Classification of severe combined immunodeficiency
Syndrome | T cells | B cells | NK cells | Inheritance |
---|---|---|---|---|
The hallmark of severe combined immunodeficiency is an absence of mature T cells. Further delineation is marked by the presence or absence of B and natural killer cells, inheritance pattern, and the genetic molecular defect, where known. | ||||
ADA, adenosine deaminase; BCR, B cell receptor; CγC, interleukin 2 receptor common γ chain; GvDH, graft versus host disease; IL7Rα, the α chain of the interleukin 7 receptor; JAK3, Janus associated kinase 3; MFE, maternofetal lymphoid engraftment; MHC, major histocompatibility complex; NK, natural killer; RAG, recombination activating genes; TCR, T cell receptor. | ||||
Reticular dysgenesis | − | − | − | AR |
ADA deficiency | − | − | − | AR |
RAG 1, 2 deficiency | − | − | + | AR |
TCR + BCR recombination gene deficiency | − | − | + | AR |
CγC deficiency | − | + | − | XL |
JAK3 deficiency | − | + | − | AR |
IL7Rα deficiency | − | + | + | AR |
Omenn's syndrome | + | − | + | AR |
ZAP-70 kinase deficiency | CD4+ | + | + | AR |
CD4+ lymphopenia | CD8+ | + | + | AR |
MHC II deficiency | CD8+ | + | + | AR |
p56lck deficiency | CD8+ | + | + | AR |
Non-host T cells (MFE or transfusion GvHD) | + | +/− | +/− |