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Related Concept Videos

Introduction to Innate and Adaptive Immunity01:21

Introduction to Innate and Adaptive Immunity

The human immune system is a complex defense mechanism that protects the body from harmful pathogens and foreign substances. It comprises two crucial components: innate and adaptive immunity.
Innate immunity is the body's natural, nonspecific defense system that acts quickly to protect against pathogens. It incorporates physical barriers like skin and mucous membranes and cellular elements such as phagocytes and natural killer cells. This part of our immune system provides an immediate,...
Development of Immunocompetence01:22

Development of Immunocompetence

The initiation of cell-mediated immunity can be observed as early as the third month of fetal growth, with active antibody-mediated immunity following approximately one month later.
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...
Immunodeficiency Diseases01:25

Immunodeficiency Diseases

Immunodeficiency disorders are conditions in which the immune system's ability to fight infectious disease and cancer is compromised or entirely absent. The immune system comprises a complex network of cells, tissues, and organs that work together to protect the body from potentially harmful invaders. When this system is deficient or not functioning properly, it leaves the body susceptible to infections, diseases, or other complications.
There are three main causes of immunodeficiency disorders...
Special Features of Adaptive Immunity01:20

Special Features of Adaptive Immunity

The adaptive immune system, a crucial component of the overall immune response, offers a highly specialized defense against pathogens. It involves specific cell types and features, enabling it to combat infections effectively and efficiently.
The primary cell types involved in adaptive immunity are T cells and B cells. Each type has a unique role in defending the body against pathogens. T cells are responsible for cell-mediated immunity. They identify and eliminate infected cells directly,...
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[Advancements in the Inborn Errors of Immunity].

Ori Toker1, Raz Somech2

  • 1Allergy and Clinical Immunology Unit, Shaare Zedek Medical Centre, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel, The Israeli Association for Allergy and Clinical Immunology.

Harefuah
|May 27, 2026
PubMed
Summary

Inborn errors of immunity (IEI) are genetic disorders affecting the immune system, previously known as primary immunodeficiencies. These conditions, encompassing 559 distinct clinical entities, are more common than previously believed.

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Area of Science:

  • Immunology
  • Genetics
  • Clinical Medicine

Background:

  • The immune system protects against diseases but damage can lead to immune disorders.
  • Genetic defects underlie primary immune system disorders, termed inborn errors of immunity (IEI).
  • IEI encompasses 559 conditions, previously called primary immunodeficiencies (PID).

Purpose of the Study:

  • To introduce the concept and scope of inborn errors of immunity (IEI).
  • To highlight the genetic basis and diverse manifestations of IEI.
  • To underscore the prevalence and clinical significance of IEI.

Main Methods:

  • Review of immunological and genetic principles.
  • Analysis of the classification and nomenclature of immune system disorders.
  • Epidemiological data on the prevalence of congenital immune diseases.

Main Results:

  • Inborn errors of immunity (IEI) represent a broad spectrum of genetic conditions.
  • These disorders result from defects in immune system components, leading to varied clinical presentations.
  • The prevalence of IEI is estimated at 1:1,200, indicating they are not rare.

Conclusions:

  • The term IEI replaces PID, reflecting a deeper understanding of genetic immune disorders.
  • IEI are caused by genetic defects and can manifest as immune deficiency or overactivity.
  • IEI are a significant group of disorders with a notable prevalence in the general population.