Immunologic phenotype, pretransplantation erythrocyte PNP enzyme activity, and mutations of the PNP gene
| Patient ID . | CD3 T (per μL) . | CD4/45RA T (per μL) . | B (per μL) . | NK (per μL) . | ANC (per μL) . | Eos (per μL) . | IgG (g/L) . | IgA (g/L) . | IgA (g/L) . | IgM (g/L) . | Erythrocyte PNP activity∗ . | Mutation . |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1† | 7 | N.a. | 33 | 1850 | 56 | 11 | 0.75 | 0.75 | 0.82 | Undetectable | ||
| 2 | 96 | N.a. | 61 | 233 | 4730 | 0 | 7.8 | 0.93 | 0.93 | 2.23 | Undetectable | |
| 3 | 65 | N.a. | 24 | 250 | 1100 | 100 | 18.8 | 1.8 | 1.8 | 1.15 | Undetectable | |
| 4† | 336 | N.a. | 25 | 274 | 350 | 775 | 9.9 | 0.57 | 0.57 | 1.99 | Undetectable | |
| 5 | 230 | N.a. | 32 | 750 | 3420 | 340 | 8.3 | 1.29 | 1.29 | 1.58 | Undetectable | |
| 6 | 48 | N.a. | 30 | 43 | 3600 | 90 | 8.5 | 0.47 | 0.47 | 1.53 | Undetectable | |
| 7 | 37 | 48 | 14 | 132 | 300 | 0 | 5.5 | 0.73 | 0.73 | 0.14 | Undetectable | Homozygous intronic variant c286-18G>A |
| 8 | 65 | 65 | 88 | 216 | 4800 | 100 | 9.8 | 1.07 | 1.07 | 1.08 | Undetectable | Homozygous intronic variant c286-18G>A |
| 9 | 444 | 444 | 48 | 60 | 6700 | 200 | 10.4 | 1.07 | 1.07 | 1.18 | Undetectable | Nonsense c.172C>T (R58X) |
| 10 | 28 | N.a. | 40 | 220 | 810 | 90 | 7.1 | 0.58 | 0.58 | 1.15 | Undetectable | |
| 11 | 1131 | N.a. | 48 | 320 | 7128 | 648 | 1.88 | 0.71 | 0.71 | 0.5 | Reduced | |
| 12 | 1160 | N.a. | 420 | 139 | 4510 | 896 | 786 | 0.95 | 0.95 | 0.85 | Undetectable | |
| 13 | 13 | N.a. | 57 | 110 | 3200 | 150 | 24.5‡ | <0.2 | 0.2 | 1.1 | Undetectable | |
| 14 | 92 | 5 | 67 | 260 | 940 | 40 | 13.3§ | 0.53 | 0.53 | 1.36 | Reduced | |
| 15 | 20 | 4 | 30 | 40 | 700 | 70 | 9.33 | 0.52 | 0.52 | 0.4 | Undetectable | |
| 16ǁ | 658 | N.a. | 102 | 212 | 64 | 0.3 | N.a. | 0.07 | 0.23 | Undetectable | ||
| 17 | 12 | N.a. | 9 | 52 | 3100 | 200 | <0.3 | 0.04 | 0.04 | <0.05 | Reduced | Homozygous c.383A>G |
| 18 | 348 | N.a. | 76 | 242 | 250 | 650 | 16.4 | 0.53 | 0.53 | 1,8 | Undetectable | |
| 19 | 120 | 50 | 60 | 150 | 0 | 780 | 6.7 | 0.07 | 0.07 | n/a | Undetectable | |
| 20 | 207 | N.a. | 100 | 205 | 5170 | 110 | 7.13 | 0.5 | 0.5 | 1.83 | Reduced | Homozygous missense c.117A>T |
| 21 | 145 | N.a. | 29 | 189 | 3700 | 400 | 3.42 | 0.09 | 0.09 | 0.42 | Undetectable | |
| 22 | 59 | N.a. | 25 | 330 | 1190 | 275 | 3.4 | 0.06 | 0.06 | 0.04 | Undetectable | |
| 23 | 99 | 6 | 26 | 39 | 2542 | 101 | 7.88 | 0.078 | 0.078 | 1.12 | Reduced | Compound-heterozygous Exon 2 c.58CGA>TGA Exon 3 c.98GAA>TAA |
| 24 | 172 | 38/0 | 37 | 159 | 2120 | 180 | 8.58 | 0.059 | 0.059 | 2.08 | Reduced | Compound heterozygous Exon2 c.172C>T p.Arg58Stop Exon 4 c.389T>C p.Met130Thr |
