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Mendelian susceptibility to mycobacterial disease: Genetic, immunological, and clinical features of inborn errors of IFN-γ immunity

Open access
Bustamante, Jacinta, Boisson-Dupuis, Stéphanie, Abel, Laurent, Casanova, Jean-Laurent·2014·Seminars in Immunology

Abstract

Mendelian susceptibility to mycobacterial disease (MSMD) is a rare condition characterized by predisposition to clinical disease caused by weakly virulent mycobacteria, such as BCG vaccines and environmental mycobacteria, in otherwise healthy individuals with no overt abnormalities in routine hematological and immunological tests. MSMD designation does not recapitulate all the clinical features, as patients are also prone to salmonellosis, candidiasis and tuberculosis, and more rarely to infections with other intramacrophagic bacteria, fungi, or parasites, and even, perhaps, a few viruses. Since 1996, nine MSMD-causing genes, including seven autosomal (IFNGR1, IFNGR2, STAT1, IL12B, IL12RB1, ISG15, and IRF8) and two X-linked (NEMO, CYBB) genes have been discovered. The high level of allelic heterogeneity has already led to the definition of 18 different disorders. The nine gene products are physiologically related, as all are involved in IFN-γ-dependent immunity. These disorders impair the production of (IL12B, IL12RB1, IRF8, ISG15, NEMO) or the response to (IFNGR1, IFNGR2, STAT1, IRF8, CYBB) IFN-γ. These defects account for only about half the known MSMD cases. Patients with MSMD-causing genetic defects may display other infectious diseases, or even remain asymptomatic. Most of these inborn errors do not show complete clinical penetrance for the case-definition phenotype of MSMD. We review here the genetic, immunological, and clinical features of patients with inborn errors of IFN-γ-dependent immunity.

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Metadata

Authors
Bustamante, J., Boisson-Dupuis, S., Abel, L., & Casanova, J.-L.
Venue
Seminars in Immunology
Publisher
Elsevier BV
Published
2014-12
Volume
26
Issue
6
Pages
454-470
ISSN
1044-5323 (ISSN-L)
OpenAlex
W2075482744
Cited by
684
References
8
FWCI
20.88
Type
journal article
Language
en
Open access
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CoChat. (2026). Citation check: Mendelian susceptibility to mycobacterial disease: Genetic, immunological, and clinical features of inborn errors of IFN-γ immunity. https://app.cochat.ai/papers/10.1016/j.smim.2014.09.008
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Bustamante, J., Boisson-Dupuis, S., Abel, L., & Casanova, J.-L. (2014). Mendelian susceptibility to mycobacterial disease: Genetic, immunological, and clinical features of inborn errors of IFN-γ immunity. Seminars in Immunology. https://doi.org/10.1016/j.smim.2014.09.008

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