Hemizygous Moesin (MSN) Gene Deletion in an Adult With Chronic Neutropenia

X-linked moesin-associated immunodeficiency (X-MAID) is a recently identified combined immunodeficiency caused by a mutation in the moesin (MSN) gene. It is characterized by cytopenias, hypogammaglobulinemia, poor immune response to vaccine antigens, and increased susceptibility to early-life infect...

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Main Authors: Yandy Marx Castillo-Aleman, Francisco Sotomayor-Lugo, Sherjeel Sana, Nameer Abdul Raheem Kadhum Al-Saadawi, Yendry Ventura-Carmenate, David Dennison, Gianina Statache, Julieta Osorio-Zuluaga, Ahmad Raza, David Grossman
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Immunology
Online Access:http://dx.doi.org/10.1155/crii/3860726
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author Yandy Marx Castillo-Aleman
Francisco Sotomayor-Lugo
Sherjeel Sana
Nameer Abdul Raheem Kadhum Al-Saadawi
Yendry Ventura-Carmenate
David Dennison
Gianina Statache
Julieta Osorio-Zuluaga
Ahmad Raza
David Grossman
author_facet Yandy Marx Castillo-Aleman
Francisco Sotomayor-Lugo
Sherjeel Sana
Nameer Abdul Raheem Kadhum Al-Saadawi
Yendry Ventura-Carmenate
David Dennison
Gianina Statache
Julieta Osorio-Zuluaga
Ahmad Raza
David Grossman
author_sort Yandy Marx Castillo-Aleman
collection DOAJ
description X-linked moesin-associated immunodeficiency (X-MAID) is a recently identified combined immunodeficiency caused by a mutation in the moesin (MSN) gene. It is characterized by cytopenias, hypogammaglobulinemia, poor immune response to vaccine antigens, and increased susceptibility to early-life infections. We report a patient with adult-onset neutropenia, lymphopenia, inadequate response to the pneumococcal polysaccharide vaccine (PPSV23), and recurrent bacterial infections associated with a hemizygous MSN deletion. Notably, the patient has no history of significant childhood infections, cytopenias, or hypogammaglobulinemia. Although only a few cases have been documented worldwide, we underscore the importance of whole-genome sequencing (WES) in diagnosing this atypical immunodeficiency disease in adulthood. Moreover, this report may shed light on our understanding of further variants of X-MAID and enrich the known spectrum of the disease.
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spelling doaj-art-8abc1c994adb463c87bcee2f548f1d692025-08-20T02:44:46ZengWileyCase Reports in Immunology2090-66172024-01-01202410.1155/crii/3860726Hemizygous Moesin (MSN) Gene Deletion in an Adult With Chronic NeutropeniaYandy Marx Castillo-Aleman0Francisco Sotomayor-Lugo1Sherjeel Sana2Nameer Abdul Raheem Kadhum Al-Saadawi3Yendry Ventura-Carmenate4David Dennison5Gianina Statache6Julieta Osorio-Zuluaga7Ahmad Raza8David Grossman9Department of ImmunologyDepartment of Molecular BiologyDepartment of Medical Oncology and HematologyDepartment of HematologyDepartment of ImmunologyDepartment of HematologyDepartment of RheumatologyDepartment of Medical Oncology and HematologyDepartment of Medical Oncology and HematologyDepartment of Medical Oncology and HematologyX-linked moesin-associated immunodeficiency (X-MAID) is a recently identified combined immunodeficiency caused by a mutation in the moesin (MSN) gene. It is characterized by cytopenias, hypogammaglobulinemia, poor immune response to vaccine antigens, and increased susceptibility to early-life infections. We report a patient with adult-onset neutropenia, lymphopenia, inadequate response to the pneumococcal polysaccharide vaccine (PPSV23), and recurrent bacterial infections associated with a hemizygous MSN deletion. Notably, the patient has no history of significant childhood infections, cytopenias, or hypogammaglobulinemia. Although only a few cases have been documented worldwide, we underscore the importance of whole-genome sequencing (WES) in diagnosing this atypical immunodeficiency disease in adulthood. Moreover, this report may shed light on our understanding of further variants of X-MAID and enrich the known spectrum of the disease.http://dx.doi.org/10.1155/crii/3860726
spellingShingle Yandy Marx Castillo-Aleman
Francisco Sotomayor-Lugo
Sherjeel Sana
Nameer Abdul Raheem Kadhum Al-Saadawi
Yendry Ventura-Carmenate
David Dennison
Gianina Statache
Julieta Osorio-Zuluaga
Ahmad Raza
David Grossman
Hemizygous Moesin (MSN) Gene Deletion in an Adult With Chronic Neutropenia
Case Reports in Immunology
title Hemizygous Moesin (MSN) Gene Deletion in an Adult With Chronic Neutropenia
title_full Hemizygous Moesin (MSN) Gene Deletion in an Adult With Chronic Neutropenia
title_fullStr Hemizygous Moesin (MSN) Gene Deletion in an Adult With Chronic Neutropenia
title_full_unstemmed Hemizygous Moesin (MSN) Gene Deletion in an Adult With Chronic Neutropenia
title_short Hemizygous Moesin (MSN) Gene Deletion in an Adult With Chronic Neutropenia
title_sort hemizygous moesin msn gene deletion in an adult with chronic neutropenia
url http://dx.doi.org/10.1155/crii/3860726
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