The Hyper-IgE Syndromes: Lessons in Nature, From Bench to Bedside
© World Allergy Organization; licensee BioMed Central Ltd. 2012
Published: 15 July 2012
Hyper-IgE syndrome is a primary immunodeficiency marked by abnormalities in the coordination of cell-cell signaling with the potential to affect TH17 cell, B cell, and neutrophil responses. Clinical manifestations include recurrent skin and lung infections, serum IgE elevation, connective tissue repair and development alterations, and the propensity for vascular abnormalities and tumor development. Signal transducer and activator of transcription 3 (STAT3) signaling, dedicator of cytokinesis 8 (DOCK8) signaling, and tyrosine kinase 2 (TYK2) signaling alterations have been implicated in 3 forms of hyper-IgE syndrome.
Signal Transducer and Activator of Transcription 3 Signaling
The STAT3 gene, located on chromosome 17q21, encodes a transcription factor that dimerizes with itself, signal transducer and activator of transcription 1 (STAT1), or STAT4 after cognate receptor activation and translocates to the nucleus to affect transcription in response to multiple cytokines . The interleukin (IL)-6 family members (IL-6, IL-1, IL-31, LIF, CNTF, CLC/CLF, NP, CT1, and OSM), IL-10 family members (IL-10, IL-19, IL-20, IL-22, IL-24, and IL-26), IL-12 family members (IL-23 and IL-27), IL-21, granulocyte colonystimulating factor, and leptin signal through STAT3 [2, 3]. Furthermore, STAT3 has been implicated in G protein-coupled receptor signaling and in cellular homeostatic control mechanisms involving mitochondrial regulation of reactive oxygen species (ROS) generation [4, 5]. As a result, STAT3 mutation has the potential for wide ranging effects on the immune system and metabolically active cells, including cancer cells.
AD-HIES in vitro studies reveal variably impaired neutrophil responses marked by diminished neutrophil chemoattractant receptors FPR, CXCR1, and CXCR2 . FPR is a high-affinity receptor for bacterial N-formyl peptides important for neutrophil chemotaxis and microbicidal activity . CXCR1 and CXCR2 receptors are responsive to ELR+ CXC chemokine subfamily members, including CXCL1, 6, 7, and 8 [9–22]. In addition to neutrophil trafficking response alterations, signaling to neutrophils is impaired. Minegishi et al demonstrated an inability of T cells to induce skin keratinocyte and bronchial epithelial cell recruitment of neutrophils with anti-staphylococcal molecules, such as CXCL8. Furthermore, a reduction in TH17 cells can skew adaptive, innate immune system communication responses to Candida. TH17 cytokines, IL-17 and IL-22, regulate antimicrobial peptides, such as histatins and β-defensin-2 . Deficits of these antimicrobial peptides may help to explain why saliva from subjects with AD-HIES often has reduced candicidal activity than controls . Additional innate immune response deficits in AD-HIES include altered toll-like receptor (TLR2) responses in the absence of TH17 cell versus TLR2 signaling in the presence of TH17 cell responses .
TH17 cell reduction associated with STAT3 deficiency might be a generalizable phenomenon specific to T-cell differentiation . Siegel et al demonstrated that AD-HIES subjects had decreased central memory CD4+ and CD8+ T cells and increased naive T cells, consistent with a proliferation and differentiation defect from naive precursors. These findings may corroborate with a propensity to develop varicella zoster virus reactivation in AD-HIES .
B-cell dysregulation associated with IgE elevation in HIES is incompletely understood. IL-21 signals through STAT1, STAT3, and STAT5. Studies with naive IL-21 receptor knockout mice demonstrate increased IgE levels but low IgG1 levels . Human in vitro B-cell studies reveal alternative IL-21, context dependent, IgE regulation with low IgE levels in the context of IL-21 incubation with PHA and IL-4, but increased IgE in the context of IL-21 incubation with anti-CD40 and IL-4, suggesting that T-cell-B-cell pathway miscommunication may play a role in IgE elevation . In addition to IgE alterations in AD-HIES, peripheral blood B lymphocytes are skewed toward transitional and naive cells with marked reduction in memory B cells independent of the STAT3 mutation location .
The percentage of peripheral blood memory B cells is frequently reduced in AD-HIES . Furthermore, AD-HIES subjects have defects in peripheral blood memory B-cell subsets, characterized by multiparameter flow cytometry as CD38lowCD24hi . Further characterization of cells from this AD-HIES cohort, in comparison with controls, demonstrated decreased numbers of all B-cell subsets, both switched and unswitched with the greatest decrease in the IgA+ switched and IgM+ unswitched memory B-cell populations . Plasma analysis revealed that STAT3-HIES patients had a statistically significant increase in B-cell-activating factor of the TNF family (BAFF), a B-cell survival factor, expression versus controls, which correlated with a decrease in BAFF receptor expression . Furthermore, a positive correlation between National Institutes of Health (NIH) HIES scores and plasma BAFF scores was identified . Most subjects in this cohort also had poor T-cell dependent antibody responses to bacteriophage phiX174 primary and secondary immunizations . The authors comment that these findings reflect both altered B cell-intrinsic and B cell-extrinsic STAT3 signaling defects .
Tissue remodeling proteins are altered in AD-HIES . Matrix metalloproteinases (MMP)-8 (important for contribution to acute lung inflammation and tissue remodeling after acute lung injury) andMMP-9 (important for vascular smooth muscle cell migration, macrophage recruitment and elastin degradation) are elevated 3-fold during periods free from infection in AD-HIES versus controls . Furthermore, MMP-3 (important for cardiovascular matrix remodeling) was lower in AD-HIES subjects versus control subjects .
In a mouse model, Stat3 inactivation in osteocytes and osteoblasts results in bone mechanical alterations, including decreased bone strength, mass, and load response generation, as well as impairment in ROS regulation .
Dedicator of Cytokinesis 8 Signaling
B and T lymphocytes express the most DOCK8 . Hence, DOCK8-mediated HIES is associated with immunological effects that occur at multiple stages in T- and B-cell development. Findings include reduced CD8+ T-cell stimulation and clonal proliferation . Furthermore, there is a paucity of naive CD8+CD45RA+CCR7+ circulating T cells; to a lesser degree, there is a decline in CD8+CD45RA-CCR7-/+ memory T cells and an increase in a senescent population of effector memory CD45RA+ (TEMRA) cells with the phenotype CD8+CD57+CX3CR1+CD27-CD28-CD127- . Some patients with this condition may have diminished TH17 cell functional responses; however, these findings do not appear as prominent as in AD-HIES . A mouse model with a DHR2-deficient, homozygous, null DOCK8 allele strain suggests that the most profound T-cell effects are on CD4+ and CD8+ long-lived memory T-cell survival . In a mouse model, B-cell effects include an attenuated ability to form marginal zone B cells and to maintain germinal center B cells with resultant defects in high-affinity antibody generation [45, 46]. Engelhardt et al postulate that derangement in cell cytoskeletal organization has the potential to affect immunologic synapse formation.
