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  1. Article: Expanding the Phenotypic and Genotypic Spectrum of Weaver Syndrome: A Missense Variant of the

    Kendir-Demirkol, Yasemin / Yeter, Burcu / Jenny, Laura A

    Molecular syndromology

    2023  Volume 15, Issue 2, Page(s) 161–166

    Abstract: Introduction: Weaver syndrome (WS) is a rare autosomal dominant disorder characterized by distinctive facial features, pre- and post-natal overgrowth, macrocephaly, and variable developmental delay. The characteristic facial features are ocular ... ...

    Abstract Introduction: Weaver syndrome (WS) is a rare autosomal dominant disorder characterized by distinctive facial features, pre- and post-natal overgrowth, macrocephaly, and variable developmental delay. The characteristic facial features are ocular hypertelorism, a broad forehead, almond-shaped palpebral fissures and, in early childhood, large, fleshy ears, a pointed "stuck-on" chin with horizontal skin creases, and retrognathia. Heterozygous pathogenic/likely pathogenic variants in the enhancer of zeste homolog 2 (
    Case presentation: Here, we report a male patient with a heterozygous likely pathogenic variant in EZH2 gene who has tall stature, distinctive facial features, mild development delay, hypoxic-ischemic encephalopathy with a MRI finding of periventricular leukomalacia, gingival hypertrophy, and early onset high hypermetropia.
    Conclusion: This case demonstrates the importance of reporting detailed molecular and clinical findings in patients to expand the genotypic and phenotypic findings of this rare syndrome.
    Language English
    Publishing date 2023-09-28
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2546218-0
    ISSN 1661-8777 ; 1661-8769
    ISSN (online) 1661-8777
    ISSN 1661-8769
    DOI 10.1159/000533733
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Evaluation of common NLRP3 Q703K variant in pediatric patients with autoinflammatory disease: CAPS and PFAPA.

    Kendir-Demirkol, Yasemin / Jenny, Laura A / Demir, Ferhat / Sözeri, Betül

    The Turkish journal of pediatrics

    2023  Volume 65, Issue 4, Page(s) 650–660

    Abstract: Background: Gain-of-function mutations of the NLR family pyrin domain containing 3 (NLRP3) gene have been implicated in autoinflammatory diseases. The NLRP3 Q703K variant is a common variant associated with Cryopyrin-associated periodic syndromes (CAPS) ...

    Abstract Background: Gain-of-function mutations of the NLR family pyrin domain containing 3 (NLRP3) gene have been implicated in autoinflammatory diseases. The NLRP3 Q703K variant is a common variant associated with Cryopyrin-associated periodic syndromes (CAPS) and periodic fever, aphthous stomatitis, pharyngitis and cervical adenitis (PFAPA) syndrome. However, the genotype-phenotype correlation between NLRP3 Q703K variant, CAPS and PFAPA is unclear. In this study, we aimed to investigate the frequency of the NLRP3 Q703K variant in patients with and without autoinflammatory disease and characterize the phenotype in only Q703K variant positive patients.
    Methods: A retrospective analysis of 639 patients with autoinflammatory symptoms was conducted. Patients underwent next-generation sequencing (NGS) panel analysis of 16 genes, including NLRP3. For the 68 patients carrying the only Q703K variant, their clinical and demographic information was evaluated. Genetic data from 1461 patients without autoinflammatory symptoms were used as the control group.
    Results: Of our 639 autoinflammatory symptomatic patients, the Q703K mutation was detected in 68 (5.3% allele frequency). Heterozygous mutations were detected in 141 patients without autoinflammatory symptoms (4.8% allele frequency, p=0.4887). Of the patients with variant in Q703K, 10 patients were diagnosed with CAPS , 7 patients were diagnosed with PFAPA and the remaining 39 were diagnosed with undefined systemic autoinflammatory disease (uSAID) Conclusions. The Q703K variant, which is seen with similar frequency in the control and autoinflammatory groups, is also of higher prevalence in patients with mild CAPS symptoms and PFAPA syndrome. This variant, together with other undetected genetic variants or epigenetic modifications, may be responsible for the corresponding phenotype. As such, it is essential for clinicians to evaluate their patients using both genetic and clinical evaluations.
    MeSH term(s) Humans ; Cryopyrin-Associated Periodic Syndromes/diagnosis ; Cryopyrin-Associated Periodic Syndromes/genetics ; Gene Frequency ; Heterozygote ; Lymphadenopathy/genetics ; NLR Family, Pyrin Domain-Containing 3 Protein/genetics ; Pharyngitis/genetics ; Retrospective Studies
    Chemical Substances NLR Family, Pyrin Domain-Containing 3 Protein ; NLRP3 protein, human
    Language English
    Publishing date 2023-08-28
    Publishing country Turkey
    Document type Journal Article
    ZDB-ID 123487-0
    ISSN 2791-6421 ; 0041-4301
    ISSN (online) 2791-6421
    ISSN 0041-4301
    DOI 10.24953/turkjped.2023.166
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: The Protective Effects of Pyridoxine on Linezolid-Induced Hematological Toxicity, Hepatotoxicity, and Oxidative Stress in Rats.

