X-Linked lymphoproliferative syndrome types 1 and 2 (Review of literature and clinical case reports)

Cover Page

Cite item

Full Text

Abstract

X-Linked lymphoproliferative syndrome (XLP) is a primary immunodeficiency characterized by atypical reaction to Epstein-Barr virus (EBV), resulting in the development of hemophagocytosis, disgammaglobulinemia, and, depending on the syndrome type, malignant lymphoproliferation. Three types of XLP are known. XLP type 1 is a result of mutation in the SH2D1A gene encoding SAP adapter molecule. This XLP type is characterized by predisposition to EBV infection, hemophagocytic lymphohistiocytosis (HLH), disgammaglobulinemia, and malignant lymphoproliferation. XLP type 2 is similar to XLP type 1 by some clinical manifestations, such as predisposition to EBV infection and high risk of HLH, but differs from type 1 by the pathogenesis, development of hemorrhagic colitis, and absence of lymphomas. The clinical manifestations of XLP type 2 develop as a result of defects in XIAP gene, also known as BIRC4 gene, encoding an antiapoptotic protein. XLP type 3, caused by loss-of-function _ mutations in the gene encoding magnesium transporter 1 (MAGT1), has been recently discovered. In addition, several autosomal recessive syndromes with a similar XLP clinical manifestation - EBV-associated lymphoproliferation, with ITK, CD27, and CORO1A genes defects, are known. Clinical case reports of the most incident XLP types 1 and 2 are presented.

About the authors

Anna A. Roppelt

Federal Research Center of Pediatric Hematology, Oncology, and Immunology named after Dmitry Rogachev

Author for correspondence.
Email: roppelt_anna@mail.ru
Russian Federation

Darya V. Yukhacheva

Federal Research Center of Pediatric Hematology, Oncology, and Immunology named after Dmitry Rogachev

Email: yudashechka@mail.ru
Russian Federation

Natalya V. Myakova

Federal Research Center of Pediatric Hematology, Oncology, and Immunology named after Dmitry Rogachev

Email: nmiakova@mail.ru
Russian Federation

Nadezhda V. Smirnova

Federal Research Center of Pediatric Hematology, Oncology, and Immunology named after Dmitry Rogachev

Email: nadin-dok@mail.ru
Russian Federation

Yuliya V. Skvortsova

Federal Research Center of Pediatric Hematology, Oncology, and Immunology named after Dmitry Rogachev

Email: yuscvo@mail.ru
Russian Federation

Tatyana V. Varlamova

Federal Research Center of Pediatric Hematology, Oncology, and Immunology named after Dmitry Rogachev

Email: varltatwell@mail.ru
Russian Federation

Elena V. Raikina

Federal Research Center of Pediatric Hematology, Oncology, and Immunology named after Dmitry Rogachev

Email: e_raikina@inbox.ru
Russian Federation

Dmitry S. Abramov

Federal Research Center of Pediatric Hematology, Oncology, and Immunology named after Dmitry Rogachev

Email: pathmorf@mail.ru
Russian Federation

Natalya B. Ulanova

St. Petersburg State Pediatric Medical University

Email: natulan@inbox.ru
Russian Federation

Tatyana V. Gabrusskya

St. Petersburg State Pediatric Medical University

Email: tatyanagabrusskaya@yandex.ru
Russian Federation

Anna Yu. Shcherbina

Federal Research Center of Pediatric Hematology, Oncology, and Immunology named after Dmitry Rogachev

Email: shcher26@hotmail.com
Russian Federation

References

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2016 Roppelt A.A., Yukhacheva D.V., Myakova N.V., Smirnova N.V., Skvortsova Y.V., Varlamova T.V., Raikina E.V., Abramov D.S., Ulanova N.B., Gabrusskya T.V., Shcherbina A.Y.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.