Identification of a novel NFKB2 mutation in a patient presenting with autoimmune cytopenia and generalized granulomatous lymphadenopathy

Publication: LymphoSign Journal
20 April 2023

Abstract

Introduction: NF-κB proteins are transcription factors that modulate various functions of the immune system. NF-κB2 (or p100/p52) has particularly important roles in B cell development and function. Primary immunodeficiency due to mutations in the NFKB2 gene, encoding NF-κB2, range from combined immunodeficiency with susceptibility to viral or opportunistic infections to primarily antibody deficiency.
Methods: A comprehensive chart review of our patient was performed.
Results: Our patient, currently a 19-year-old male, presented with multiple autoimmune cytopenia resistant to treatment and generalized granulomatous lymphadenopathy. Whole exome sequencing identified a novel pathogenic variant in NFKB2 (c.1700C>T; p.A567V) that is the cause of our patient’s presentation.
Conclusion: We present a novel pathogenic variant in NFKB2 with an unusual presentation.
Statement of novelty: Here, we report a novel mutation in NFKB2 and the clinical presentation of the affected patient, which helps in further understanding the NF-κB2 pathway and its associated disease.

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Information & Authors

Information

Published In

cover image LymphoSign Journal
LymphoSign Journal
Volume 10Number 1March 2023
Pages: 7 - 14

History

Received: 13 February 2023
Accepted: 2 March 2023
Accepted manuscript online: 8 March 2023
Version of record online: 20 April 2023

Authors

Affiliations

Abdulrahman Al Ghamdi [email protected]
Division of Immunology and Allergy, Department of Paediatrics, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada
Department of Pediatrics, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia
Marina Sham
Division of Immunology and Allergy, Department of Paediatrics, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada
Laura Abrego Fuentes
Division of Immunology and Allergy, Department of Paediatrics, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada
Linda Vong
Division of Immunology and Allergy, Department of Paediatrics, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada

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