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Selective IgM deficiency: clinical and laboratory features of 17 patients and a review of the literature

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11130%2F17%3A10365610" target="_blank" >RIV/00216208:11130/17:10365610 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216224:14110/17:00098289 RIV/00216208:11150/17:10365610 RIV/65269705:_____/17:00067306 RIV/00179906:_____/17:10365610 and 2 more

  • Result on the web

    <a href="http://dx.doi.org/10.1007/s10875-017-0420-8" target="_blank" >http://dx.doi.org/10.1007/s10875-017-0420-8</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1007/s10875-017-0420-8" target="_blank" >10.1007/s10875-017-0420-8</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Selective IgM deficiency: clinical and laboratory features of 17 patients and a review of the literature

  • Original language description

    Purpose: Primary selective IgM deficiency (sIgMD) is a primary immunodeficiency with unclear pathogenesis and a low number of published cases. Methods: We reviewed clinical and laboratory manifestations of 17 sIgMD patients. Serum IgM, IgG, and its subclasses, IgA, IgE, antibodies against tetanus toxoid, pneumococcal polysaccharides and Haemophilus influenzae type b, isohemagglutinins, and T and B lymphocyte subsets, expressions of IgM on B cells and B lymphocyte production of IgM were compared with previously reported case reports and a small series of patients, which included 81 subjects in total. Results: We found that some patients in our cohort (OC) and published cases (PC) had increased IgE levels (OC 7/15; PC 21/37), decreased IgG4 levels (OC 5/14), very low titers of isohemagglutinins (OC 8/8; PC 18/21), increased transitional B cell counts (OC 8/9), decreased marginal zone B cell counts (OC 8/9), and increased 21low B cell counts (OC 7/9). Compared with the PC (20/20), only two of five OC patients showed very low or undetectable production of IgM after stimulation. A majority of the patients had normal antibody production to protein and polysaccharide antigens, basic lymphocyte subset counts, and expression of surface IgM molecules on B cells. Conclusions: Low IgM levels are associated with various immunopathological disorders; however, pathogenic mechanisms leading to decreased IgM serum level in selective IgM deficiency remain unclear. Moreover,it is difficult to elucidate how strong these associations are and if these immunopathological conditions are primary or secondary.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30102 - Immunology

Result continuities

  • Project

    <a href="/en/project/NV15-28541A" target="_blank" >NV15-28541A: Dysregulation of immune system: characteristics of lymphocytes in patients with immunodeficiency and autoimmunity</a><br>

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2017

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Journal of Clinical Immunology

  • ISSN

    0271-9142

  • e-ISSN

  • Volume of the periodical

    37

  • Issue of the periodical within the volume

    6

  • Country of publishing house

    US - UNITED STATES

  • Number of pages

    16

  • Pages from-to

    559-574

  • UT code for WoS article

    000407597600011

  • EID of the result in the Scopus database

    2-s2.0-85025160272