Tyrosine Kinase 2 Signaling
Homozygous deletion mutations have been identified originating in the FERM domain and before the kinase domain in 2 different individuals. In vitro human TYK2-deficient cells, from the FERM origination mutant cells, stimulated with interferon α, did not lead to tyrosine phosphorylation of JAK1, STAT1, STAT2, STAT3, and STAT4 . Furthermore, stimulation by IL-6 and IL-10 did not increase SOCS3 levels, a repressor of STAT3 . TYK2 deficiency is associated with decreased TH1 differentiation and increased TH2 differentiation postulated to be TYK2-regulated IL-12 effects . T-cell replenishment with TYK2 restored IL-12 and interferon α signaling . In a mouse model, impaired TYK2 signaling supported the human impaired TH1 response findings and demonstrated diminished interferon γ secretion by IL-12-stimulated splenocytes . Impaired TH1 findings might give further clues to susceptibility to mycobacterial infections in this condition. The mouse model also introduced the notion of impaired IL-17 responses in TYK2-deficient mice by IL-23-stimulated splenocytes, which might explain impaired fungal responses identified in this condition .
Clinical Presentation of AD-HIES
AD-HIES typically presents in the neonate stage marked by papular or pustular rashes that mimic acne, eosinophilic dermatitis, or eczema. Lesions typically begin on the head and scalp before progressing over the rest of the body and frequently become superinfected with Staphylococcus aureus, resulting in recurrent abscess formation. These recurrent abscesses are pus filled but lack typical inflammatory responses like warmth, erythema, and pain [68, 69]. Viral skin infections are rare in AD-HIES.
Within the first years of life, these patients also get frequent pneumonias with S. aureus. Streptococcus pneumoniae and Haemophilus influenzae are the next most common pathogens. Symptoms include purulent sputum, but fever is typically absent. Infection may lead to lung parenchyma destruction, bronchiectasis, and pneumatocele formation in the majority of affected subjects [68, 69].
Once structural changes occur in the lung, susceptibility to invasive mycotic infections can ensue as reported by Vinh et al. Forty-four percent of patients with structural damage in this cohort contracted at least one such infection . In patients with pneumatoceles and bronchiectasis, Pseudomonas aeruginosa and Aspergillus fumigatus are frequently implicated pathogens. A study by Melia et al concluded that subjects with lung parenchyma damage have increased risk of infection by nontuberculous mycobacteria. Rarely, infection progresses to massive hemoptysis .
On the hard palate, subjects may have fibrotic bridges that typically run anterior to posterior, which may or may not have associated grooves or clefts. The tongue surface has prominent fissures and a deep midline cleft anterior to the circumvallate papillae is common. This pattern of fissures can also be seen on the lips, cheeks, and mucosa, with prominent keratotic striations . Mucocutaneous candidiasis is also common in affected patients . Salivary gland defects in antimicrobial proteins, β-defensin-2 and histatins, have been attributed to reduced candidacidal responses .
Severe osteopenia and osteoporosis is common in affected subjects. Frequent fractures of long bones and ribs are reported in approximately 50% of patients. These fractures are not necessarily associated with osteopenia. In the third and fourth decade, degenerative joint disease, often of the spine, can become debilitating and requires surgical correction .
Vascular manifestations of AD-HIES vary in location and severity. Aortic aneurysm rupture has been reported [73, 74]. Coronary artery dilation and tortuosity appears common . Specifically, dilation of the left anterior descending coronary artery followed by right coronary artery involvement with prevalences of 51% and 25% was reported by Freeman et al. In contrast, tortuosity appeared more common in the right coronary artery versus the left anterior descending . In this cohort, the findings suggested vessel dilation and tortuosity prevalence increased with age and occurred more often in men . Coronary arteries typically lack evidence of atherosclerotic damage . Other reported vascular abnormalities include patent ductus venosus, pseudoaneurysms, and superior vena cava syndrome . Central nervous system (CNS)-reported abnormalities include vasculitis, leading to a right parietal infarction and thrombosis of the left posterior inferior cerebellar artery .
Gastrointestinal (GI) manifestations of AD-HIES are rare. One case report described a 26-year-old man with sigmoid diverticulitis that progressed to a pelvic abscess. Resolution required drainage, intravenous antibacterial and antifungal agents, and sigmoid colectomy for successful treatment . There have been 2 published reports of spontaneous colonic perforations: one occurred in an 18-year-old man who developed cecal perforation and the other involved an 8-year-old girl who developed transverse colon perforation [78, 79]. Three cases of histoplasmosis of the GI tract have been reported. Two occurred in teenage patients thought to have Crohn disease before pathology revealed histoplasmosis and the other occurred in an adult with recurrent colonic histoplasmosis [80, 81].
AD-HIES patients also have an increased risk of developing lymphomas. This risk may be as high as 259-fold over the general population . A review of 23 subjects with lymphoma identified 6 with T-cell lymphomas, 13 with B-cell lymphomas, and 4 with classic Hodgkin lymphomas. Of the B-cell lymphomas, pathologic analysis revealed 6 as diffuse large B-cell lymphomas and 3 as Burkitt lymphomas [83, 84]. Other reported lymphomas include peripheral T-cell lymphomas and mantle cell lymphomas .
Clinical Presentation of DOCK8 AR-HIES
Distinguishing Features Comparing AD-HIES With DIDS and TYK2 HIES
Viral skin infections
Facial dysmorphic features
Primary tooth retention
Cerebral vascular abnormalities
Atypical mycobacterial infections
The typical facial presentation of a broad nose, prominent forehead, and facial asymmetry, as well as retention of primary teeth, is absent. Scoliosis is rare in this subset. Mucocutaneous candidiasis is common in DIDS.
There is an increase in neurologic manifestations in DIDS, including facial paralysis, hemiplegia, and CNS vasculitis . Reported CNS infections include JC virus-associated progressive multifocal leukoencephalopathy, and meningitis associated with Cryptococcus and Haemophilus influenza[40, 43]. Cerebral vascular abnormalities are more common in this group than in AD-HIES . In the CNS, ruptured cerebral aneurysm and subarachnoid hemorrhage have resulted in death before clinical diagnosis, but to our knowledge, this has only been reported twice in the literature in AR-HIES . The discovery of CNS vascular abnormalities may occur incidentally after a stroke or hemiplegia and precipitating features include under-perfusion of large arteries and diminished basal cerebral artery caliber. Aneurysms of the ascending aorta and pericarditis are described affecting the cardiovascular system .
