Primary B cell immunodeficiencies: comparisons and contrasts

ME Conley, AK Dobbs, DM Farmer… - Annual review of …, 2009 - annualreviews.org
Sophisticated genetic tools have made possible the identification of the genes responsible
for most well-described immunodeficiencies in the past 15 years. Mutations in Btk,
components of the pre-B cell and B cell receptor (λ5, Igα, Igβ), or the scaffold protein BLNK
account for approximately 90% of patients with defects in early B cell development. Hyper-
IgM syndromes result from mutations in CD40 ligand, CD40, AID, or UNG in 70–80% of
affected patients. Rare defects in ICOS or CD19 can result in a clinical picture that is …