Clinical features of 6 CD40L-deficient patients with mild disease
. | . | Atypical mild phenotype . | . | . | . | . | . | |||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
. | Typical phenotype . | Thr 254 Met Patient 61 . | Thr 254 Met Patient 62 . | Thr 254 Met Patient 63 . | Arg 11 stop Patient 1 . | IVS2 + 2 t > a Patient 17 . | 367G > A Patient 19 . | |||||
Age at onset of symptoms, y | 1.2 (range, 0.18-5) | 23 | 14 | 5 | 8 | 17 | 5 | |||||
Age when analyzed, y | 63 | 22 | 28 | 22 | 24 | 17 | ||||||
PCP | 42% | - | - | - | - | - | - | |||||
Neutropenia | 62% | - | - | Intermittent | - | - | - | |||||
B19-induced red blood cell aplasia | No | No | Yes | No | Yes | Yes | No | |||||
Anti-CD40L mAb binding | D/+ | + | + | + | + | + | + | |||||
CD40-Ig binding | D | D | D | D | (+) | (+) | (+) |
. | . | Atypical mild phenotype . | . | . | . | . | . | |||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
. | Typical phenotype . | Thr 254 Met Patient 61 . | Thr 254 Met Patient 62 . | Thr 254 Met Patient 63 . | Arg 11 stop Patient 1 . | IVS2 + 2 t > a Patient 17 . | 367G > A Patient 19 . | |||||
Age at onset of symptoms, y | 1.2 (range, 0.18-5) | 23 | 14 | 5 | 8 | 17 | 5 | |||||
Age when analyzed, y | 63 | 22 | 28 | 22 | 24 | 17 | ||||||
PCP | 42% | - | - | - | - | - | - | |||||
Neutropenia | 62% | - | - | Intermittent | - | - | - | |||||
B19-induced red blood cell aplasia | No | No | Yes | No | Yes | Yes | No | |||||
Anti-CD40L mAb binding | D/+ | + | + | + | + | + | + | |||||
CD40-Ig binding | D | D | D | D | (+) | (+) | (+) |
PCP indicates pneumocystis carinii pneumonia; +, CD40L expressed normally; (+), CD40L detected, but decreased compared with normal; D, dramatically decreased or absent CD40L expression; -, absent.