Severe immunodeficiency spectrum associated with NHEJ1 gene mutation: Cernunnos/XLF deficiency

Cernunnos/XLF deficiency is a rare, severe combined immunodeficiency, inherited in an autosomal recessive pattern (OMIM number: 611290), related to the NHEJ1 gene. This gene participates in the DNA non-homologous end-joining pathway, repairing double-strand breaks in the DNA of mammalian cells. The...

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Main Authors: Ana María Navarro, Gabriela Mantilla, Jorge Andrés Fernández, Mario Fernando Unigarro, Alfonso Suárez, María Claudia Ortega
Format: Article
Language:English
Published: Instituto Nacional de Salud 2024-12-01
Series:Biomédica: revista del Instituto Nacional de Salud
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Online Access:https://revistabiomedica.org/index.php/biomedica/article/view/7414
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author Ana María Navarro
Gabriela Mantilla
Jorge Andrés Fernández
Mario Fernando Unigarro
Alfonso Suárez
María Claudia Ortega
author_facet Ana María Navarro
Gabriela Mantilla
Jorge Andrés Fernández
Mario Fernando Unigarro
Alfonso Suárez
María Claudia Ortega
author_sort Ana María Navarro
collection DOAJ
description Cernunnos/XLF deficiency is a rare, severe combined immunodeficiency, inherited in an autosomal recessive pattern (OMIM number: 611290), related to the NHEJ1 gene. This gene participates in the DNA non-homologous end-joining pathway, repairing double-strand breaks in the DNA of mammalian cells. The clinical features include growth retardation, microcephaly, triangle-shaped face, recurrent infections, fibroblast’s excessive sensitivity to gamma-ionizing radiation, and hypogammaglobulinemia; also, low counts of subpopulations of B and T lymphocytes, with normal values of natural-killer cells. This manuscript aims to present an extremely rare case of combined immunodeficiency in a twenty-years-old man with non-consanguineous parents and a homozygote variant of the NHEJ1 gene. This case is the fiftieth reported in the literature and the first in Colombia, given the low prevalence of NHEJ1-related immunodeficiency and its difficult diagnosis due to scarce knowledge.
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id doaj-art-913034e5101849948bc104f030e17504
institution Kabale University
issn 0120-4157
language English
publishDate 2024-12-01
publisher Instituto Nacional de Salud
record_format Article
series Biomédica: revista del Instituto Nacional de Salud
spelling doaj-art-913034e5101849948bc104f030e175042025-01-21T18:56:10ZengInstituto Nacional de SaludBiomédica: revista del Instituto Nacional de Salud0120-41572024-12-0144Sp. 2162110.7705/biomedica.74148869Severe immunodeficiency spectrum associated with NHEJ1 gene mutation: Cernunnos/XLF deficiencyAna María Navarro0https://orcid.org/0009-0009-1824-3434Gabriela Mantilla1https://orcid.org/0000-0001-5051-7460Jorge Andrés Fernández2https://orcid.org/0000-0002-2371-0465Mario Fernando Unigarro3https://orcid.org/0000-0002-7753-6079Alfonso Suárez4https://orcid.org/0009-0002-0205-0389María Claudia Ortega5https://orcid.org/0000-0002-0644-6711Hospital Infantil Universitario de San José, Fundación Universitaria Ciencias de la Salud - FUCS, Bogotá, D. C., ColombiaHospital Infantil Universitario de San José, Fundación Universitaria Ciencias de la Salud - FUCS, Bogotá, D. C., ColombiaHospital Infantil Universitario de San José, Fundación Universitaria Ciencias de la Salud - FUCS, Bogotá, D. C., ColombiaHospital Infantil Universitario de San José, Fundación Universitaria Ciencias de la Salud - FUCS, Bogotá, D. C., ColombiaServicio de Genética Médica, Hospital Infantil Universitario de San José, Fundación Universitaria Ciencias de la Salud - FUCS, Bogotá, D. C., ColombiaServicio de Inmunología y Alergología, Fundación Universitaria Ciencias de la Salud - FUCS, Bogotá, D. C., ColombiaCernunnos/XLF deficiency is a rare, severe combined immunodeficiency, inherited in an autosomal recessive pattern (OMIM number: 611290), related to the NHEJ1 gene. This gene participates in the DNA non-homologous end-joining pathway, repairing double-strand breaks in the DNA of mammalian cells. The clinical features include growth retardation, microcephaly, triangle-shaped face, recurrent infections, fibroblast’s excessive sensitivity to gamma-ionizing radiation, and hypogammaglobulinemia; also, low counts of subpopulations of B and T lymphocytes, with normal values of natural-killer cells. This manuscript aims to present an extremely rare case of combined immunodeficiency in a twenty-years-old man with non-consanguineous parents and a homozygote variant of the NHEJ1 gene. This case is the fiftieth reported in the literature and the first in Colombia, given the low prevalence of NHEJ1-related immunodeficiency and its difficult diagnosis due to scarce knowledge.https://revistabiomedica.org/index.php/biomedica/article/view/7414severe combined immunodeficiencydna end-joining repairimmunogeneticsgeneticshereditysyndrome
spellingShingle Ana María Navarro
Gabriela Mantilla
Jorge Andrés Fernández
Mario Fernando Unigarro
Alfonso Suárez
María Claudia Ortega
Severe immunodeficiency spectrum associated with NHEJ1 gene mutation: Cernunnos/XLF deficiency
Biomédica: revista del Instituto Nacional de Salud
severe combined immunodeficiency
dna end-joining repair
immunogenetics
genetics
heredity
syndrome
title Severe immunodeficiency spectrum associated with NHEJ1 gene mutation: Cernunnos/XLF deficiency
title_full Severe immunodeficiency spectrum associated with NHEJ1 gene mutation: Cernunnos/XLF deficiency
title_fullStr Severe immunodeficiency spectrum associated with NHEJ1 gene mutation: Cernunnos/XLF deficiency
title_full_unstemmed Severe immunodeficiency spectrum associated with NHEJ1 gene mutation: Cernunnos/XLF deficiency
title_short Severe immunodeficiency spectrum associated with NHEJ1 gene mutation: Cernunnos/XLF deficiency
title_sort severe immunodeficiency spectrum associated with nhej1 gene mutation cernunnos xlf deficiency
topic severe combined immunodeficiency
dna end-joining repair
immunogenetics
genetics
heredity
syndrome
url https://revistabiomedica.org/index.php/biomedica/article/view/7414
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