Biallelic Loss of Function Variants in SENP7 Cause Immunodeficiency with Neurologic and Muscular Phenotypes.

Document Type

Article

Publication Date

11-2024

Identifier

DOI: 10.1016/j.jpeds.2024.114180

Abstract

To evaluate a novel candidate disease gene, we engaged international collaborators and identified rare, biallelic, specifically homozygous, loss of function variants in SENP7 in 4 children from 3 unrelated families presenting with neurodevelopmental abnormalities, dysmorphism, and immunodeficiency. Their clinical presentations were characterized by hypogammaglobulinemia, intermittent neutropenia, and ultimately death in infancy for all 4 patients. SENP7 is a sentrin-specific protease involved in posttranslational modification of proteins essential for cell regulation, via a process referred to as deSUMOylation. We propose that deficiency of deSUMOylation may represent a novel mechanism of primary immunodeficiency.

Journal Title

The Journal of pediatrics

Volume

274

First Page

114180

Last Page

114180

MeSH Keywords

Child, Preschool; Female; Humans; Infant; Male; Cysteine Endopeptidases; Fatal Outcome; Immunologic Deficiency Syndromes; Loss of Function Mutation; Phenotype

Keywords

SUMOylation; deSUMOylation; exome sequencing; genome sequencing; immunodeficiency; inborn error of immunity

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