In the GI tract, salmonella enteritis and giardiasis have been reported. Mortality from malignancy is far higher in DIDS than in AD-HIES. Skin-originating cancers are more common and include fatal metastatic squamous cell carcinoma and fatal cutaneous T-cell lymphoma-leukemia . Burkitt lymphoma has been rarely reported . Autoimmune hemolytic anemia has also been reported .
DIDS laboratory findings can reveal, in addition to elevated IgE and eosinophilia seen in AD-HIES, low absolute lymphocyte counts, low total T-cell counts, with low CD4+ and low CD8+ counts but normal CD4+ to CD8+ ratio [40, 43]. Neutrophil and monocyte numbers are usually normal, whereas natural killer cell and B cell levels are variable [40, 43]. IgG levels can be normal or elevated, IgA levels are variable, IgE levels are typically elevated, and IgM levels are usually low [40, 43].
Clinical Presentation of TYK2 AR-HIES
Two patients with TYK2 deficiency have been reported [66, 86]. The 2 patients had homozygous mutations in TYK2, but in different locations of the gene. Furthermore, the patients were of different ethnic backgrounds and had varied clinical symptoms. Both patients lacked features typical to AD-HIES, such as skeletal or dental alterations and both patients had susceptibility to intracellular Mycobacterium bovis after Bacille Calmette-Geurin (BCG) vaccination, but with variable severity. Both had episodes of cutaneous herpes infection but with variable severity.
The patient with more severe infections was of Turkish descent, had an early termination codon in TYK2 at amino acid position 767 caused by a 9-base pair DNA deletion in exon 16, had mildly elevated IgE (to a maximum of 218 IU/mL), no atopy, asthma, skin candidiasis, boils, folliculitis, or cold abscesses. This patient developed 2 disseminated infections with intracellular organisms. Specifically, 6 months after vaccination with BCG, he was noted to have axillary lymphadenopathy at age 8 months. This infection relapsed after treatment with isoniazid and became generalized at age 21 months, affecting the cervical, axillary, and inguinal lymph nodes bilaterally. Laboratory assessment during chronic infection demonstrated normal nitroblue tetrazolium test, normal serum IgG, IgM, IgA, and mildly elevated IgE. He had no relapse after 18 months of treatment. The patient was subsequently infected at age 8, with the intracellular organism Brucella spp after ingestion of unpasteurized cheese. The patient was treated with a 6-week antibiotic course and was found to have neurobrucellosis and pneumonia 1 month later. The patient was severely debilitated after this episode with left temporal, occipital, and bilateral parietal brain infarcts accompanied by sensorineural hearing loss and residual cognitive impairment. At age 11, he had an episode of herpes zoster involving the right maxillary branch of the trigeminal nerve .
The patient with more mild infections was of Japanese descent, had an early termination codon at amino acid position 90 caused by a frame shift mutation at DNA coding regions 70 to 89, had elevated IgE (2100 IU/mL), and susceptibility to viruses, fungi, mycobacteria, and intracellular and extracellular bacteria. He was noted to have atopic dermatitis-like rash in the first month of life, skin abscesses, oral candidiasis, recurrent otitis media, sinusitis, pneumonias, molluscum contagiosum, and herpes simplex infection of the skin and mucosa. He was also noted to develop 2 infections with intracellular infections. The first infection was to BCG at age 22 months. The second infection was to non-typhi salmonella gastroenteritis at age 15. Peripheral blood laboratory assessment revealed normal quantitative T, B, and natural killer cells and normal neutrophil function. In vitro peripheral blood mononuclear cell studies from the patient demonstrated higher basal class I HLA expression, complete defects in type I interferon responses, and failure to make interferon γ after IL-12 stimulation. In vitro studies also revealed blunted IL-6 and IL-10 responses with either absent or attenuated feedback inhibition through suppressor of cytokine signaling (SOCS)3 expression after cytokine stimulation. In vitro studies also revealed increased IL-5 and IL-13 when naive CD4+ T cells were stimulated with IL-2 and anti-CD3 .
Diagnosis of HIES is based on clinical and laboratory findings originally described in a NIH HIES scoring criteria consisting of 21 features . Although the NIH scale is sensitive for the presence of HIES, it is not specific for the underlying mutation . However, analysis of mutations focused on groups of mutations specifically localized to the STAT3 SH2- and DNA-binding domains, the most common mutation regions, identified that subjects with SH2 domain mutations had a statistically significant increase in scoliosis at a younger age, high palate, increased intertalar distance, and increased otitis and sinusitis . The same cohort had more deaths from infection in subjects with DNA-binding domain mutations versus subjects with SH2-binding domain mutation .
The features identified in the NIH scale that are most suggestive of a STAT3 mutation include: abscesses of internal organs, other severe infections, pneumatoceles, nail/mucocutaneous candidiasis, bone fractures with minimal trauma, scoliosis, and a family history of HIES . A subject with a family history of HIES and a score > 40 points is highly likely to have a HIES genotype, but unlikely if they score less than 20 points . Attempts to refine more sensitive and specific criteria for the diagnosis of specific forms of HIES are ongoing .
Revised clinical guidelines for the diagnosis of STAT3 mutant HIES have been proposed by Woellner et al. A possible diagnosis can be made with IgE levels ≥1000 IU/mL plus a weighted score more than 30 based on 5 clinical findings: recurrent pneumonias, newborn rash, pathologic bone fractures, facial appearance, and high palate. Probable diagnosis would include the above plus a family history of HIES or lack of TH17 cells, and a definitive diagnosis would require a known STAT3 mutation . While these clinical predictors have been found useful in better classifying patients with STAT3 mutations, the features unique to the AR-HIES secondary to DOCK8 were not addressed.
STAT3 mutation analysis is currently available commercially and used in the research setting, given the large size of the gene and expense of this endeavor. The use of high resolution polymerase chain reaction-based DNA-melting assays to identify and screen patients for STAT3 mutations are under investigation . This assay is quicker and cheaper than genomic sequencing and screens for sequence variants by DNA melting point changes. The variants can be subsequently confirmed through targeted sequence analysis, thereby lowering the cost in relation to complete genome sequencing . This technique is reported to have 100% sensitivity in a cohort of 16 patients for the identification of STAT3 mutations in AD-HIES patients and is expected to identify such mutations in 90% of AD-HIES patients . To date, there is no phenotype/genotype relationship among the numerous STAT3 mutations identified .
