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Wiskott-Aldrich syndrome: a study of 577 patients defines the genotype as a biomarker for disease severity and survival
TC. Vallée, JS. Glasmacher, H. Buchner, PD. Arkwright, U. Behrends, A. Bondarenko, MJ. Browning, D. Buchbinder, A. Cattoni, L. Chernyshova, P. Ciznar, T. Cole, W. Czogała, G. Dueckers, JDM. Edgar, F. Erbey, A. Fasth, F. Ferrua, R. Formankova, E....
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články, multicentrická studie
NLK
Free Medical Journals
od 1946 do Před 1 rokem
Freely Accessible Science Journals
od 1946 do Před 1 rokem
Open Access Digital Library
od 1946-01-01
Open Access Digital Library
od 1946-01-01
ROAD: Directory of Open Access Scholarly Resources
PubMed
38579284
DOI
10.1182/blood.2023021411
Knihovny.cz E-zdroje
- MeSH
- biologické markery MeSH
- dítě MeSH
- dospělí MeSH
- genotyp * MeSH
- kojenec MeSH
- lidé středního věku MeSH
- lidé MeSH
- míra přežití MeSH
- mladiství MeSH
- mladý dospělý MeSH
- následné studie MeSH
- předškolní dítě MeSH
- prognóza MeSH
- protein Wiskottova-Aldrichova syndromu genetika MeSH
- retrospektivní studie MeSH
- stupeň závažnosti nemoci MeSH
- transplantace hematopoetických kmenových buněk MeSH
- Wiskottův-Aldrichův syndrom * genetika diagnóza terapie MeSH
- Check Tag
- dítě MeSH
- dospělí MeSH
- kojenec MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- předškolní dítě MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
Wiskott-Aldrich syndrome (WAS) is a multifaceted monogenic disorder with a broad disease spectrum and variable disease severity and a variety of treatment options including allogeneic hematopoietic stem cell transplantation (HSCT) and gene therapy (GT). No reliable biomarker exists to predict disease course and outcome for individual patients. A total of 577 patients with a WAS variant from 26 countries and a median follow-up of 8.9 years (range, 0.3-71.1), totaling 6118 patient-years, were included in this international retrospective study. Overall survival (OS) of the cohort (censored at HSCT or GT) was 82% (95% confidence interval, 78-87) at age 15 years and 70% (61-80) at 30 years. The type of variant was predictive of outcome: patients with a missense variant in exons 1 or 2 or with the intronic hot spot variant c.559+5G>A (class I variants) had a 15-year OS of 93% (89-98) and a 30-year OS of 91% (86-97), compared with 71% (62-81) and 48% (34-68) in patients with any other variant (class II; P < .0001). The cumulative incidence rates of disease-related complications such as severe bleeding (P = .007), life-threatening infection (P < .0001), and autoimmunity (P = .004) occurred significantly later in patients with a class I variant. The cumulative incidence of malignancy (P = .6) was not different between classes I and II. It confirms the spectrum of disease severity and quantifies the risk for specific disease-related complications. The class of the variant is a biomarker to predict the outcome for patients with WAS.
Azerbaijan Medical University Baku Azerbaijan
Bone Marrow Transplantation Department Hadassah Hebrew University Medical Center Jerusalem Israel
Centre de référence des déficits immunitaires primitifs CEREDIH CHU d'Angers Angers France
Children's Hospital School of Medicine Technical University Munich Munich Germany
Clinical Immunology John Radcliffe Hospital Oxford United Kingdom
Department of Allergy and Immunology The Royal Children's Hospital Melbourne Australia
Department of Haematology Oncology Anna Meyer University Children's Hospital Florence Italy
Department of Hematology Children's Hospital of Orange County Orange CA
Department of Immunology Children's Memorial Health Institute Warsaw Poland
Department of Immunology Mother and Child Health Care Institute of Serbia Belgrade Serbia
Department of Infection Immunity and Inflammation University of Leicester Leicester United Kingdom
Department of NEUROFARBA Section of Child's Health University of Florence Florence Italy
Department of Pediatric Hematology Oncology Koç University School of Medicine İstanbul Turkey
Department of Pediatrics Faculty of Medicine Comenius University Bratislava Slovakia
Department of Pediatrics Fondazione IRCCS San Gerardo dei Tintori Monza Italy
Department of Pediatrics Kuopio University Hospital Kuopio Finland
Department of Pediatrics The University of Alabama at Birmingham Birmingham AL
Department of Pediatrics University Hospitals Leuven Leuven Belgium
Department of Pediatrics University Medical Center Ulm Ulm Germany
Department of Translational Medical Science Section of Pediatrics Federico 2 University Napoli Italy
Helios Kliniken Krefeld Children's Hospital Krefeld Germany
Medical Direction Children's Hospital ASST Spedali Civili Brescia Italy
Pediatric Hematology Oncology Dr von Hauner University Children's Hospital Munich Germany
Pediatric Immunology and Rheumatology Bursa Uludag University School of Medicine Bursa Turkey
Russian Children's Clinical Hospital Pirogov National Research Medical University Moscow Russia
School of Medicine and Surgery University of Milano Bicocca Milan Italy
School of Women's and Children's Health University of New South Wales Sydney Australia
St James's Hospital and School of Medicine Trinity College Dublin Ireland
Citace poskytuje Crossref.org
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