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Immunodeficiency 66(IMD66)

MedGen UID:
1717128
Concept ID:
C5394265
Disease or Syndrome
Synonyms: IMD66; IMMUNODEFICIENCY 66
 
Gene (location): MRTFA (22q13.1-13.2)
 
Monarch Initiative: MONDO:0030013
OMIM®: 618847

Definition

Immunodeficiency-66 (IMD66) is an autosomal recessive primary immune disorder caused by defective immune cell migration and chemotaxis resulting from defects in cytoskeletal actin dynamics. Neutrophils are primarily affected, although there may be defects in dendritic cells and T and B cells. The phenotype is characterized by onset of recurrent bacterial infections in infancy. Laboratory studies show normal levels of myeloid and lymphoid cells, but there may be mild thrombocytopenia (summary by Record et al., 2015). [from OMIM]

Clinical features

From HPO
Otitis externa
MedGen UID:
10505
Concept ID:
C0029878
Disease or Syndrome
Inflammation or infection of the external auditory canal (EAC), the auricle, or both.
Meningitis
MedGen UID:
6298
Concept ID:
C0025289
Disease or Syndrome
Inflammation of the meninges.
Sepsis
MedGen UID:
48626
Concept ID:
C0036690
Disease or Syndrome
Systemic inflammatory response to infection.
Pustule
MedGen UID:
488804
Concept ID:
C0241157
Finding
A small elevation of the skin containing cloudy or purulent material usually consisting of necrotic inflammatory cells.
Recurrent skin infections
MedGen UID:
377848
Concept ID:
C1853193
Disease or Syndrome
Infections of the skin that happen multiple times.
Defective T cell proliferation
MedGen UID:
868165
Concept ID:
C4022557
Cell or Molecular Dysfunction
A reduced ability of a T cell population to expand by cell division following T cell activation.

Professional guidelines

PubMed

Duchon JM
Clin Chem 2020 Jul 1;66(7):882. doi: 10.1093/clinchem/hvaa058. PMID: 32628758
Nor-Hayati S, Sahlawati M, Suresh-Kumar C, Lee KC
Med J Malaysia 2012 Feb;67(1):66-70. PMID: 22582551
Dhillon B
Br J Ophthalmol 1994 Jan;78(1):66-9. doi: 10.1136/bjo.78.1.66. PMID: 8110704Free PMC Article

Recent clinical studies

Etiology

Sammet S, Touzeau-Römer V, Wolf E, Schenk-Westkamp P, Romano B, Gersbacher E, Kastenbauer U, Boesecke C, Rockstroh J, Scholten S, Schneeweiss S, Roider J, Seybold U
Infection 2023 Dec;51(6):1823-1829. Epub 2023 Aug 1 doi: 10.1007/s15010-023-02075-y. PMID: 37526898Free PMC Article
Spence AB, Wang C, Michel KG, Merenstein D, Kharfen M, Goparaju L, Kassaye S
Medicine (Baltimore) 2022 Oct 28;101(43):e31242. doi: 10.1097/MD.0000000000031242. PMID: 36316940Free PMC Article
Gökengin D, Doroudi F, Tohme J, Collins B, Madani N
Int J Infect Dis 2016 Mar;44:66-73. doi: 10.1016/j.ijid.2015.11.008. PMID: 26948920
McLean-Tooke A, Spickett GP, Gennery AR
Scand J Immunol 2007 Jul;66(1):1-7. doi: 10.1111/j.1365-3083.2007.01949.x. PMID: 17587340
Brashers DE, Neidig JL, Reynolds NR, Haas SM
J Assoc Nurses AIDS Care 1998 Jan-Feb;9(1):66-77. doi: 10.1016/S1055-3290(98)80078-2. PMID: 9436169

Diagnosis

Taki M, Miah T, Secord E
Pediatr Clin North Am 2019 Oct;66(5):913-923. doi: 10.1016/j.pcl.2019.06.007. PMID: 31466681
El-Bohy M, Poowuttikul P, Secord E
Pediatr Clin North Am 2019 Oct;66(5):897-903. doi: 10.1016/j.pcl.2019.06.010. PMID: 31466679
Brashers DE, Neidig JL, Reynolds NR, Haas SM
J Assoc Nurses AIDS Care 1998 Jan-Feb;9(1):66-77. doi: 10.1016/S1055-3290(98)80078-2. PMID: 9436169
Ming JE, Stiehm ER, Graham JM Jr
Am J Med Genet 1996 Dec 30;66(4):378-98. doi: 10.1002/(SICI)1096-8628(19961230)66:4<378::AID-AJMG2>3.0.CO;2-H. PMID: 8989455
Amodio JB, Abramson S, Berdon WE, Levy J
Semin Roentgenol 1987 Jan;22(1):66-76. doi: 10.1016/0037-198x(87)90023-x. PMID: 3547680