T-cell receptor excision circle (TREC) analysis in newborn screening to detect severe combined immune deficiency identified 3 consanguineous siblings with DIDS to have low TRECs in one sibling and undetectable TRECs in the older siblings aged 4 and 6 . These findings raise the possibility for early detection of DIDS and add this condition to the differential diagnosis for absent or low TRECs on newborn screening.
Commercially available tests for diagnosis of DOCK8 and TYK2 deficiency are limited. DIDS diagnostic considerations include assessment for low serum IgM, low T-cell numbers, and low T-cell proliferative responses. DOCK8 and TYK2 sequencing is available at specialized research laboratories.
The importance of early recognition and treatment of S. aureus and fungal infections is essential as these patients often display fewer of the traditional findings and symptoms associated with these infections . Although skin infections are often treated with anti-staphylococcal antibiotic therapy, antibacterial ointments, dilute bleach, or chlorinated water, recrudescence is one of the classic signs of AD-HIES [93, 94]. Viral skin infections in DIDS are challenging and variably responsive to anti-viral therapy. Respiratory infections can lead to lung parenchymal damage; hence, eradication of pulmonary infections is important. Targeted therapy based on culture results could be considered given the risk for antimicrobial resistance with repeated antibiotic exposure. A high index of suspicion for intracellular organism infections could be considered in infections associated with TYK2 deficiency.
Hematopoietic cell transplantation (HCT) has been used in treating both the autosomal recessive and autosomal dominant forms of the disease. Limited information exists regarding long-term outcome; however, many experts recommend transplantation for DIDS, as long-term outcome without transplantation is poor owing to the risk for fatal infections, malignancy risk and CNS infarction, and bleeding . Successful long-term improvement, despite mixed donor chimerism, has been reported in DIDS . Other reports have been mixed. One case study reported successful engraftment with the CD3+ and CD15+ cells being identified as donor 21 days after HCT. After discharge, the subject did not show evidence of any skin infections. Unfortunately, long-term follow-up was unable to be performed as the patient was hospitalized and died 58 days after transplantation due to Klebsiella pneumoniae bacteremia. The authors speculate that the transplant recipient's congenital asplenia contributed to morbidity and mortality . Another case series reported the results of HCT on 2 patients with AR-HIES. Although one patient had a complicated transplant course with multiple ulcerative lesions, brain abscesses, and an acute EBV infection after recovery and successful donor stem cell engraftment, both patients demonstrated significant clinical improvement with resolution of their molluscum contagiosum lesions and continued absence of cutaneous viral infections 2 and 4 years after transplantation. Laboratory assessment of the patients' immune function was normal with the exception of low IgA levels in both patients .
Some experts recommend using HCT in AD-HIES patients with malignancy because other disease-related effects can be managed without HCT. The role of HCT in the treatment of AD-HIES is less consistent than reports on patients with DIDS. One case series reported 2 subjects with AD-HIES and non-Hodgkin lymphoma who underwent allogeneic HCT with successful engraftment, and complete donor chimerism was confirmed by CD3+ cell analysis. After transplantation, both subjects demonstrated normalized IgE levels, which remained normal for 14 and 10 years after transplantation, respectively. In addition, neither subject has had recurrent infections requiring hospitalization, and both have been free of skin infections . Osteoporosis, which was present in one subject, resolved after transplantation. Furthermore, the TH17 counts were normal . This is in contrast with an earlier report noting the failure of HCT to correct HIES in a patient who relapsed 4 years after transplantation; however, the mutation status of the patient was not addressed in the original article .
- Choi JY, Li WL, Kouri RE, Yu J, Kao FT, Ruano G: Assignment of the acute phase response factor (APRF) gene to 17q21 by microdissection clone sequencing and fluorescence in situ hybridization of a P1 clone. Genomics. 1996, 37: 264-265. 10.1006/geno.1996.0556.View ArticlePubMedGoogle Scholar
- Kisseleva T, Bhattacharya S, Braunstein J, Schindler CW: Signaling through the JAK/STAT pathway, recent advances and future challenges. Gene. 2002, 285: 1-24. 10.1016/S0378-1119(02)00398-0.View ArticlePubMedGoogle Scholar
- Levy DE, Darnell JE: Stats: transcriptional control and biological impact. Nat Rev Mol Cell Biol. 2002, 3: 651-662.View ArticlePubMedGoogle Scholar
- Wegrzyn J, Potla R, Chwae YJ, Sepuri NBV, Zhang Q, et al: Function of mitochondrial Stat3 in cellular respiration. Science. 2009, 323: 793-797. 10.1126/science.1164551.View ArticlePubMedPubMed CentralGoogle Scholar
- Pelletier S, Duhamel F, Coulombe P, Popoff MR, Meloche S: Rho family GTPases are required for activation of Jak/STAT signaling by G protein coupled receptors. Mol Cell Biol. 2003, 23: 1316-1333. 10.1128/MCB.23.4.1316-1333.2003.View ArticlePubMedPubMed CentralGoogle Scholar
