Properdin deficiency associated with recurrent otitis media and pneumonia, and identification of male carrier with Klinefelter syndrome
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Properdin deficiency associated with recurrent otitis media and pneumonia, and identification of male carrier with Klinefelter syndrome. / Schejbel, Lone; Rosenfeldt, Vibeke; Marquart, Hanne; Valerius, Niels Henrik; Garred, Peter.
In: Clinical Immunology, Vol. 131, No. 3, 2009, p. 456-462.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Properdin deficiency associated with recurrent otitis media and pneumonia, and identification of male carrier with Klinefelter syndrome
AU - Schejbel, Lone
AU - Rosenfeldt, Vibeke
AU - Marquart, Hanne
AU - Valerius, Niels Henrik
AU - Garred, Peter
N1 - Keywords: Female; Genetic Predisposition to Disease; Heterozygote; Humans; Klinefelter Syndrome; Male; Mutation; Otitis Media; Pedigree; Pneumonia; Properdin; Questionnaires; Recurrence; Retrospective Studies
PY - 2009
Y1 - 2009
N2 - Properdin is an initiator and stabilizer of the alternative complement activation pathway (AP). Deficiency of properdin is a rare X-linked condition characterized by increased susceptibility to infection with Neisseria meningitidis associated with a high mortality rate. We report properdin deficiency in a large Pakistani family. The index cases were found by screening for immunodeficiency due to a history of recurrent infections. This revealed absent AP activity, but normal classical and lectin pathway activity. Sequencing of the properdin gene (PFC) revealed a novel frameshift mutation. When all available relatives (n=24) were screened for the mutation, four affected males, four female carriers and a male heterozygous carrier were identified. He was subsequently diagnosed with Klinefelter syndrome. A questionnaire revealed a striking association between properdin deficiency and recurrent otitis media (P=0.0012), as well as recurrent pneumonia (P=0.0017). This study is the first to show a significant association between properdin deficiency and recurrent infections.
AB - Properdin is an initiator and stabilizer of the alternative complement activation pathway (AP). Deficiency of properdin is a rare X-linked condition characterized by increased susceptibility to infection with Neisseria meningitidis associated with a high mortality rate. We report properdin deficiency in a large Pakistani family. The index cases were found by screening for immunodeficiency due to a history of recurrent infections. This revealed absent AP activity, but normal classical and lectin pathway activity. Sequencing of the properdin gene (PFC) revealed a novel frameshift mutation. When all available relatives (n=24) were screened for the mutation, four affected males, four female carriers and a male heterozygous carrier were identified. He was subsequently diagnosed with Klinefelter syndrome. A questionnaire revealed a striking association between properdin deficiency and recurrent otitis media (P=0.0012), as well as recurrent pneumonia (P=0.0017). This study is the first to show a significant association between properdin deficiency and recurrent infections.
U2 - 10.1016/j.clim.2009.02.008
DO - 10.1016/j.clim.2009.02.008
M3 - Journal article
C2 - 19328743
VL - 131
SP - 456
EP - 462
JO - Clinical Immunology
JF - Clinical Immunology
SN - 1521-6616
IS - 3
ER -
ID: 19440273