Table 3.

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.

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