- Heim MH: The STAT protein family. Signal Transducers and Activators of Transcription (STATs). Activation and Biology. Edited by: Sehgal PB, Levy DE, Hirano T. 2003, Dordrecht, The Netherlands: Kluwer Academic Publishers, 11-26.View ArticleGoogle Scholar
- Woellner C, Gertz EM, Schaffer AA, Lagos M, Perro M, et al: Mutations in STAT3 and diagnostic guidelines for hyper-IgE syndrome. J Allergy Clin Immunol. 2010, 125: 424-432. 10.1016/j.jaci.2009.10.059. e428View ArticlePubMedPubMed CentralGoogle Scholar
- Mintz R, Garty BZ, Meshel T, Marcus N, Katanov C, Cohen-Hillel E, Ben-Baruch A: Reduced expression of chemoattractant receptors by polymorphonuclear leukocytes in Hyper IgE Syndrome patients. Immunol Lett. 2010, 130: 97-106. 10.1016/j.imlet.2009.12.006.View ArticlePubMedGoogle Scholar
- Rossi D, Zlotnik A: The biology of chemokines and their receptors. Annu Rev Immunol. 2000, 18: 217-242. 10.1146/annurev.immunol.18.1.217.View ArticlePubMedGoogle Scholar
- Zeilhofer HU, Schorr W: Role of interleukin-8 in neutrophil signaling. Curr Opin Hematol. 2000, 7: 178-182. 10.1097/00062752-200005000-00009.View ArticlePubMedGoogle Scholar
- Mukaida N: Interleukin-8: an expanding universe beyond neutrophil chemotaxis and activation. Int J Hematol. 2000, 72: 391-398.PubMedGoogle Scholar
- Baggiolini M, Loetscher P, Moser B: Interleukin-8 and the chemokine family. Int J Immunopharmacol. 1995, 17: 103-108. 10.1016/0192-0561(94)00088-6.View ArticlePubMedGoogle Scholar
- Murphy PM: Neutrophil receptors for interleukin-8 and related CXC chemokines. Semin Hematol. 1997, 34: 311-318.PubMedGoogle Scholar
- Chuntharapai A, Kim KJ: Regulation of the expression of IL-8 receptor A/B by IL-8: possible functions of each receptor. J Immunol. 1995, 155: 2587-2594.PubMedGoogle Scholar
- Richardson RM, Pridgen BC, Haribabu B, Ali H, Snyderman R: Differential cross-regulation of the human chemokine receptors CXCR1 and CXCR2. Evidence for time-dependent signal generation. J Biol Chem. 1998, 273: 23830-23836. 10.1074/jbc.273.37.23830.View ArticlePubMedGoogle Scholar
- Green SP, Chuntharapai A, Curnutte JT: Interleukin-8 (IL-8), melanoma growth-stimulatory activity, and neutrophil-activating peptide selectively mediate priming of the neutrophil NADPH oxidase through the type A or type B IL-8 receptor. J Biol Chem. 1996, 271: 25400-25405. 10.1074/jbc.271.41.25400.View ArticlePubMedGoogle Scholar
- Feniger-Barish R, Yron I, Meshel T, Matityahu E, Ben-Baruch A: IL-8-induced migratory responses through CXCR1 and CXCR2: association with phosphorylation and cellular redistribution of focal adhesion kinase. Biochemistry. 2003, 42: 2874-2886. 10.1021/bi026783d.View ArticlePubMedGoogle Scholar
- Feniger-Barish R, Ran M, Zaslaver A, Ben-Baruch A: Differential modes of regulation of cxc chemokine-induced internalization and recycling of human CXCR1 and CXCR2. Cytokine. 1999, 11: 996-1009. 10.1006/cyto.1999.0510.View ArticlePubMedGoogle Scholar
- Richardson RM, Ali H, Pridgen BC, Haribabu B, Snyderman R: Multiple signaling pathways of human interleukin-8 receptor A. Independent regulation by phosphorylation. J Biol Chem. 1998, 273: 10690-10695. 10.1074/jbc.273.17.10690.View ArticlePubMedGoogle Scholar
- Hammond ME, Lapointe GR, Feucht PH, Hilt S, Gallegos CA, et al: IL-8 induces neutrophil chemotaxis predominantly via type I IL-8 receptors. J Immunol. 1995, 155: 1428-1433.PubMedGoogle Scholar
- Van Damme J, Wuyts A, Froyen G, Van Coillie E, Struyf S, et al: Granulocyte chemotactic protein-2 and related CXC chemokines: from gene regulation to receptor usage. J Leukoc Biol. 1997, 62: 563-569.PubMedGoogle Scholar
- Zlotnik A, Yoshie O, Nomiyama H: The chemokine and chemokine receptor superfamilies and their molecular evolution. Genome Biol. 2006, 7: 243-10.1186/gb-2006-7-12-243.View ArticlePubMedPubMed CentralGoogle Scholar
- Minegishi Y, Saito M, Nagasawa M, Takada H, Hara T, et al: Molecular explanation for the contradiction between systemic Th17 defect and localized bacterial infection in hyper-IgE syndrome. J Exp Med. 2009, 206: 1291-1301. 10.1084/jem.20082767.View ArticlePubMedPubMed CentralGoogle Scholar
- Conti HR, Baker O, Freeman AF, Jang WS, Holland SM, et al: New mechanism of oral immunity to mucosal candidiasis in hyper-IgE syndrome. Mucosal Immunol. 2011, 4: 448-455. 10.1038/mi.2011.5.View ArticlePubMedPubMed CentralGoogle Scholar
- Siegel AM, Heimall J, Freeman AF, Hsu AP, Brittain E, et al: A critical role for STAT3 transcription factor signaling in the development and maintenance of human T cell memory. Immunity. 2011, 35: 806-818. 10.1016/j.immuni.2011.09.016.View ArticlePubMedPubMed CentralGoogle Scholar
- Ozaki K, Spolski R, Feng GC, Qi CF, Cheng J, et al: A critical role for IL-21 in regulating immunoglobulin production. Science. 2002, 298: 1630-1634. 10.1126/science.1077002.View ArticlePubMedGoogle Scholar
- Wood N, Bourque K, Donaldson DD, Collins M, Vercelli D, Goldman SJ, Kasaian MT: IL-21 effects on human IgE production in response to IL-4 or IL-13. Cell Immunol. 2004, 231: 133-145. 10.1016/j.cellimm.2005.01.001.View ArticlePubMedGoogle Scholar
- Avery DT, Deenick EK, Ma CS, Suryani S, Simpson N, et al: B cellintrinsic signaling through IL-21 receptor and STAT3 is required for establishing long-lived antibody responses in humans. J Exp Med. 2010, 207: 155-171. 10.1084/jem.20091706.View ArticlePubMedPubMed CentralGoogle Scholar
- Speckmann C, Enders A, Woellner C, Thiel D, Rensing-Ehl A, et al: Reduced memory B cells in patients with hyper IgE syndrome. Clin Immunol. 2008, 129: 448-454. 10.1016/j.clim.2008.08.002.View ArticlePubMedGoogle Scholar