    Kendir-Demirkol, Yasemin / Jenny, Laura A / Demirkol, Aykut / Özen, Metahan / Ayata, Ali / Canatan, Duran

    Turkish archives of pediatrics

    2023  Volume 58, Issue 3, Page(s) 298–301

    Abstract: Objective: Linezolid is often used to treat antibacterial-resistant infections. Linezolid can cause side effects. To date, the effectiveness of the simultaneous administration of pyridoxine and linezolid is unclear. Here we investigate the protective ... ...

    Abstract Objective: Linezolid is often used to treat antibacterial-resistant infections. Linezolid can cause side effects. To date, the effectiveness of the simultaneous administration of pyridoxine and linezolid is unclear. Here we investigate the protective effect of pyridoxine on linezolid-induced hematological toxicity, hepatotoxicity, and oxidative stress in rats.
    Material and methods: The 40 male pediatric Spraque-Dawley rats were separated into 4 groups: control, linezolid, pyridoxine, and linezolid-pyridoxine. A complete blood count, liver function test, and measurements of antioxidant enzyme activities for superoxide dismutase, glutathione peroxidase, catalase, and lipid peroxidation were performed in blood before treatment and 2 weeks after administration of the treatment.
    Results: White blood cell and hemoglobin counts for the linezolid group decreased, and the alanine aminotransferase level in the linezolid group increased compared to their respective baseline values. Post-treatment white blood cell decreased in the linezolid and linezolid- pyridoxine groups compared to those in the control group (P < .001). Alanine aminotransferase levels increased in the linezolid and linezolid-pyridoxine groups compared to those in the control group (P < .001 and P < .05, respectively). The activity of superoxide dismutase, catalase, glutathione peroxidase, and malondialdehyde levels increased in the linezolid group compared to the control group (P < .001, P < .05, P < .001, and P < .001, respectively). Linezolid plus pyridoxine treatment caused a significant decrease in malondialdehyde levels and superoxide dismutase, catalase, and glutathione peroxidase enzyme activities compared to the linezolid group (P < .001, P < .01, P < .001, and P < .01, respectively).
    Conclusion: Pyridoxine may be an effective adjuvant agent for the prevention of linezolid toxicity in rat models.
    Language English
    Publishing date 2023-04-18
    Publishing country Turkey
    Document type Journal Article
    ISSN 2757-6256
    ISSN 2757-6256
    DOI 10.5152/TurkArchPediatr.2023.21363
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Immune Reconstitution Inflammatory Syndrome After Hematopoietic Stem Cell Transplantation in a FOXN1 -deficient Patient.

    Corbali, Osman / Gemici Karaaslan, Hatice Betul / Aydemir, Sezin / Onal, Pinar / Kendir Demirkol, Yasemin / Nepesov, Serdar / Kiykim, Ayca / Cokugras, Haluk

    Journal of pediatric hematology/oncology

    2023  Volume 45, Issue 5, Page(s) 275–277

    Abstract: The FOXN1 gene mutation is a unique disorder that causes the nude severe combined immunodeficiency phenotype. In patients with severe combined immunodeficiency, hematopoietic stem cell transplantation (HSCT) is life-saving if performed earlier. Thymic ... ...