| 25† | 130 | 3 | 150 | 170 | 1190 | 410 | 13.3 | 0.53 | 0.53 | 1.36 | Undetectable | |
| 26ǁ | 50 | 9 | 30 | 5180 | 370 | n.d. | 0.08 | 0.09 | Reduced | |||
| 27 | 70 | N.a. | 50 | 190 | 3687 | 209 | 12.2 | 0.9 | 0.9 | 1.7 | Undetectable | |
| 28 | 117 | N.a. | 75 | 158 | 2003 | 940 | 5.9 | 0.98 | 0.98 | 0.75 | Reduced | |
| 29† | 80 | 47 | 53 | 118 | 484 | 66 | 0.2 | 0 | 0 | 4.2 | Undetectable | Compound heterozygous Exon 2 Arg24Termc. 70 C>T Exon 3 Glu89. Lys c.265G>A |
| 30 | 43 | N.a. | 24 | 156 | 5200 | 190 | 10 | 0.3 | 0.3 | 0.9 | Undetectable | |
| 31 | 10 | 0 | 100 | 70 | 760 | 120 | 7.94 | 0.66 | 0.66 | 0.41 | Reduced | Homozygous c.383A>G, p.D128G |
| 32 | 250 | 10 | 57 | 157 | 11.5 | 0.71 | 0.38 | Undetectable | c.487T>C, p.Ser163Pro | |||
| 33 | 369 | 35 | 101 | 93 | 2700 | 7 | 1.67 | 0.04 | 0.04 | 0.18 | Undetectable | |
| 34 | 19 | 0 | 15 | 26 | 6300 | 0.2 | 8.99 | 0.96 | 0.96 | 41 | Reduced | Compound heterozygous c.234R>P; c.212L>P |
| 35 | 170 | 15 | 161 | 55 | 6400 | 0.1 | 8.29 | 0.88 | 0.88 | 63 | Not done | Compound heterozygous c.234R>P; c.212L>P |
| 36† | 158 | 2 | 72 | 531 | 4000 | 0.14 | 11.8 | 1.09 | 1.09 | 133 | Undetectable | Compound heterozygous |
| 37ǁ | 1299 | 185 | 143 | 5150 | 176 | 11.85¶ | N.a. | 0.04 | 0.03 | Reduced | Homozygous c.286-18G>A | |
| 38ǁ | 511 | 239 | 23 | 9460 | 120 | 11.2¶ | N.a. | 0.04 | 0.05 | Reduced | Homozygous c.286-18G>A | |
| 39 | 60 | 9 | 40 | 80 | 1400 | 200 | 8.82 | 0.75 | 0.75 | 1.85 | Undetectable | c.172C>T, p(ARG58∗); c.701G>C, p.(Arg234Pro) |
| 40 | 90 | 14 | 120 | N.a. | 3000 | 1600 | 10.35 | N.a. | 0.42 | 1.29 | Undetectable | c.172C>T, p(ARG58∗); c.701G>C, p.(Arg234Pro) |
| 41ǁ | 2510 | 1711 | 320 | N.a. | 6200 | 400 | 2.05 | N.a. | 0.06 | 0.7 | Undetectable | c.172C>T, p(ARG58∗); c.701G>C, p.(Arg234Pro) |
| 42 | 34 | 22/0 | 165 | 290 | 3710 | 180 | 10.5 | 0.06 | 0.06 | 1.07 | Undetectable | Homozygous c.59A>C(p.H20P)(p.His20Pro) |
| 43 | 36 | N.a. | 88 | 372 | 1420 | 510 | 2.35 | <0.22 | <0.22 | 0.37 | ND | Homozygous c.172C>T |
| 44† | 38 | N.a. | 3 | 59 | 22 400 | 0 | 9.56 | 0.43 | 0.33 | Undetectable | Homozygous c.286-2A>T | |
| 45 | 170 | 19 | 30 | 160 | 5.49 | 0.04 | 1.1 | <0,1 | <0,1 | 1.28 | Reduced | Homozygous c.265G>A, p.Glu89Lys |
| 46ǁ | 830 | 103 | 50 | 260 | 3.43 | 0.06 | 5.17 | 0.16 | 0.16 | 0.33 | Undetectable | Homozygous c.244C>T, p.GLN82∗ |
| Patient ID . | CD3 T (per μL) . | CD4/45RA T (per μL) . | B (per μL) . | NK (per μL) . | ANC (per μL) . | Eos (per μL) . | IgG (g/L) . | IgA (g/L) . | IgA (g/L) . | IgM (g/L) . | Erythrocyte PNP activity∗ . | Mutation . |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1† | 7 | N.a. | 33 | 1850 | 56 | 11 | 0.75 | 0.75 | 0.82 | Undetectable | ||
