1. An overview of early genetic predictors of IgA deficiency.
- Author
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Fekrvand S, Abolhassani H, and Rezaei N
- Subjects
- Humans, Immunoglobulin A blood, Immunoglobulin A immunology, B-Lymphocytes immunology, B-Lymphocytes metabolism, Genetic Predisposition to Disease, Epigenesis, Genetic, Immunoglobulin Class Switching genetics, IgA Deficiency genetics, IgA Deficiency diagnosis
- Abstract
Introduction: Inborn errors of immunity (IEIs) refer to a heterogeneous category of diseases with defects in the number and/or function of components of the immune system. Immunoglobulin A (IgA) deficiency is the most prevalent IEI characterized by low serum level of IgA and normal serum levels of IgG and/or IgM. Most of the individuals with IgA deficiency are asymptomatic and are only identified through routine laboratory tests. Others may experience a wide range of clinical features including mucosal infections, allergies, and malignancies as the most important features. IgA deficiency is a multi-complex disease, and the exact pathogenesis of it is still unknown., Areas Covered: This review compiles recent research on genetic and epigenetic factors that may contribute to the development of IgA deficiency. These factors include defects in B-cell development, IgA class switch recombination, synthesis, secretion, and the long-term survival of IgA switched memory B cells and plasma cells., Expert Opinion: A better and more comprehensive understanding of the cellular pathways involved in IgA deficiency could lead to personalized surveillance and potentially curative strategies for affected patients, especially those with severe symptoms.
- Published
- 2024
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