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10.1097/MOP.0000000000000029

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suck abstract from ncbi


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pmid24240290
      Curr+Opin+Pediatr 2013 ; 25 (6 ): 708-14
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  • Immune dysregulation, polyendocrinopathy, enteropathy, X-linked (IPEX) and IPEX-related disorders: an evolving web of heritable autoimmune diseases #MMPMID24240290
  • Verbsky JW ; Chatila TA
  • Curr Opin Pediatr 2013[Dec]; 25 (6 ): 708-14 PMID24240290 show ga
  • PURPOSE OF REVIEW: To summarize recent progress in our understanding of immune dysregulation, polyendocrinopathy, enteropathy, X-linked (IPEX) and IPEX-related disorders. RECENT FINDINGS: A number of Mendelian disorders of immune dysregulation and autoimmunity have been noted to result from defects in T regulatory cell, development and function. The best characterized of these is IPEX, resulting from mutations affecting FOXP3. A number of other gene defects that affect T regulatory cell function also give rise to IPEX-related phenotypes, including loss-of-function mutations in CD25, STAT5b and ITCH. Recent progress includes the identification of gain-of-function mutations in STAT1 as a cause of an IPEX-like disease, emerging FOXP3?genotype/phenotype relationships in IPEX, and the elucidation of a role for the microbiota in the immune dysregulation associated with regulatory T cell deficiency. SUMMARY: An expanding spectrum of genetic defects that compromise T regulatory cell function underlies human disorders of immune dysregulation and autoimmunity. Collectively, these disorders offer novel insights into pathways of peripheral tolerance and their disruption in autoimmunity.
  • |Autoantibodies/immunology [MESH]
  • |Autoimmunity/genetics/immunology [MESH]
  • |Diabetes Mellitus, Type 1/congenital [MESH]
  • |Diarrhea/genetics/*immunology/pathology [MESH]
  • |Female [MESH]
  • |Forkhead Transcription Factors/genetics/*immunology [MESH]
  • |Genetic Diseases, X-Linked/genetics/*immunology/pathology [MESH]
  • |Genetic Predisposition to Disease [MESH]
  • |Humans [MESH]
  • |Immune System Diseases/congenital [MESH]
  • |Immunologic Deficiency Syndromes/genetics/*immunology/pathology [MESH]
  • |Interleukin-2 Receptor alpha Subunit/genetics/*immunology [MESH]
  • |Intestinal Diseases/genetics/*immunology/pathology [MESH]
  • |Male [MESH]
  • |Mutation/genetics [MESH]
  • |Polyendocrinopathies, Autoimmune/genetics/*immunology/pathology [MESH]
  • |Repressor Proteins/genetics/*immunology [MESH]
  • |STAT5 Transcription Factor/genetics/*immunology [MESH]
  • |T-Lymphocytes, Regulatory/*immunology [MESH]


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