Consensus Middle East and North Africa Registry on Inborn Errors of Immunity
Abstrak
Inborn errors of immunity (IEIs) are a heterogeneous group of genetic defects of immunity, which cause high rates of morbidity and mortality mainly among children due to infectious and non-infectious complications. The IEI burden has been critically underestimated in countries from middle- and low-income regions and the majority of patients with IEI in these regions lack a molecular diagnosis. We analyzed the clinical, immunologic, and genetic data of IEI patients from 22 countries in the Middle East and North Africa (MENA) region. The data was collected from national registries and diverse databases such as the Asian Pacific Society for Immunodeficiencies (APSID) registry, African Society for Immunodeficiencies (ASID) registry, Jeffrey Modell Foundation (JMF) registry, J Project centers, and International Consortium on Immune Deficiency (ICID) centers. We identified 17,120 patients with IEI, among which females represented 39.4%. Parental consanguinity was present in 60.5% of cases and 27.3% of the patients were from families with a confirmed previous family history of IEI. The median age of patients at the onset of disease was 36 months and the median delay in diagnosis was 41 months. The rate of registered IEI patients ranges between 0.02 and 7.58 per 100,000 population, and the lowest rates were in countries with the highest rates of disability-adjusted life years (DALY) and death rates for children. Predominantly antibody deficiencies were the most frequent IEI entities diagnosed in 41.2% of the cohort. Among 5871 patients genetically evaluated, the diagnostic yield was 83% with the majority (65.2%) having autosomal recessive defects. The mortality rate was the highest in patients with non-syndromic combined immunodeficiency (51.7%, median age: 3.5 years) and particularly in patients with mutations in specific genes associated with this phenotype (RFXANK, RAG1, and IL2RG). This comprehensive registry highlights the importance of a detailed investigation of IEI patients in the MENA region. The high yield of genetic diagnosis of IEI in this region has important implications for prevention, prognosis, treatment, and resource allocation.
Topik & Kata Kunci
Penulis (139)
A. Aghamohammadi
N. Rezaei
R. Yazdani
S. Delavari
N. Kutukculer
E. Topyıldız
A. Ozen
S. Barış
E. Karakoc‐Aydiner
S. Kilic
H. Kose
N. Gulez
F. Genel
I. Reisli
K. Djenouhat
Azzeddine Tahiat
R. Boukari
S. Ladj
Réda Belbouab
Y. Ferhani
B. Belaid
R. Djidjik
N. Kechout
N. Attal
Khalissa Saidani
R. Barbouche
A. Bousfiha
A. Sobh
Ragheed Rizk
M. Elnagdy
M. Al-Ahmed
S. Al-Tamemi
G. Nasrullayeva
M. Adeli
M. Al‐Nesf
A. Hassen
C. Mehawej
C. Irani
A. Mégarbané
J. Quinn
Zahra Seyed Alireza Mohammamd Marzieh Nasrin Tooba Ghola Chavoshzadeh Mahdaviani Nabavi Tavakol Behniafard
Z. Chavoshzadeh
S. Mahdaviani
M. Nabavi
M. Tavakol
N. Behniafard
Tooba Momen
G. Azizi
M. Bemanian
S. Arshi
Rasol Molatefi
R. Sherkat
A. Shirkani
R. Amin
S. Aleyasin
R. Faridhosseini
F. Jabbari-Azad
H. Ahanchian
M. Khoshkhui
A. Shafiei
A. Kalantari
I. Mohammadzadeh
J. Ghaffari
Taher. - Cheraghi
M. Mansouri
M. Mesdaghi
D. Babaie
M. Eslamian
Abbas Dabbaghzadeh
M. Tavassoli
R. Ghasemi
R. N. Kalmarzi
Seyed Hamidreza Mortazavi
S. Kashef
H. Esmaeilzadeh
Javad Tafaroji
A. Khalili
F. Zandieh
M. Sadeghi-shabestari
S. Darougar
F. Behmanesh
H. Akbari
M. Zandkarimi
F. Abolnezhadian
A. Fayezi
M. Torabizadeh
Mojgan Moghtaderi
H. Soheili
A. Ahmadiafshar
Behzad Shakerian
V. Sajedi
B. Taghvaei
M. Safari
M. Heidarzadeh
B. Ghalebaghi
S. M. Fathi
B. Darabi
Kian Darabi
Saeed Bazregari
N. Bazargan
M. Fallahpour
A. Khayatzadeh
Bahram Bashardoust
H. Sadri
M. Zamani
A. Mohsenzadeh
Sarehsadat Ebrahimi
R. Ghaemi
F. Z. Mehrjerdi
S. Sharafian
S. H. Nabavizadeh
Leila Baniadam
Fereshteh Salari
Mahsa Rekabi
Ahmad Vosughimotlagh
Mitra Tafakoridelbari
A. Pourvali
A. Rezaei
A. Hamidieh
M. Shariat
M. Gharagozlou
M. Movahedi
N. Parvaneh
N. Karaca
G. Aksu
S. B. Eltan
Nurhan Kasap
Burcu Kolukisa
A. Sefer
E. Yalçın
Royala Babayeva
Lydia Lamara Mahammed
A. Al-Khabaz
L. Maródi
V. Modell
F. Modell
W. Al-Herz
R. Geha
Hassan Abolhassani
Akses Cepat
- Tahun Terbit
- 2021
- Bahasa
- en
- Total Sitasi
- 57×
- Sumber Database
- Semantic Scholar
- DOI
- 10.1007/s10875-021-01053-z
- Akses
- Open Access ✓