| 2 | 96 | N.a. | 61 | 233 | 4730 | 0 | 7.8 | 0.93 | 0.93 | 2.23 | Undetectable | |
| 3 | 65 | N.a. | 24 | 250 | 1100 | 100 | 18.8 | 1.8 | 1.8 | 1.15 | Undetectable | |
| 4† | 336 | N.a. | 25 | 274 | 350 | 775 | 9.9 | 0.57 | 0.57 | 1.99 | Undetectable | |
| 5 | 230 | N.a. | 32 | 750 | 3420 | 340 | 8.3 | 1.29 | 1.29 | 1.58 | Undetectable | |
| 6 | 48 | N.a. | 30 | 43 | 3600 | 90 | 8.5 | 0.47 | 0.47 | 1.53 | Undetectable | |
| 7 | 37 | 48 | 14 | 132 | 300 | 0 | 5.5 | 0.73 | 0.73 | 0.14 | Undetectable | Homozygous intronic variant c286-18G>A |
| 8 | 65 | 65 | 88 | 216 | 4800 | 100 | 9.8 | 1.07 | 1.07 | 1.08 | Undetectable | Homozygous intronic variant c286-18G>A |
| 9 | 444 | 444 | 48 | 60 | 6700 | 200 | 10.4 | 1.07 | 1.07 | 1.18 | Undetectable | Nonsense c.172C>T (R58X) |
| 10 | 28 | N.a. | 40 | 220 | 810 | 90 | 7.1 | 0.58 | 0.58 | 1.15 | Undetectable | |
| 11 | 1131 | N.a. | 48 | 320 | 7128 | 648 | 1.88 | 0.71 | 0.71 | 0.5 | Reduced | |
| 12 | 1160 | N.a. | 420 | 139 | 4510 | 896 | 786 | 0.95 | 0.95 | 0.85 | Undetectable | |
| 13 | 13 | N.a. | 57 | 110 | 3200 | 150 | 24.5‡ | <0.2 | 0.2 | 1.1 | Undetectable | |
| 14 | 92 | 5 | 67 | 260 | 940 | 40 | 13.3§ | 0.53 | 0.53 | 1.36 | Reduced | |
| 15 | 20 | 4 | 30 | 40 | 700 | 70 | 9.33 | 0.52 | 0.52 | 0.4 | Undetectable | |
| 16ǁ | 658 | N.a. | 102 | 212 | 64 | 0.3 | N.a. | 0.07 | 0.23 | Undetectable | ||
| 17 | 12 | N.a. | 9 | 52 | 3100 | 200 | <0.3 | 0.04 | 0.04 | <0.05 | Reduced | Homozygous c.383A>G |
| 18 | 348 | N.a. | 76 | 242 | 250 | 650 | 16.4 | 0.53 | 0.53 | 1,8 | Undetectable | |
| 19 | 120 | 50 | 60 | 150 | 0 | 780 | 6.7 | 0.07 | 0.07 | n/a | Undetectable | |
| 20 | 207 | N.a. | 100 | 205 | 5170 | 110 | 7.13 | 0.5 | 0.5 | 1.83 | Reduced | Homozygous missense c.117A>T |
| 21 | 145 | N.a. | 29 | 189 | 3700 | 400 | 3.42 | 0.09 | 0.09 | 0.42 | Undetectable | |
| 22 | 59 | N.a. | 25 | 330 | 1190 | 275 | 3.4 | 0.06 | 0.06 | 0.04 | Undetectable | |
| 23 | 99 | 6 | 26 | 39 | 2542 | 101 | 7.88 | 0.078 | 0.078 | 1.12 | Reduced | Compound-heterozygous Exon 2 c.58CGA>TGA Exon 3 c.98GAA>TAA |
| 24 | 172 | 38/0 | 37 | 159 | 2120 | 180 | 8.58 | 0.059 | 0.059 | 2.08 | Reduced | Compound heterozygous Exon2 c.172C>T p.Arg58Stop Exon 4 c.389T>C p.Met130Thr |
| 25† | 130 | 3 | 150 | 170 | 1190 | 410 | 13.3 | 0.53 | 0.53 | 1.36 | Undetectable | |
| 26ǁ | 50 | 9 | 30 | 5180 | 370 | n.d. | 0.08 | 0.09 | Reduced | |||
| 27 | 70 | N.a. | 50 | 190 | 3687 | 209 | 12.2 | 0.9 | 0.9 | 1.7 | Undetectable | |