Therapy

Teixeira LAA, Santos B, Correia MG, Valiquette C, Bastos ML, Menzies D, Trajman A
Clin Infect Dis 2024 May 15;78(5):1321-1327. doi: 10.1093/cid/ciae101. PMID: 38407417
Sammet S, Touzeau-Römer V, Wolf E, Schenk-Westkamp P, Romano B, Gersbacher E, Kastenbauer U, Boesecke C, Rockstroh J, Scholten S, Schneeweiss S, Roider J, Seybold U
Infection 2023 Dec;51(6):1823-1829. Epub 2023 Aug 1 doi: 10.1007/s15010-023-02075-y. PMID: 37526898Free PMC Article
Mendez-Ruiz MD, Villegas-Pantoja MA, Alarcón-Luna NS, Villegas N, Cianelli R, Peragallo-Montano N
Rev Lat Am Enfermagem 2020;28:e3262. Epub 2020 May 11 doi: 10.1590/1518-8345.3393.3262. PMID: 32401905Free PMC Article
Axelrod H, Adams M
Pediatr Clin North Am 2019 Oct;66(5):1007-1020. Epub 2019 Aug 5 doi: 10.1016/j.pcl.2019.06.009. PMID: 31466676
Abraham C, Johnson BT, de Bruin M, Luszczynska A
J Acquir Immune Defic Syndr 2014 Aug 15;66 Suppl 3:S293-9. doi: 10.1097/QAI.0000000000000231. PMID: 25007199

Prognosis

Teixeira LAA, Santos B, Correia MG, Valiquette C, Bastos ML, Menzies D, Trajman A
Clin Infect Dis 2024 May 15;78(5):1321-1327. doi: 10.1093/cid/ciae101. PMID: 38407417
Abrahão R, Brunson AM, Kahn JM, Li QW, Wun T, Keegan THM
Leuk Lymphoma 2022 May;63(5):1091-1101. Epub 2022 Jan 6 doi: 10.1080/10428194.2021.2020775. PMID: 34989283Free PMC Article
Basu JK, Chauke L, Magoro T
J Matern Fetal Neonatal Med 2022 Dec;35(25):5932-5934. Epub 2021 Mar 22 doi: 10.1080/14767058.2021.1902501. PMID: 33752563
Al-Muhsen SZ
Saudi J Gastroenterol 2010 Apr-Jun;16(2):66-74. doi: 10.4103/1319-3767.61230. PMID: 20339173Free PMC Article
Brashers DE, Neidig JL, Reynolds NR, Haas SM
J Assoc Nurses AIDS Care 1998 Jan-Feb;9(1):66-77. doi: 10.1016/S1055-3290(98)80078-2. PMID: 9436169

Clinical prediction guides

Sammet S, Touzeau-Römer V, Wolf E, Schenk-Westkamp P, Romano B, Gersbacher E, Kastenbauer U, Boesecke C, Rockstroh J, Scholten S, Schneeweiss S, Roider J, Seybold U
Infection 2023 Dec;51(6):1823-1829. Epub 2023 Aug 1 doi: 10.1007/s15010-023-02075-y. PMID: 37526898Free PMC Article
Moreno-Torres V, de Mendoza C, Martínez-Urbistondo M, Mills P, Treviño A, de la Fuente S, Díaz de Santiago A, Calderón-Parra J, Pintos-Pascual I, Corpas M, Soriano V
QJM 2023 Feb 14;116(1):57-62. doi: 10.1093/qjmed/hcac215. PMID: 36047831
Arora R, Sandhu N, Dokania P, Subramanian A
Ocul Immunol Inflamm 2022 Aug;30(6):1399-1407. Epub 2021 Apr 1 doi: 10.1080/09273948.2021.1881562. PMID: 33793390
Darragh TM, Tokugawa D, Castle PE, Follansbee S, Borgonovo S, LaMere BJ, Schwartz L, Gage JC, Fetterman B, Lorey T, Wentzensen N
Cancer Cytopathol 2013 Feb;121(2):72-8. Epub 2012 Jul 18 doi: 10.1002/cncy.21218. PMID: 22811048Free PMC Article
Shanson DC
Trans R Soc Trop Med Hyg 1990;84 Suppl 1:14-6. doi: 10.1016/0035-9203(90)90449-o. PMID: 2201108

Recent systematic reviews

Pereira M, Santos Aleluia IR, de Castro CT, de Almeida Oliveira T, Cunha MS, Magno L, Dourado I, Barreto F, Natividade M, Appiah SCY, Abade E, Paixao ES, de Souza MLT
AIDS Behav 2024 Jul;28(7):2193-2204. Epub 2024 May 7 doi: 10.1007/s10461-024-04351-w. PMID: 38713281
Wu S, Wang J, Guo Q, Lan H, Sun Y, Ren M, Liu Y, Wang P, Wang L, Su R, Zhang J, Chen Y, Li G
Clin Microbiol Infect 2023 Aug;29(8):1000-1007. Epub 2023 Mar 13 doi: 10.1016/j.cmi.2023.03.002. PMID: 36921717
Stelzle D, Tanaka LF, Lee KK, Ibrahim Khalil A, Baussano I, Shah ASV, McAllister DA, Gottlieb SL, Klug SJ, Winkler AS, Bray F, Baggaley R, Clifford GM, Broutet N, Dalal S
Lancet Glob Health 2021 Feb;9(2):e161-e169. Epub 2020 Nov 16 doi: 10.1016/S2214-109X(20)30459-9. PMID: 33212031Free PMC Article
Ford N, Shubber Z, Jao J, Abrams EJ, Frigati L, Mofenson L
J Acquir Immune Defic Syndr 2014 Aug 15;66(5):512-21. doi: 10.1097/QAI.0000000000000211. PMID: 24853309Free PMC Article
Nava-Aguilera E, Andersson N, Harris E, Mitchell S, Hamel C, Shea B, López-Vidal Y, Villegas-Arrizón A, Morales-Pérez A
Int J Tuberc Lung Dis 2009 Jan;13(1):17-26. PMID: 19105874

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