J 2008

Mannose-binding lectin gene polymorphic variants predispose to the development of bronchopulmonary complications but have no influence on other clinical and laboratory symptoms or signs of common variable immunodeficiency

LITZMAN, Jiří, Tomáš FREIBERGER, Bodo GRIMBACHER, Benjamin GATHMANN, Uli SALZER et. al.

Basic information

Original name

Mannose-binding lectin gene polymorphic variants predispose to the development of bronchopulmonary complications but have no influence on other clinical and laboratory symptoms or signs of common variable immunodeficiency

Name in Czech

Polymorfismy MBL vedou u pacienůl s CVID ke vzniku bronchiektázií, ale ne jiných komplikací

Authors

LITZMAN, Jiří, Tomáš FREIBERGER, Bodo GRIMBACHER, Benjamin GATHMANN, Uli SALZER, Tomáš PAVLÍK, Jiří VLČEK, Věra POSTRÁNECKÁ, Zita TRÁVNÍČKOVÁ and Vojtěch THON

Edition

CLINICAL AND EXPERIMENTAL IMMUNOLOGY, BLACKWELL PUBLISHING, 2008, 0009-9104

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30102 Immunology

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 2.853

Organization unit

Faculty of Medicine

UT WoS

000258376200003

Keywords (in Czech)

CVID, komplement, MBL

Keywords in English

common variable immunodeficiency; complement; lung disease

Tags

International impact, Reviewed
Změněno: 2/4/2010 08:01, prof. MUDr. Jiří Litzman, CSc.

Abstract

V originále

Mannose-binding lectin (MBL), activating protein of the lectin pathway of the complement system, is an important component of the non-specific immune response. MBL2 gene polymorphisms, both in the coding and promoter regions, lead to low or deficient serum MBL levels. Low serum MBL levels were shown to be associated with serious infectious complications, mainly in patients in whom other non-specific immune system barriers were disturbed (granulocytopenia, cystic fibrosis). We have analysed two promoter (-550 and -221) and three exon (codons 52, 54 and 57) MBL2 polymorphisms in a total of 94 patients with common variable immunodeficiency (CVID) from two immunodeficiency centres. Low-producing genotypes were associated with the presence of bronchiectasis (P = 0.009), lung fibrosis (P = 0.037) and also with respiratory insufficiency (P = 0.029). We could not demonstrate any association of MBL deficiency with age at onset of clinical symptoms, age at diagnosis, the number of pneumonias before diagnosis or serum immunoglobulin (Ig)G, IgA and IgM levels before initiation of Ig treatment. No association with emphysema development was observed, such as with lung function test abnormalities. No effect of MBL2 genotypes on the presence of diarrhoea, granuloma formation, lymphadenopathy, splenomegaly, frequency of respiratory tract infection or the number of antibiotic courses of the patients was observed. Our study suggests that low MBL-producing genotypes predispose to bronchiectasis formation, and also fibrosis and respiratory insufficiency development, but have no effect on other complications in CVID patients.

In Czech

Polymorfismy MBL vedou u pacienůl s CVID ke vzniku bronchiektázií, ale ne jiných komplikací

Links

NR9035, research and development project
Name: Specifická protilátková odpověď u pacientů s poruchami imunity
NR9192, research and development project
Name: Screening mutací a polymorfismů v genu pro neonatální Fc receptor u pacientů s primárními poruchami tvorby protilátek