- Meyer-Bahlburg A, Renner ED, Rylaarsdam S, Reichenbach J, Schimke LF, et al: Heterozygous signal transducer and activator of transcription 3 mutations in hyper-IgE syndrome result in altered B-cell maturation. J Allergy Clin Immunol. 2012, 129: 559-562. 10.1016/j.jaci.2011.09.017. 562 e551-552View ArticlePubMedGoogle Scholar
- Sekhsaria V, Dodd LE, Hsu AP, Heimall JR, Freeman AF, et al: Plasma metalloproteinase levels are dysregulated in signal transducer and activator of transcription 3 mutated hyper-IgE syndrome. J Allergy Clin Immunol. 2011, 128: 1124-1127. 10.1016/j.jaci.2011.07.046.View ArticlePubMedPubMed CentralGoogle Scholar
- Zhou H, Newnum AB, Martin JR, Li P, Nelson MT, et al: Osteoblast/osteocyte-specific inactivation of Stat3 decreases load-driven bone formation and accumulates reactive oxygen species. Bone. 2011, 49: 404-411. 10.1016/j.bone.2011.04.020.View ArticlePubMedGoogle Scholar
- Lufei C, Ma J, Huang G, Zhang T, Novotny-Diermayr V, Ong CT, Cao X: GRIM-19, a death-regulatory gene product, suppresses Stat3 activity via functional interaction. EMBO J. 2003, 22: 1325-1335. 10.1093/emboj/cdg135.View ArticlePubMedPubMed CentralGoogle Scholar
- Griggs BL, Ladd S, Saul RA, DuPont BR, Srivastava AK: Dedicator of cytokinesis 8 is disrupted in two patients with mental retardation and developmental disabilities. Genomics. 2008, 91: 195-202. 10.1016/j.ygeno.2007.10.011.View ArticlePubMedGoogle Scholar
- Zhang Q, Davis JC, Dove CG, Su HC: Genetic, clinical, and laboratory markers for DOCK8 immunodeficiency syndrome. Dis Markers. 2010, 29: 131-139. 10.1155/2010/972591.View ArticlePubMedGoogle Scholar
- Raptis L, Arulanandam R, Geletu M, Turkson J: The R(h)oads to Stat3: Stat3 activation by the Rho GTPases. Exp Cell Res. 2011, 317: 1787-1795. 10.1016/j.yexcr.2011.05.008.View ArticlePubMedPubMed CentralGoogle Scholar
- Debidda M, Wang L, Zang H, Poli V, Zheng Y: A role of STAT3 in Rho GTPase-regulated cell migration and proliferation. J Biol Chem. 2005, 280: 17275-17285. 10.1074/jbc.M413187200.View ArticlePubMedGoogle Scholar
- Faruqi TR, Gomez D, Bustelo XR, Bar-Sagi D, Reich NC: Rac1 mediates STAT3 activation by autocrine IL-6. Proc Natl Acad Sci USA. 2001, 98: 9014-9019. 10.1073/pnas.161281298.View ArticlePubMedPubMed CentralGoogle Scholar
- Simon AR, Vikis HG, Stewart S, Fanburg BL, Cochran BH, Guan KL: Regulation of STAT3 by direct binding to the Rac1 GTPase. Science. 2000, 290: 144-147. 10.1126/science.290.5489.144.View ArticlePubMedGoogle Scholar
- Engelhardt KR, McGhee S, Winkler S, Sassi A, Woellner C, et al: Large deletions and point mutations involving the dedicator of cytokinesis 8 (DOCK8) in the autosomal-recessive form of hyper-IgE syndrome. J Allergy Clin Immunol. 2009, 124: 1289-1302. 10.1016/j.jaci.2009.10.038. e1284View ArticlePubMedPubMed CentralGoogle Scholar
- Cote JF, Vuori K: GEF what? Dock180 and related proteins help Rac to polarize cells in new ways. Trends Cell Biol. 2007, 17: 383-393. 10.1016/j.tcb.2007.05.001.View ArticlePubMedPubMed CentralGoogle Scholar
- Randall KL, Chan SS, Ma CS, Fung I, Mei Y, et al: DOCK8 deficiency impairs CD8 T cell survival and function in humans and mice. J Exp Med. 2011, 208: 2305-2320. 10.1084/jem.20110345.View ArticlePubMedPubMed CentralGoogle Scholar
- Zhang Q, Davis JC, Lamborn IT, Freeman AF, Jing H, et al: Combined immunodeficiency associated with DOCK8 mutations. N Engl J Med. 2009, 361: 2046-2055. 10.1056/NEJMoa0905506.View ArticlePubMedPubMed CentralGoogle Scholar
- Al Khatib S, Keles S, Garcia-Lloret M, Karakoc-Aydiner E, Reisli I, et al: Defects along the T(H)17 differentiation pathway underlie genetically distinct forms of the hyper IgE syndrome. J Allergy Clin Immunol. 2009, 124: 342-348. 10.1016/j.jaci.2009.05.004. 348 e341-345View ArticlePubMedGoogle Scholar
- Lambe T, Crawford G, Johnson AL, Crockford TL, Bouriez-Jones T, et al: DOCK8 is essential for T-cell survival and the maintenance of CD8(+) T-cell memory. Eur J Immunol. 2011, 41: 3423-3535. 10.1002/eji.201141759.View ArticlePubMedPubMed CentralGoogle Scholar
- Randall KL, Lambe T, Johnson AL, Treanor B, Kucharska E, et al: Dock8 mutations cripple B cell immunological synapses, germinal centers and long-lived antibody production. Nat Immunol. 2009, 10: 1283-1291. 10.1038/ni.1820.View ArticlePubMedPubMed CentralGoogle Scholar
- Firmbach-Kraft I, Byers M, Shows T, Dalla-Favera R, Krolewski JJ: tyk2, prototype of a novel class of non-receptor tyrosine kinase genes. Oncogene. 1990, 5: 1329-1336.PubMedGoogle Scholar
- Trask B, Fertitta A, Christensen M, Youngblom J, Bergmann A, et al: Fluorescence in situ hybridization mapping of human chromosome 19: cytogenetic band location of 540 cosmids and 70 genes or DNA markers. Genomics. 1993, 15: 133-145. 10.1006/geno.1993.1021.View ArticlePubMedGoogle Scholar
- Krolewski JJ, Lee R, Eddy R, Shows TB, Dalla-Favera R: Identification and chromosomal mapping of new human tyrosine kinase genes. Oncogene. 1990, 5: 277-282.PubMedGoogle Scholar
- Finbloom DS, Winestock KD: IL-10 induces the tyrosine phosphorylation of tyk2 and Jak1 and the differential assembly of STAT1 alpha and STAT3 complexes in human T cells and monocytes. J Immunol. 1995, 155: 1079-1090.PubMedGoogle Scholar
- Ho AS, Wei SH, Mui AL, Miyajima A, Moore KW: Functional regions of the mouse interleukin-10 receptor cytoplasmic domain. Mol Cell Biol. 1995, 15: 5043-5053.View ArticlePubMedPubMed CentralGoogle Scholar