| 28 | 117 | N.a. | 75 | 158 | 2003 | 940 | 5.9 | 0.98 | 0.98 | 0.75 | Reduced | |
| 29† | 80 | 47 | 53 | 118 | 484 | 66 | 0.2 | 0 | 0 | 4.2 | Undetectable | Compound heterozygous Exon 2 Arg24Termc. 70 C>T Exon 3 Glu89. Lys c.265G>A |
| 30 | 43 | N.a. | 24 | 156 | 5200 | 190 | 10 | 0.3 | 0.3 | 0.9 | Undetectable | |
| 31 | 10 | 0 | 100 | 70 | 760 | 120 | 7.94 | 0.66 | 0.66 | 0.41 | Reduced | Homozygous c.383A>G, p.D128G |
| 32 | 250 | 10 | 57 | 157 | 11.5 | 0.71 | 0.38 | Undetectable | c.487T>C, p.Ser163Pro | |||
| 33 | 369 | 35 | 101 | 93 | 2700 | 7 | 1.67 | 0.04 | 0.04 | 0.18 | Undetectable | |
| 34 | 19 | 0 | 15 | 26 | 6300 | 0.2 | 8.99 | 0.96 | 0.96 | 41 | Reduced | Compound heterozygous c.234R>P; c.212L>P |
| 35 | 170 | 15 | 161 | 55 | 6400 | 0.1 | 8.29 | 0.88 | 0.88 | 63 | Not done | Compound heterozygous c.234R>P; c.212L>P |
| 36† | 158 | 2 | 72 | 531 | 4000 | 0.14 | 11.8 | 1.09 | 1.09 | 133 | Undetectable | Compound heterozygous |
| 37ǁ | 1299 | 185 | 143 | 5150 | 176 | 11.85¶ | N.a. | 0.04 | 0.03 | Reduced | Homozygous c.286-18G>A | |
| 38ǁ | 511 | 239 | 23 | 9460 | 120 | 11.2¶ | N.a. | 0.04 | 0.05 | Reduced | Homozygous c.286-18G>A | |
| 39 | 60 | 9 | 40 | 80 | 1400 | 200 | 8.82 | 0.75 | 0.75 | 1.85 | Undetectable | c.172C>T, p(ARG58∗); c.701G>C, p.(Arg234Pro) |
| 40 | 90 | 14 | 120 | N.a. | 3000 | 1600 | 10.35 | N.a. | 0.42 | 1.29 | Undetectable | c.172C>T, p(ARG58∗); c.701G>C, p.(Arg234Pro) |
| 41ǁ | 2510 | 1711 | 320 | N.a. | 6200 | 400 | 2.05 | N.a. | 0.06 | 0.7 | Undetectable | c.172C>T, p(ARG58∗); c.701G>C, p.(Arg234Pro) |
| 42 | 34 | 22/0 | 165 | 290 | 3710 | 180 | 10.5 | 0.06 | 0.06 | 1.07 | Undetectable | Homozygous c.59A>C(p.H20P)(p.His20Pro) |
| 43 | 36 | N.a. | 88 | 372 | 1420 | 510 | 2.35 | <0.22 | <0.22 | 0.37 | ND | Homozygous c.172C>T |
| 44† | 38 | N.a. | 3 | 59 | 22 400 | 0 | 9.56 | 0.43 | 0.33 | Undetectable | Homozygous c.286-2A>T | |
| 45 | 170 | 19 | 30 | 160 | 5.49 | 0.04 | 1.1 | <0,1 | <0,1 | 1.28 | Reduced | Homozygous c.265G>A, p.Glu89Lys |
| 46ǁ | 830 | 103 | 50 | 260 | 3.43 | 0.06 | 5.17 | 0.16 | 0.16 | 0.33 | Undetectable | Homozygous c.244C>T, p.GLN82∗ |
Immunologic parameters at diagnosis.
ANC, absolute neutrophil count; Eos, eosinophils; ID, identifier; Ig, immunoglobulin; N.a., not available; NK, natural killer cells.
Untransfused patients (according to local laboratory normal ranges and SI units).
Deceased patient.
Monoclonal IgG kappa.
On intravenous immunoglobulin replacement therapy.
Neonatal diagnosis owing to family history (patients 37, 38, 41, and 46 with erythrocyte exchange transfusions after birth).
Maternal IgG.