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Pleiotropy is the phenomenon in which a single gene impacts multiple, seemingly unrelated phenotypic traits. For example, defects in the SOX10 gene cause Waardenburg Syndrome Type 4, or WS4, which can cause defects in pigmentation, hearing impairments, and an absence of intestinal contractions necessary for elimination. This diversity of phenotypes results from the expression pattern of SOX10 in early embryonic and fetal development. SOX10 is found in neural crest cells that form melanocytes,...
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Phenylketonuria (PKU) is a protein metabolism disorder characterized by high blood levels of the amino acid phenylalanine. This results from a mutation in the gene responsible for phenylalanine hydroxylase, an enzyme that converts phenylalanine into tyrosine. When this enzyme is deficient, phenylalanine builds up in the blood, leading to symptoms such as vomiting, rashes, seizures, growth deficiency, and severe mental retardation. An early diagnosis and a diet restricting phenylalanine intake...
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A persistent pattern of angry or irritable mood, defiant behavior, or vindictiveness characterizes Oppositional Defiant Disorder (ODD). Symptoms must occur over at least six months, involve interactions with individuals beyond siblings, and meet specific diagnostic criteria to be clinically significant. The disorder affects emotional regulation, social interactions, and behavior, often manifesting early in life and influencing long-term development and functioning.
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DOCK8 Deficiency Presenting as an IPEX-Like Disorder.

Fayhan J Alroqi1,2, Louis-Marie Charbonnier1, Sevgi Keles3

  • 1Division of Immunology, Boston Children's Hospital and Department of Pediatrics, Harvard Medical School, Karp Family Building, Room 10-214. 1 Blackfan Street, Boston, MA, 02115, USA.

Journal of Clinical Immunology
|October 24, 2017
PubMed
Summary

Dedicator of cytokinesis 8 (DOCK8) deficiency can cause severe immune dysregulation resembling IPEX-like disorders. Loss-of-function mutations in DOCK8 profoundly impair T regulatory cell function, leading to complex clinical presentations.

Area of Science:

  • Immunology
  • Genetics

Background:

  • Dedicator of cytokinesis 8 (DOCK8) deficiency is an autosomal recessive-combined immunodeficiency.
  • Clinical features include recurrent infections, autoimmunity, malignancies, elevated IgE, eczema, and food allergies.
Keywords:
Combined ImmunodeficiencyDOCK8FOXP3IPEXIPEX-likeTregimmune dysregulationregulatory T cells

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