Modern view on LRBA deficiency
- 作者: Latysheva T.1, Latysheva E.1, Setdikova N.1, Esaulova D.1
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隶属关系:
- NRCI Institute of Immunology FMBA of Russia
- 期: 卷 17, 编号 3 (2020)
- 页面: 50-56
- 栏目: Reviews
- URL: https://journals.rcsi.science/raj/article/view/121602
- DOI: https://doi.org/10.36691/RJA1372
- ID: 121602
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Facilities of molecular genetic methods allow to distinguish several monogenic deficiencies in the general group of primary immunodeficiencies, including common variable immune deficiency (CVID), which have peculiarities of the natural course, therapy, and prognosis. One of these nosologies is LRBA deficiency. In this article a number of foreign sources were reviewed, systematized and classified to define a comprehensive understanding of the LRBA deficiency phenomenon . The most relevant scientific studies of North America and Europe and publications from various ranking medical journals were analyzed.
LRBA deficiency is a PID caused by mutations in LRBA gene that disrupt the immune system regulation. It is characterized by lymphoproliferation, autoaggression, hypogammaglobulinemia and recurrent infections. Sometimes LRBA deficiency is called LATAIE disease (LRBA deficiency with autoantibodies, regulatory T-cell defects, autoimmune infiltration, and enteropathy).
Special attention was given to the mutation of LRBA gene and the connection to the defects caused in T- and B-lymphocytes, the clinical picture and diagnostics. It was suggested that LRBA protein reduces the level of autophagy, leading to increased apoptosis, impared T- and B-cell immune response, lymphoproliferation and autoimmune disorders. LRBA protein is especially expressed in the immune cells, its deficiency leads to defects of B-cells differentiation. However, LRBA deficiency does not affect T-regulatory cells differentiation. Main approaches to the treatment of patients with LRBA deficiency are presented in the article.
Methods of systemic and content analysis of Russian and foreign sources were used when writing the article.
作者简介
Tatyana Latysheva
NRCI Institute of Immunology FMBA of Russia
Email: tv.latysheva@nrcii.ru
ORCID iD: 0000-0003-1508-0640
head of the Immunopathology and Intensive Care Department, NRC Institute of Immunology FMBA of Russia, MD, PhD, professor
俄罗斯联邦, MoscowElena Latysheva
NRCI Institute of Immunology FMBA of Russia
Email: ea.latysheva@nrcii.ru
ORCID iD: 0000-0002-1606-205X
chief researcher of the Immunopathology and Intensive Care Department, NRC Institute of Immunology FMBA of Russia, MD, PhD
俄罗斯联邦, MoscowNailya Setdikova
NRCI Institute of Immunology FMBA of Russia
Email: nh.setdikova@nrcii.ru
ORCID iD: 0000-0003-2587-7928
senior researcher of the Immunopathology and Intensive Care Department, NRC Institute of Immunology FMBA of Russia, MD, PhD
俄罗斯联邦, MoscowDaria Esaulova
NRCI Institute of Immunology FMBA of Russia
编辑信件的主要联系方式.
Email: esaulova.d.r@gmail.ru
ORCID iD: 0000-0003-0283-5637
medical resident of the Immunopathology and Intensive Care Department, NRC Institute of Immunology FMBA of Russia
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