- Kopantzev Y, Heller M, Swaminathan N, Rudikoff S: IL-6 mediated activation of STAT3 bypasses Janus kinases in terminally differentiated B lineage cells. Oncogene. 2002, 21: 6791-6800. 10.1038/sj.onc.1205815.View ArticlePubMedGoogle Scholar
- Ihle JN, Kerr IM: Jaks and Stats in signaling by the cytokine receptor superfamily. Trends Genet. 1995, 11: 69-74. 10.1016/S0168-9525(00)89000-9.View ArticlePubMedGoogle Scholar
- Welham MJ, Learmonth L, Bone H, Schrader JW: Interleukin-13 signal transduction in lymphohemopoietic cells. Similarities and differences in signal transduction with interleukin-4 and insulin. J Biol Chem. 1995, 270: 12286-12296. 10.1074/jbc.270.20.12286.View ArticlePubMedGoogle Scholar
- Stahl N, Boulton TG, Farruggella T, Ip NY, Davis S, et al: Association and activation of Jak-Tyk kinases by CNTF-LIF-OSM-IL-6 beta receptor components. Science. 1994, 263: 92-95. 10.1126/science.8272873.View ArticlePubMedGoogle Scholar
- Narazaki M, Witthuhn BA, Yoshida K, Silvennoinen O, Yasukawa K, et al: Activation of JAK2 kinase mediated by the interleukin 6 signal transducer gp130. Proc Natl Acad Sci USA. 1994, 91: 2285-2289. 10.1073/pnas.91.6.2285.View ArticlePubMedPubMed CentralGoogle Scholar
- Du X, Williams DA: Interleukin-11: review of molecular, cell biology, and clinical use. Blood. 1997, 89: 3897-3908.PubMedGoogle Scholar
- Trinchieri G, Pflanz S, Kastelein RA: The IL-12 family of heterodimeric cytokines: new players in the regulation of T cell responses. Immunity. 2003, 19: 641-644. 10.1016/S1074-7613(03)00296-6.View ArticlePubMedGoogle Scholar
- Chishti AH, Kim AC, Marfatia SM, Lutchman M, Hanspal M, et al: The FERM domain: a unique module involved in the linkage of cytoplasmic proteins to the membrane. Trends Biochem Sci. 1998, 23: 281-282. 10.1016/S0968-0004(98)01237-7.View ArticlePubMedGoogle Scholar
- Pearson MA, Reczek D, Bretscher A, Karplus PA: Structure of the ERM protein moesin reveals the FERM domain fold masked by an extended actin binding tail domain. Cell. 2000, 101: 259-270. 10.1016/S0092-8674(00)80836-3.View ArticlePubMedGoogle Scholar
- Marengere LE, Pawson T: Structure and function of SH2 domains. J Cell Sci Suppl. 1994, 18: 97-104.View ArticlePubMedGoogle Scholar
- Pawson T: Protein modules and signalling networks. Nature. 1995, 373: 573-580. 10.1038/373573a0.View ArticlePubMedGoogle Scholar
- Mayer BJ, Baltimore D: Signalling through SH2 and SH3 domains. Trends Cell Biol. 1993, 3: 8-13. 10.1016/0962-8924(93)90194-6.View ArticlePubMedGoogle Scholar
- Pawson T, Schlessingert J: SH2 and SH3 domains. Curr Biol. 1993, 3: 434-442. 10.1016/0960-9822(93)90350-W.View ArticlePubMedGoogle Scholar
- Manning G, Plowman GD, Hunter T, Sudarsanam S: Evolution of protein kinase signaling from yeast to man. Trends Biochem Sci. 2002, 27: 514-520. 10.1016/S0968-0004(02)02179-5.View ArticlePubMedGoogle Scholar
- Minegishi Y, Saito M, Morio T, Watanabe K, Agematsu K, et al: Human tyrosine kinase 2 deficiency reveals its requisite roles in multiple cytokine signals involved in innate and acquired immunity. Immunity. 2006, 25: 745-755. 10.1016/j.immuni.2006.09.009.View ArticlePubMedGoogle Scholar
- Ishizaki M, Akimoto T, Muromoto R, Yokoyama M, Ohshiro Y, et al: Involvement of tyrosine kinase-2 in both the IL-12/Th1 and IL-23/Th17 axes in vivo. J Immunol. 2011, 187: 181-189. 10.4049/jimmunol.1003244.View ArticlePubMedGoogle Scholar
- Freeman AF, Domingo DL, Holland SM: Hyper IgE (Job's) syndrome: a primary immune deficiency with oral manifestations. Oral Dis. 2009, 15: 2-7. 10.1111/j.1601-0825.2008.01463.x.View ArticlePubMedGoogle Scholar
- Freeman AF, Holland SM: Clinical manifestations, etiology, and pathogenesis of the hyper-IgE syndromes. Pediatr Res. 2009, 65: 32R-37R. 10.1203/PDR.0b013e31819dc8c5.View ArticlePubMedPubMed CentralGoogle Scholar
- Vinh DC, Sugui JA, Hsu AP, Freeman AF, Holland SM: Invasive fungal disease in autosomal-dominant hyper-IgE syndrome. J Allergy Clin Immunol. 2010, 125: 1389-1390. 10.1016/j.jaci.2010.01.047.View ArticlePubMedPubMed CentralGoogle Scholar
- Melia E, Freeman AF, Shea YR, Hsu AP, Holland SM, Olivier KN: Pulmonary nontuberculous mycobacterial infections in hyper-IgE syndrome. J Allergy Clin Immunol. 2009, 124: 617-618. 10.1016/j.jaci.2009.07.007.View ArticlePubMedPubMed CentralGoogle Scholar
- Ma BH, Ng CS, Lam RK, Wan S, Wan IY, Lee TW, Yim AP: Recurrent hemoptysis with Penicillium marneffei and Stenotrophomonas maltophilia in Job's syndrome. Can Respir J. 2009, 16: e50-e52.View ArticlePubMedPubMed CentralGoogle Scholar
- Netea MG, Schneeberger PM, de Vries E, Kullberg BJ, van der Meer JW, Koolen MI: Th1/Th2 cytokine imbalance in a family with hyper-IgE syndrome. Neth J Med. 2002, 60: 349-353.PubMedGoogle Scholar
- Yavuz H, Chee R: A review on the vascular features of the hyperimmunoglobulin E syndrome. Clin Exp Immunol. 2010, 159: 238-244. 10.1111/j.1365-2249.2009.04044.x.View ArticlePubMedPubMed CentralGoogle Scholar
- Freeman AF, Avila EM, Shaw PA, Davis J, Hsu AP, et al: Coronary artery abnormalities in hyper-IgE syndrome. J Clin Immunol. 2011, 31: 338-345. 10.1007/s10875-011-9515-9.View ArticlePubMedPubMed CentralGoogle Scholar
- Gharib AM, Pettigrew RI, Elagha A, Hsu A, Welch P, Holland SM, Freeman AF: Coronary abnormalities in hyper-IgE recurrent infection syndrome: depiction at coronary MDCT angiography. AJR Am J Roentgenol. 2009, 193: W478-W481. 10.2214/AJR.09.2623.View ArticlePubMedPubMed CentralGoogle Scholar