    Abstract The FOXN1 gene mutation is a unique disorder that causes the nude severe combined immunodeficiency phenotype. In patients with severe combined immunodeficiency, hematopoietic stem cell transplantation (HSCT) is life-saving if performed earlier. Thymic transplantation is the curative treatment for FOXN1 deficiency because the main pathology is thymic stromal changes. In this report, we describe the clinical features of a Turkish patient with a homozygous FOXN1 mutation treated with HSCT from his human leukocyte antigen-matched sibling. On follow-up, he showed Bacille Calmette Guerin adenitis and was evaluated as having immune reconstitution inflammatory syndrome. By presenting our patient, we aimed to draw attention to the development of HSCT and subsequent immune reconstitution inflammatory syndrome as a treatment option in patients with FOXN1 deficiency.
    MeSH term(s) Humans ; Male ; Hematopoietic Stem Cell Transplantation/adverse effects ; Immune Reconstitution Inflammatory Syndrome/etiology ; Phenotype ; Severe Combined Immunodeficiency/genetics ; Severe Combined Immunodeficiency/therapy ; Thymus Gland ; Infant
    Language English
    Publishing date 2023-05-01
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 1231152-2
    ISSN 1536-3678 ; 1077-4114 ; 0192-8562
    ISSN (online) 1536-3678
    ISSN 1077-4114 ; 0192-8562
    DOI 10.1097/MPH.0000000000002677
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Lack of NAD(P)+ transhydrogenase activity in patients with primary adrenal insufficiency due to NNT variants.

    Francisco, Annelise / Goler, Ayse Mine Yilmaz / Navarro, Claudia Daniele Carvalho / Onder, Asan / Yildiz, Melek / Kendir Demirkol, Yasemin / Karademir Yilmaz, Betul / Seven Menevse, Tuba / Güran, Tülay / Castilho, Roger Frigério

    European journal of endocrinology

    2024  Volume 190, Issue 2, Page(s) 130–138

    Abstract: Background: Pathogenic variants in the nicotinamide nucleotide transhydrogenase gene (NNT) are a rare cause of primary adrenal insufficiency (PAI), as well as functional impairment of the gonads.: Objective: Despite the description of different ... ...

    Abstract Background: Pathogenic variants in the nicotinamide nucleotide transhydrogenase gene (NNT) are a rare cause of primary adrenal insufficiency (PAI), as well as functional impairment of the gonads.
    Objective: Despite the description of different homozygous and compound heterozygous NNT variants in PAI patients, the extent to which the function and expression of the mature protein are compromised remains to be clarified.
    Design: The activity and expression of mitochondrial NAD(P)+ transhydrogenase (NNT) were analyzed in blood samples obtained from patients diagnosed with PAI due to genetically confirmed variants of the NNT gene (n = 5), heterozygous carriers as their parents (n = 8), and healthy controls (n = 26).
    Methods: NNT activity was assessed by a reverse reaction assay standardized for digitonin-permeabilized peripheral blood mononuclear cells (PBMCs). The enzymatic assay was validated in PBMC samples from a mouse model of NNT absence. Additionally, the PBMC samples were evaluated for NNT expression by western blotting and reverse transcription quantitative polymerase chain reaction and for mitochondrial oxygen consumption.
    Results: NNT activity was undetectable (<4% of that of healthy controls) in PBMC samples from patients, independent of the pathogenic genetic variant. In patients' parents, NNT activity was approximately half that of the healthy controls. Mature NNT protein expression was lower in patients than in the control groups, while mRNA levels varied widely among genotypes. Moreover, pathogenic NNT variants did not impair mitochondrial bioenergetic function in PBMCs.
    Conclusions: The manifestation of PAI in NNT-mutated patients is associated with a complete lack of NNT activity. Evaluation of NNT activity can be useful to characterize disease-causing NNT variants.
    MeSH term(s) Animals ; Humans ; Mice ; Addison Disease ; Leukocytes, Mononuclear/metabolism ; Mitochondrial Proteins/genetics ; Mitochondrial Proteins/metabolism ; NAD ; NADP Transhydrogenase, AB-Specific/genetics ; NADP Transhydrogenase, AB-Specific/metabolism ; NADP Transhydrogenases/genetics ; NADP Transhydrogenases/metabolism
    Chemical Substances Mitochondrial Proteins ; NAD (0U46U6E8UK) ; NADP Transhydrogenase, AB-Specific (EC 1.6.1.2) ; NADP Transhydrogenases (EC 1.6.1.-) ; NNT protein, human (EC 1.6.1.2)
    Language English
    Publishing date 2024-02-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 1183856-5
    ISSN 1479-683X ; 0804-4643
    ISSN (online) 1479-683X
    ISSN 0804-4643
    DOI 10.1093/ejendo/lvae011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Johanson-Blizzard's Syndrome with a Novel

