Primary Immune-Deficiency (PID) Common Variable Immune Deficiency (CVID)
Conditions
Keywords
CVID, Neutropenia, Autoimmunity, Lymphoproliferation
Brief summary
The purpose of this study is to analyse the phenotype in a sub-population of adults with severe primary immunodeficiency with lymphoproliferation and neutropenia and to decipher the possible pathways involved, especially under the hypothesis of a CTLA4/LRBA schema
Interventions
FACS analyses
Target Sequencing by NGS ( Next-generation sequencing)
Whole Exome Sequencing
Sponsors
Study design
Eligibility
Inclusion criteria
: * \>18 years old * CVID (Common Variable Immunodeficiency) * Neutropenia * Lymphoproliferation
Exclusion criteria
: \- Secondary immunodeficiency
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Identification of known mutations by target sequencing of all known genes involved in CVID phenotypes. | Day 0 (inclusion) | Target-NGS |
| Identification of new mutations in new genes in CVID by WES (whole exome sequencing) strategy. | Day 0 (inclusion) | WES (Whole exome sequencing), If no known mutations is founded by T-NGS |
| Validation or not of a pathological pathway involving CTLA4/LRBA or a related pathway in T-cells. Validation by the mean of functional analysis of T-cells in vitro of CTLA4 expression and response to stimulation. RNA-sequencing in sorted cells. | Day 0 (inclusion) | — |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Deciphering of new possible genes involved in the phenotype : Patient without known mutation in genes involved in PID will benefit of an extended analyse of the WES to find a possible condidate genes | Day 0 (inclusion) | After WES analyses |
Countries
France