Clinical and molecular characteristics of Wiskott-Aldrich Syndrome in five unrelated Chinese families

Scand J Immunol. 2022 Jan;95(1):e13115. doi: 10.1111/sji.13115. Epub 2021 Nov 16.

Abstract

Wiskott-Aldrich syndrome (WAS) also called the eczema-thrombocytopenia-immunodeficiency syndrome is a primary immunodeficiency disease with X-linked recessive inheritance caused by mutations in the WAS protein (WASp) gene and characterized by thrombocytopenia with reduced platelet volume, eczema, immunodeficiency, and increased risk of malignant tumours. The mutations will lead to separate WAS severity which can be typical severe 'classical' WAS or less severe 'non-classical' WAS. This article will review and analyse clinical and immune characteristics of five unrelated Chinese families harbouring classical and non-classical WAS. The expression of WASp was detected in the peripheral blood monocytes (PBMC) by flow cytometry, and five mutations were found by WAS gene sequencing, one of which had not been reported in the literature, namely frameshift mutation c.1240_1247delCCACTCCC (p. P414Sfs*41).

Keywords: Wiskott-Aldrich syndrome; Wiskott-Aldrich syndrome protein; primary immunodeficiency.

MeSH terms

  • China
  • DNA Mutational Analysis
  • Eczema
  • Family
  • Female
  • Humans
  • Infant
  • Leukocytes, Mononuclear / immunology
  • Leukocytes, Mononuclear / metabolism*
  • Male
  • Mean Platelet Volume
  • Mutation / genetics*
  • Thrombocytopenia
  • Wiskott-Aldrich Syndrome / genetics
  • Wiskott-Aldrich Syndrome / immunology*
  • Wiskott-Aldrich Syndrome Protein / genetics*

Substances

  • WAS protein, human
  • Wiskott-Aldrich Syndrome Protein