nucleic Acids ; DNA, Circular
    Language English
    Publishing date 2020-07-09
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2606827-8
    ISSN 1664-3224 ; 1664-3224
    ISSN (online) 1664-3224
    ISSN 1664-3224
    DOI 10.3389/fimmu.2020.01417
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: A potential founder variant in

    Sorte, Hanne S / Osnes, Liv T / Fevang, Børre / Aukrust, Pål / Erichsen, Hans C / Backe, Paul H / Abrahamsen, Tore G / Kittang, Ole B / Øverland, Torstein / Jhangiani, Shalini N / Muzny, Donna M / Vigeland, Magnus D / Samarakoon, Pubudu / Gambin, Tomasz / Akdemir, Zeynep H C / Gibbs, Richard A / Rødningen, Olaug K / Lyle, Robert / Lupski, James R /
    Stray-Pedersen, Asbjørg

    Molecular genetics & genomic medicine

    2016  Volume 4, Issue 6, Page(s) 604–616

    Abstract: Background: Four patients from three Norwegian families presented with a common skin phenotype of warts, molluscum contagiosum, and dermatitis since early childhood, and various other immunological features. Warts are a common manifestation of : ... ...

    Abstract Background: Four patients from three Norwegian families presented with a common skin phenotype of warts, molluscum contagiosum, and dermatitis since early childhood, and various other immunological features. Warts are a common manifestation of
    Methods and results: The four patients were exome sequenced as part of a larger study for detecting genetic causes of primary immunodeficiencies. No disease-causing variants were identified in known primary immunodeficiency genes or in other disease-related OMIM genes. However, the same homozygous missense variant in
    Conclusions: We report a novel primary immunodeficiency, and a differential molecular diagnosis to
    Language English
    Publishing date 2016-09-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2734884-2
    ISSN 2324-9269
    ISSN 2324-9269
    DOI 10.1002/mgg3.237
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Primary immunodeficiency diseases: Genomic approaches delineate heterogeneous Mendelian disorders.

    Stray-Pedersen, Asbjørg / Sorte, Hanne Sørmo / Samarakoon, Pubudu / Gambin, Tomasz / Chinn, Ivan K / Coban Akdemir, Zeynep H / Erichsen, Hans Christian / Forbes, Lisa R / Gu, Shen / Yuan, Bo / Jhangiani, Shalini N / Muzny, Donna M / Rødningen, Olaug Kristin / Sheng, Ying / Nicholas, Sarah K / Noroski, Lenora M / Seeborg, Filiz O / Davis, Carla M / Canter, Debra L /
    Mace, Emily M / Vece, Timothy J / Allen, Carl E / Abhyankar, Harshal A / Boone, Philip M / Beck, Christine R / Wiszniewski, Wojciech / Fevang, Børre / Aukrust, Pål / Tjønnfjord, Geir E / Gedde-Dahl, Tobias / Hjorth-Hansen, Henrik / Dybedal, Ingunn / Nordøy, Ingvild / Jørgensen, Silje F / Abrahamsen, Tore G / Øverland, Torstein / Bechensteen, Anne Grete / Skogen, Vegard / Osnes, Liv T N / Kulseth, Mari Ann / Prescott, Trine E / Rustad, Cecilie F / Heimdal, Ketil R / Belmont, John W / Rider, Nicholas L / Chinen, Javier / Cao, Tram N / Smith, Eric A / Caldirola, Maria Soledad / Bezrodnik, Liliana / Lugo Reyes, Saul Oswaldo / Espinosa Rosales, Francisco J / Guerrero-Cursaru, Nina Denisse / Pedroza, Luis Alberto / Poli, Cecilia M / Franco, Jose L / Trujillo Vargas, Claudia M / Aldave Becerra, Juan Carlos / Wright, Nicola / Issekutz, Thomas B / Issekutz, Andrew C / Abbott, Jordan / Caldwell, Jason W / Bayer, Diana K / Chan, Alice Y / Aiuti, Alessandro / Cancrini, Caterina / Holmberg, Eva / West, Christina / Burstedt, Magnus / Karaca, Ender / Yesil, Gözde / Artac, Hasibe / Bayram, Yavuz / Atik, Mehmed Musa / Eldomery, Mohammad K / Ehlayel, Mohammad S / Jolles, Stephen / Flatø, Berit / Bertuch, Alison A / Hanson, I Celine / Zhang, Victor W / Wong, Lee-Jun / Hu, Jianhong / Walkiewicz, Magdalena / Yang, Yaping / Eng, Christine M / Boerwinkle, Eric / Gibbs, Richard A / Shearer, William T / Lyle, Robert / Orange, Jordan S / Lupski, James R

    The Journal of allergy and clinical immunology

    2016  Volume 139, Issue 1, Page(s) 232–245

    Abstract: Background: Primary immunodeficiency diseases (PIDDs) are clinically and genetically heterogeneous disorders thus far associated with mutations in more than 300 genes. The clinical phenotypes derived from distinct genotypes can overlap. Genetic etiology ...

    Abstract Background: Primary immunodeficiency diseases (PIDDs) are clinically and genetically heterogeneous disorders thus far associated with mutations in more than 300 genes. The clinical phenotypes derived from distinct genotypes can overlap. Genetic etiology can be a prognostic indicator of disease severity and can influence treatment decisions.
    Objective: We sought to investigate the ability of whole-exome screening methods to detect disease-causing variants in patients with PIDDs.
    Methods: Patients with PIDDs from 278 families from 22 countries were investigated by using whole-exome sequencing. Computational copy number variant (CNV) prediction pipelines and an exome-tiling chromosomal microarray were also applied to identify intragenic CNVs. Analytic approaches initially focused on 475 known or candidate PIDD genes but were nonexclusive and further tailored based on clinical data, family history, and immunophenotyping.
    Results: A likely molecular diagnosis was achieved in 110 (40%) unrelated probands. Clinical diagnosis was revised in about half (60/110) and management was directly altered in nearly a quarter (26/110) of families based on molecular findings. Twelve PIDD-causing CNVs were detected, including 7 smaller than 30 Kb that would not have been detected with conventional diagnostic CNV arrays.
    Conclusion: This high-throughput genomic approach enabled detection of disease-related variants in unexpected genes; permitted detection of low-grade constitutional, somatic, and revertant mosaicism; and provided evidence of a mutational burden in mixed PIDD immunophenotypes.
    MeSH term(s) Adolescent ; Adult ; Aged ; Child ; Child, Preschool ; DNA Copy Number Variations ; Female ; Genomics ; High-Throughput Nucleotide Sequencing ; Humans ; Immunologic Deficiency Syndromes/genetics ; Infant ; Male ; Middle Aged ; Young Adult
    Language English
    Publishing date 2016-07-16
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 121011-7
    ISSN 1097-6825 ; 1085-8725 ; 0091-6749
    ISSN (online) 1097-6825 ; 1085-8725
    ISSN 0091-6749
    DOI 10.1016/j.jaci.2016.05.042
    Database MEDical Literature Analysis and Retrieval System OnLINE

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