Novel Mutations in SH2D1A Gene in X-linked Lymphoproliferative Syndrome, Diagnosed After B-Cell Non-Hodgkin Lymphoma.

Svetlana O Sharapova, Alina S Fedorova, Olga E Pashchenko, Svetlana S Vahliarskaya, Irina E Guryanova, Alexandr A Migas, Irina V Kondratenko, Olga V Aleinikova

Journal of pediatric hematology/oncology 2017 May

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X-linked lymphoproliferative disease type I (XLP I) is caused by mutations in the SH2D1A gene and characterized mainly by hypogammaglobulinemia and abnormal response to Epstein-Barr virus with a high predisposition to B-cell non-Hodgkin lymphoma development. In this article, we describe the experience of 2 centers in Belarus and in Russia that follow 3 male patients who were diagnosed with XLP I after lymphoma development and treatment. Three novel mutations c.51G>C (p.E17D), c.192G>T (p.W64C), and c.53insA (p.K18KfsX67) were found in 3 males patients with XLP I. Two of them did not have any signs of immunodeficiency before B-cell non-Hodgkin lymphoma development. We propose SH2D1A mutational screening be considered in male patients with or without hypogammaglobulinemia who received rituximab treatment for lymphoma and did not recover immunoglobulin G in a year after B-depleting therapy.

Citation

Svetlana O Sharapova, Alina S Fedorova, Olga E Pashchenko, Svetlana S Vahliarskaya, Irina E Guryanova, Alexandr A Migas, Irina V Kondratenko, Olga V Aleinikova. Novel Mutations in SH2D1A Gene in X-linked Lymphoproliferative Syndrome, Diagnosed After B-Cell Non-Hodgkin Lymphoma. Journal of pediatric hematology/oncology. 2017 May;39(4):e203-e206