Immunophenotype, Clinical Effect, and Comparison of TNFRSF13B/TACI
Mutations A Single-Center Retrospective Cohort Study of 34 patients.
Abstract
Background: In this study, the clinical and laboratory findings,
complications, and responses to regular intravenous immunoglobulin
(IVIG) treatment of 34 patients diagnosed with primary immunodeficiency
(PID) carrying transmembrane activator and CAML interactor (TACI)
protein mutations were retrospectively evaluated. Material and Method:
Clinical characteristics of patients, complete blood counts, serum
immunoglobulin and compleman levels, lymphocyte subgroups, and mutation
types of the patients followed up in our clinic for PID and diagnosed
with TACI Mutation with Next Generation Sequencing (NGS) Method were
examined. Results: A total of 20 (59%) of the patients were male, 14
(41%) were female, 18 were children (<18 years old) who had a
median age of genetic diagnosis of 6.2 years and 16 were adults
(>18 years) with a median age of genetic diagnosis of 34
years. The most common complaint was recurrent respiratory tract
infection (68%). According to the Euro Class Classification (ECC), 14
patients who met the diagnostic criteria of Common Variable
Immunodeficiency (CVID) had significantly lower lymphocyte, naïve
(CD19+IgD+27-), non-switched (CD19+IgD-27+) number and percentage of B
cells than the 20 patients who did not match (p<0.05). A total
of 24 of the 34 patients, 13 of whom were children and 11 of whom were
adults, received regular IVIG treatment because they met the criteria
for ECS and/or had comorbidities. Conclusion: In our study, the fact
that bronchiectasis and recurrent pneumonia and the need for
hospitalized treatment were less common than in the literature was
thought to be related to early IVIG treatment.