- Stover DG, Freeman AF, Wright PW, Hummell DS, Ness RM: Diverticulitis in a young man with hyper-IgE syndrome. South Med J. 2010, 103: 1261-1263. 10.1097/SMJ.0b013e3181fa5f0e.View ArticlePubMedPubMed CentralGoogle Scholar
- Chen CM, Lai HS, Lin CL, Hsieh KS: Colon perforation in a patient with hyperimmunoglobulin E (Job's) syndrome. J Pediatr Surg. 1995, 30: 1479-1480. 10.1016/0022-3468(95)90412-3.View ArticlePubMedGoogle Scholar
- Hwang EH, Oh JT, Han SJ, Kim H: Colon perforation in hyperimmunoglobulin E syndrome. J Pediatr Surg. 1998, 33: 1420-1422. 10.1016/S0022-3468(98)90025-2.View ArticlePubMedGoogle Scholar
- Steiner SJ, Kleiman MB, Corkins MR, Christenson JC, Wheat LJ: Ileocecal histoplasmosis simulating Crohn disease in a patient with hyperimmunoglobulin E syndrome. Pediatr Infect Dis J. 2009, 28: 744-746. 10.1097/INF.0b013e31819b65e0.View ArticlePubMedGoogle Scholar
- Cappell MS, Manzione NC: Recurrent colonic histoplasmosis after standard therapy with amphotericin B in a patient with Job's syndrome. Am J Gastroenterol. 1991, 86: 119-120.PubMedGoogle Scholar
- Leonard GD, Posadas E, Herrmann PC, Anderson VL, Jaffe ES, Holland SM, Wilson WH: Non-Hodgkin's lymphoma in Job's syndrome: a case report and literature review. Leuk Lymphoma. 2004, 45: 2521-2525. 10.1080/10428190400004463.View ArticlePubMedGoogle Scholar
- Kumanovics A, Perkins SL, Gilbert H, Cessna MH, Augustine NH, Hill HR: Diffuse large B cell lymphoma in hyper-IgE syndrome due to STAT3 mutation. J Clin Immunol. 2010, 30: 886-893. 10.1007/s10875-010-9452-z.View ArticlePubMedGoogle Scholar
- Belada D, Smolej L, Stepankova P, Kralickova P, Freiberger T: Diffuse large B-cell lymphoma in a patient with hyper-IgE syndrome: successful treatment with risk-adapted rituximab-based immunochemotherapy. Leuk Res. 2010, 34: e232-e234. 10.1016/j.leukres.2010.01.024.View ArticlePubMedGoogle Scholar
- Renner ED, Puck JM, Holland SM, Schmitt M, Weiss M, et al: Autosomal recessive hyperimmunoglobulin E syndrome: a distinct disease entity. J Pediatr. 2004, 144: 93-99. 10.1016/S0022-3476(03)00449-9.View ArticlePubMedGoogle Scholar
- Kilic SS, Hacimustafaoglu M, Boisson-Dupuis S, Kreins AY, Grant AV, Abel L, Casanova JL: A patient with tyrosine kinase 2 deficiency without hyper-IgE syndrome. J Pediatr. 2012, [Published ahead of print March 6, 2012]Google Scholar
- Grimbacher B, Schaffer AA, Holland SM, Davis J, Gallin JI, et al: Genetic linkage of hyper-IgE syndrome to chromosome 4. Am J Hum Genet. 1999, 65: 735-744. 10.1086/302547.View ArticlePubMedPubMed CentralGoogle Scholar
- Schimke LF, Sawalle-Belohradsky J, Roesler J, Wollenberg A, Rack A, et al: Diagnostic approach to the hyper-IgE syndromes: immunologic and clinical key findings to differentiate hyper-IgE syndromes from atopic dermatitis. J Allergy Clin Immunol. 2010, 126: 611-617. 10.1016/j.jaci.2010.06.029. e611View ArticlePubMedGoogle Scholar
- Heimall J, Davis J, Shaw PA, Hsu AP, Gu W, Welch P, Holland SM, Freeman AF: Paucity of genotype-phenotype correlations in STAT3 mutation positive hyper IgE syndrome (HIES). Clin Immunol. 2011, 139: 75-84. 10.1016/j.clim.2011.01.001.View ArticlePubMedPubMed CentralGoogle Scholar
- Ochs HD, Smith CIE, Puck J: Primary Immunodeficiency Diseases: A Molecular and Genetic Approach. 2007, New York, NY: Oxford University PressGoogle Scholar
- Kumanovics A, Wittwer CT, Pryor RJ, Augustine NH, Leppert MF, et al: Rapid molecular analysis of the STAT3 gene in Job syndrome of hyper-IgE and recurrent infectious diseases. J Mol Diagn. 2010, 12: 213-219. 10.2353/jmoldx.2010.090080.View ArticlePubMedPubMed CentralGoogle Scholar
- Dasouki M, Okonkwo KC, Ray A, Folmsbeel CK, Gozales D, et al: Deficient T cell receptor excision circles (TRECs) in autosomal recessive hyper IgE syndrome caused by DOCK8 mutation: implications for pathogenesis and potential detection by newborn screening. Clin Immunol. 2011, 141: 128-132. 10.1016/j.clim.2011.06.003.View ArticlePubMedPubMed CentralGoogle Scholar
- Freeman AF, Holland SM: The hyper-IgE syndromes. Immunol Allergy Clin North Am. 2008, 28: 277-291. 10.1016/j.iac.2008.01.005. viiiView ArticlePubMedPubMed CentralGoogle Scholar
- Freeman AF, Holland SM: Clinical manifestations of hyper IgE syndromes. Dis Markers. 2010, 29: 123-130. 10.1155/2010/580197.View ArticlePubMedPubMed CentralGoogle Scholar
- Bittner TC, Pannicke U, Renner ED, Notheis G, Hoffmann F, et al: Successful long-term correction of autosomal recessive hyper-IgE syndrome due to DOCK8 deficiency by hematopoietic stem cell transplantation. Klin Padiatr. 2010, 222: 351-355. 10.1055/s-0030-1265135.View ArticlePubMedGoogle Scholar
- McDonald DR, Massaad MJ, Johnston A, Keles S, Chatila T, Geha RS, Pai SY: Successful engraftment of donor marrow after allogeneic hematopoietic cell transplantation in autosomal-recessive hyper-IgE syndrome caused by dedicator of cytokinesis 8 deficiency. J Allergy Clin Immunol. 2010, 126: 1304-1305. 10.1016/j.jaci.2010.07.034. e1303View ArticlePubMedPubMed CentralGoogle Scholar
- Gatz SA, Benninghoff U, Schutz C, Schulz A, Honig M, et al: Curative treatment of autosomal-recessive hyper-IgE syndrome by hematopoietic cell transplantation. Bone Marrow Transplant. 2011, 46: 552-556. 10.1038/bmt.2010.169.View ArticlePubMedGoogle Scholar
- Gennery AR, Flood TJ, Abinun M, Cant AJ: Bone marrow transplantation does not correct the hyper IgE syndrome. Bone Marrow Transplant. 2000, 25: 1303-1305. 10.1038/sj.bmt.1702446.View ArticlePubMedGoogle Scholar
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.