    Demir, Damla / Kendir Demirkol, Yasemin / Gerenli, Nelgin / Aktaş Karabay, Ezgi

    Journal of pediatric genetics

    2020  Volume 11, Issue 2, Page(s) 147–150

    Abstract: Johanson-Blizzard syndrome (JBS) is a rare autosomal recessive genetic disorder, characterized by exocrine pancreatic insufficiency, a distinct abnormal facial appearance and varying degrees of growth retardation. Ubiquitin protein ligase E3 component n- ... ...

    Abstract Johanson-Blizzard syndrome (JBS) is a rare autosomal recessive genetic disorder, characterized by exocrine pancreatic insufficiency, a distinct abnormal facial appearance and varying degrees of growth retardation. Ubiquitin protein ligase E3 component n-recognin 1 (
    Language English
    Publishing date 2020-09-04
    Publishing country Germany
    Document type Case Reports
    ISSN 2146-4596
    ISSN 2146-4596
    DOI 10.1055/s-0040-1716331
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Familial early-onset obesity in Turkish children: variants and polymorphisms in the melanocortin-4 receptor (MC4R) gene.

    Kırmızıbekmez, Heves / Kendir Demirkol, Yasemin / Akgün Doğan, Özlem / Seymen, Gülcan / İnan Balcı, Elif / Atla, Pınar / Dursun, Fatma

    Journal of pediatric endocrinology & metabolism : JPEM

    2022  Volume 35, Issue 5, Page(s) 657–662

    Abstract: Objectives: Genetic factors have a key role in childhood obesity with higher rates in children than adults. Among the monogenic types of non-syndromic obesity, melanocortin-4 receptor (MC4R) deficiency is the most frequent cause. Beside pathogenic ... ...

    Abstract Objectives: Genetic factors have a key role in childhood obesity with higher rates in children than adults. Among the monogenic types of non-syndromic obesity, melanocortin-4 receptor (MC4R) deficiency is the most frequent cause. Beside pathogenic variants, single-nucleotide polymorphisms in MC4R gene are also associated with lower energy expenditure. The aim of this study was to estimate the frequency of MC4R variants and polymorphisms in a cohort of Turkish children and adolescents with severe early-onset obesity, and to understand the clinical features of patients.
    Methods: Patients, 1-17 years of age, with the onset of obesity before 10 years of age and a body mass index (BMI) standard deviation score (SDS) of >2.3, and who had a family history of early-onset obesity in at least one of their first-degree relatives were included in the study. Beside routine blood tests genetic analyses for MC4R gene were performed.
    Results: Analyses of MC4R revealed previously known variations in three (3.5%) patients, and pathogenic polymorphisms related with obesity in four (4.7%) patients. BMI SDS values were between 2.8 and 5.5 SDS in the pathogenic variant carrier group, and 2.8-4.9 SDS in the polymorphism group. Mean BMI SDS in variant-negative group was 3.4 ± 0.82.
    Conclusions: Investigation of the MC4R in individuals with early-onset obesity and presence of obesity first-degree relatives is important. Hypertension is a rare comorbidity compared to other causes. Contrary to studies reporting that insulin resistance was absent or very rare, we found it as a frequent finding in both pathogenic variants and polymorphisms of MC4R.
    MeSH term(s) Adolescent ; Adult ; Body Mass Index ; Child ; Genetic Testing ; Humans ; Pediatric Obesity/epidemiology ; Pediatric Obesity/genetics ; Polymorphism, Single Nucleotide ; Receptor, Melanocortin, Type 4/genetics
    Chemical Substances MC4R protein, human ; Receptor, Melanocortin, Type 4
    Language English
    Publishing date 2022-03-30
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1231070-0
    ISSN 2191-0251 ; 0334-018X
    ISSN (online) 2191-0251
    ISSN 0334-018X
    DOI 10.1515/jpem-2021-0756
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: COVID-19 PCR test performance on samples stored at ambient temperature

