Abstract |
Properdin is an initiator and stabilizer of the alternative complement activation pathway (AP). Deficiency of properdin is a rare X-linked condition characterized by increased susceptibility to infection with Neisseria meningitidis associated with a high mortality rate. We report properdin deficiency in a large Pakistani family. The index cases were found by screening for immunodeficiency due to a history of recurrent infections. This revealed absent AP activity, but normal classical and lectin pathway activity. Sequencing of the properdin gene (PFC) revealed a novel frameshift mutation. When all available relatives (n=24) were screened for the mutation, four affected males, four female carriers and a male heterozygous carrier were identified. He was subsequently diagnosed with Klinefelter syndrome. A questionnaire revealed a striking association between properdin deficiency and recurrent otitis media (P=0.0012), as well as recurrent pneumonia (P=0.0017). This study is the first to show a significant association between properdin deficiency and recurrent infections.
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Authors | Lone Schejbel, Vibeke Rosenfeldt, Hanne Marquart, Niels Henrik Valerius, Peter Garred |
Journal | Clinical immunology (Orlando, Fla.)
(Clin Immunol)
Vol. 131
Issue 3
Pg. 456-62
(Jun 2009)
ISSN: 1521-7035 [Electronic] United States |
PMID | 19328743
(Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
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Topics |
- Female
- Genetic Predisposition to Disease
- Heterozygote
- Humans
- Klinefelter Syndrome
(complications, genetics)
- Male
- Mutation
(genetics)
- Otitis Media
(complications, genetics)
- Pedigree
- Pneumonia
(complications, genetics)
- Properdin
(deficiency, genetics)
- Recurrence
- Retrospective Studies
- Surveys and Questionnaires
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