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Immuno 12/11/12 Immunodeficiency
HDPP final at UMMSM
12
Immunology
Graduate
12/13/2012

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Cards

Term
Categories of immunodeficiency
Definition
Humoral, cellular, combined
Term
X-linked agammaglobulinema (XLA)
Definition
B-cell/BTK deficiency. All Ig classes affected, B-cells arrested at pre-B stage. T cells not affected.
Term
AR X-linked agammaglobulinema (XLA)
Definition
Deficiency of delta 5 preventing formation of a pre-B cell receptor
Term
Hyper IgM disorder
Definition
Lack of isotype switch and no germinal centers. Presents as opportunistic infection of RT. Can be caused by deficiency of AID or CD40L on T-cells. Other defects include selective IgA, selective IgG subclass, and k-chain deficiency
Term
X-linked severe combined immunodeficiency (X-SCID)
Definition
No T cells and B cells are present but poorly activated. Caused by a missing common y chain of IL-2, -4, -7, -9, and -15
Term
T-cell dysfunction
Definition
Evidenced early in life by easily-occurring viral, parasitic protozoa, mycobacteria, fungal, and intracellular bacterial infection. Can be caused by deficiency of CD3, CD8, IL-1R
Term
DiGeorge syndrome
Definition
Congenital thymic hypoplasia causes a lack of thymocytes (No T, low B)
Term
Bare lymphocyte syndrome
Definition
An autosomal SCID caused by lack of MHC molecules. No class I: no TAP gene, no CD8T. No class II: no CD4T.
Term
Rag 1/2 deficiency
Definition
SCID with no lymphocytes at all
Term
Wiskott-Aldrich Syndrome (WAS)
Definition
X-linked deficiency of WASP gene affects cytoskeleton due to poor actin organization. Defect in platelets, DCs, and macrophages. Diminished T cells, poor B cell response to polysaccharide antigens and encapsulated bacteria
Term
Treatment of humoral defects
Definition
Intravenous immunoglobulin or bone marrow transplantation
Term
SCID treatment
Definition
BMT, possible gene therapy. Donor must share 2+ MHC-subtypes
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