    Agaoglu, Nihat Bugra / Yildiz, Jale / Akgun Dogan, Ozlem / Kose, Betsi / Alkurt, Gizem / Kendir Demirkol, Yasemin / Irvem, Arzu / Doganay, Levent / Dinler Doganay, Gizem

    Journal of Virological Methods. 2022 Mar., v. 301 p.114404-

    2022  

    Abstract: The WHO-named Coronavirus Disease 2019 (COVID-19) infection had become a pandemic within a short time period since it was detected in Wuhan. The outbreak required the screening of millions of samples daily and overwhelmed diagnostic laboratories ... ...

    Abstract The WHO-named Coronavirus Disease 2019 (COVID-19) infection had become a pandemic within a short time period since it was detected in Wuhan. The outbreak required the screening of millions of samples daily and overwhelmed diagnostic laboratories worldwide. During this pandemic, the handling of patient specimens according to the universal guidelines was extremely difficult as the WHO, CDC and ECDC required cold chain compliance during transport and storage of the swab samples. The aim of this study was to compare the effects of two different storage conditions on the COVID-19 real-time PCR assay on 30 positive nasopharyngeal and/or oropharyngeal samples stored at both ambient temperature (22 ± 2 °C) and +4 °C. The results revealed that all the samples stored at ambient temperature remain PCR positive for at least six days without any false-negative result. In conclusion, transporting and storing these types of swab samples at ambient temperature for six days under resource-limited conditions during the COVID-19 pandemics are acceptable.
    Keywords COVID-19 infection ; ambient temperature ; cold chain ; compliance ; pandemic ; patients ; quantitative polymerase chain reaction ; Ct ; GLAB-Corona ; Real-time PCR ; SF ; TR ; VTM ; COVID-19 ; Sample storage
    Language English
    Dates of publication 2022-03
    Publishing place Elsevier B.V.
    Document type Article ; Online
    ZDB-ID 8013-5
    ISSN 1879-0984 ; 0166-0934
    ISSN (online) 1879-0984
    ISSN 0166-0934
    DOI 10.1016/j.jviromet.2021.114404
    Database NAL-Catalogue (AGRICOLA)

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  9. Article: Johanson–Blizzard's Syndrome with a Novel UBR1 Mutation

    Demir, Damla / Kendir Demirkol, Yasemin / Gerenli, Nelgin / Aktaş Karabay, Ezgi

    Journal of Pediatric Genetics

    2020  Volume 11, Issue 02, Page(s) 147–150

    Abstract: Johanson–Blizzard syndrome (JBS) is a rare autosomal recessive genetic disorder, characterized by exocrine pancreatic insufficiency, a distinct abnormal facial appearance and varying degrees of growth retardation. Ubiquitin protein ligase E3 component n- ... ...

