Inborn Errors of Immunity
Conditions
Keywords
Inborn errors of immunity
Brief summary
This is an observational, retro-prospective, moncentric study focused on Inborn Errors of Immunity, an heterogeneous group of inherited diseases due to defects in the differentiation and/or function of the immune system. The primary aim of this study is to obtain a clinical-immunological, functional and molecular characterisation of paediatric and adult patients with confirmed or suspected Inborn Errors of Immunity, particularly of patients with manifestations of immunedysregulation, focusing on clinical course, immunophenotypic laboratory and functional abnormalities, genetic background.
Detailed description
Due to the observational nature of the study, patients were and will be treated according to normal clinical practice and in accordance with medical judgement. The following evaluations were performed in the retrospective cohort and will be performed in the prospective cohort: * Standard haematochemical examinations; * Extended lymphocyte typing; * Plasma dosage of immunoglobulins; * Evaluation of early and late responses to Measles-Parotitis-Rosolia and Diphtheria-Tetanus-Pertussis vaccinations; * Evaluation of antibody responses to vaccines against Haemophilus Influenzae, Neisseria Meningitidis and Pneumococcus; * Detection of auto-antibodies on HEp-2 cells, and of auto-antibodies directed against haemopoietic cells and proteins of innate and adaptive immunity; * Plasma dosage of complement factors (C3, C4); * Radiological assessment; * Functional immunological assay; * Molecular-genetic investigations of targeted gene panels involved in immunodysregulation and Inborn Errors of Immunity.
Interventions
None listed
Sponsors
IRCCS Azienda Ospedaliero-Universitaria di Bologna
Study design
Observational model
COHORT
Time perspective
OTHER
Eligibility
Sex/Gender
ALL
Age
No minimum to 50 Years
Healthy volunteers
No
Inclusion criteria
* patients with confirmed or suspected Inborn Errors of Immunity; * age \< 50 years at onset of clinical features suspected for Inborn Errors of Immunity; * obtaining informed consent from patients or parents/legal guardian of pediatric patients.
Exclusion criteria
• patients in whom infectious susceptibility and immunodysregulation can only be attributed to known non-immunological causes: acquired immunodeficiency secondary to chronic infections (HIV), and acquired immunodeficiency secondary to immunosuppressive treatment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Category of diagnsoed Inborn Error of Immunity | at baseline | categories I to X |
| Qualitative or quantitative alterations in innate immunity and/or adaptive immunity | at baseline | presence or absence of alterations |
| Infective susceptibility | at baseline and every 6 months up to 1 year | presence of one of the following conditions: invasive, severe, persistent, recurrent, opportunistic and/or vaccine strain infections |
| Immunodisregulation | at baseline and every 6 months up to 1 year | presence of at least one disorder among atopy, hyperinflammation, autoimmunity, non-clonal lymphoproliferation and/or malignant neoplasms |
| Mortality | 1 year after diagnosis of Inborn Errors of Immunity | time-to-event from diagnosis of Inborn Errors of Immunity up to 1 year |
Countries
Italy
Contacts
Primary ContactFrancesca Conti
Outcome results
None listed