    Abstract Johanson–Blizzard syndrome (JBS) is a rare autosomal recessive genetic disorder, characterized by exocrine pancreatic insufficiency, a distinct abnormal facial appearance and varying degrees of growth retardation. Ubiquitin protein ligase E3 component n-recognin 1 ( UBR1 ) gene mutations are responsible for the syndrome. Here, we describe a 2-month-old female infant, who presented with oily diarrhea, facial dysmorphia, scalp defect, hearing defects, and growth impairment. Molecular genetic testing revealed a novel frameshift mutation in UBR1, c.4027_4028 del (p.Leu1343Valfs*7), which was not previously described in JBS in the literature.
    Keywords aplasia cutis ; facial dysmorphia ; Johanson–Blizzard's syndrome ; novel variants ; pancreatic insufficiency ; gene
    Language English
    Publishing date 2020-09-04
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ISSN 2146-460X ; 2146-4596
    ISSN (online) 2146-460X
    ISSN 2146-4596
    DOI 10.1055/s-0040-1716331
    Database Thieme publisher's database

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  10. Article ; Online: Recombinant IFN-γ1b Treatment in a Patient with Inherited IFN-γ Deficiency.

    Rosain, Jérémie / Kiykim, Ayca / Michev, Alexandre / Kendir-Demirkol, Yasemin / Rinchai, Darawan / Peel, Jessica N / Li, Hailun / Ocak, Suheyla / Ozdemir, Pinar Gokmirza / Le Voyer, Tom / Philippot, Quentin / Khan, Taushif / Neehus, Anna-Lena / Migaud, Mélanie / Soudée, Camille / Boisson-Dupuis, Stéphanie / Marr, Nico / Borghesi, Alessandro / Casanova, Jean-Laurent /
    Bustamante, Jacinta

    Journal of clinical immunology

    2024  Volume 44, Issue 3, Page(s) 62

    Abstract: Purpose: Inborn errors of IFN-γ immunity underlie Mendelian susceptibility to mycobacterial disease (MSMD). Twenty-two genes with products involved in the production of, or response to, IFN-γ and variants of which underlie MSMD have been identified. ... ...

    Abstract Purpose: Inborn errors of IFN-γ immunity underlie Mendelian susceptibility to mycobacterial disease (MSMD). Twenty-two genes with products involved in the production of, or response to, IFN-γ and variants of which underlie MSMD have been identified. However, pathogenic variants of IFNG encoding a defective IFN-γ have been described in only two siblings, who both underwent hematopoietic stem cell transplantation (HCST).
    Methods: We characterized a new patient with MSMD by genetic, immunological, and clinical means. Therapeutic decisions were taken on the basis of these findings.
    Results: The patient was born to consanguineous Turkish parents and developed bacillus Calmette-Guérin (BCG) disease following vaccination at birth. Whole-exome sequencing revealed a homozygous private IFNG variant (c.224 T > C, p.F75S). Upon overexpression in recipient cells or constitutive expression in the patient's cells, the mutant IFN-γ was produced within the cells but was not correctly folded or secreted. The patient was treated for 6 months with two or three antimycobacterial drugs only and then for 30 months with subcutaneous recombinant IFN-γ1b plus two antimycobacterial drugs. Treatment with IFN-γ1b finally normalized all biological parameters. The patient presented no recurrence of mycobacterial disease or other related infectious diseases. The treatment was well tolerated, without the production of detectable autoantibodies against IFN-γ.
    Conclusion: We describe a patient with a new form of autosomal recessive IFN-γ deficiency, with intracellular, but not extracellular IFN-γ. IFN-γ1b treatment appears to have been beneficial in this patient, with no recurrence of mycobacterial infection over a period of more than 30 months. This targeted treatment provides an alternative to HCST in patients with complete IFN-γ deficiency or at least an option to better control mycobacterial infection prior to HCST.
    MeSH term(s) Infant, Newborn ; Humans ; Genetic Predisposition to Disease ; Interferon-gamma ; Mycobacterium Infections/genetics ; Homozygote ; Mycobacterium bovis
    Chemical Substances Interferon-gamma (82115-62-6)
    Language English
    Publishing date 2024-02-16
    Publishing country Netherlands
    Document type Case Reports ; Journal Article
    ZDB-ID 779361-3
    ISSN 1573-2592 ; 0271-9142
    ISSN (online) 1573-2592
    ISSN 0271-9142
    DOI 10.1007/s10875-024-01661-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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