Overview

Severe combined immunodeficiency due to DCLRE1C deficiency is a rare genetic disorder that severely impairs the immune system, making individuals extremely vulnerable to infections. Symptoms typically appear in infancy and include frequent, severe infections, poor growth, and chronic diarrhea. Without treatment, the condition is life-threatening, often leading to death within the first year of life. It primarily affects infants, as it is a genetic condition present from birth. The most common and effective treatment is a bone marrow transplant, which can restore immune function and significantly improve survival rates.

Short Overview

Symptoms

Individuals with this condition frequently experience repeated infections such as pneumonia, meningitis, and skin infections due to an ineffective immune system. Affected individuals may also suffer from poor growth, as they do not gain weight or grow as expected, often due to nutrient absorption issues or the energy demands of constant infections. Chronic diarrhea is common, contributing to poor nutrient absorption and weight loss, and is often caused by gastrointestinal infections. Skin rashes may occur frequently, indicating underlying infections or immune dysfunction, and can vary in appearance and severity. Respiratory problems, including breathing difficulties and chronic lung infections, are prevalent and can lead to long-term lung damage if not properly managed.

Outlook and prognosis

The outlook for individuals with Severe combined immunodeficiency due to DCLRE1C deficiency has improved significantly with early diagnosis and treatment, particularly through bone marrow transplantation, which can restore immune function. Without treatment, the condition is life-threatening due to the body's inability to fight infections, but with successful intervention, many patients can lead healthier lives. Advances in gene therapy also offer promising future treatment options, potentially improving long-term outcomes.

Causes and Risk Factors

Mutations in the DCLRE1C gene, which is essential for immune cell development, cause severe combined immunodeficiency due to DCLRE1C deficiency. The condition is inherited in an autosomal recessive manner, requiring both parents to carry the mutated gene for a child to be affected. Risk factors include having carrier parents, especially in communities where marriages between relatives are more frequent.

Genetic influences

Genetics and genetic variations play a crucial role in Severe combined immunodeficiency due to DCLRE1C deficiency, as this condition is caused by mutations in the DCLRE1C gene. These mutations lead to problems in the development and function of immune cells, which are essential for fighting infections. The genetic defect results in a severely weakened immune system, making individuals highly susceptible to infections. Understanding the specific genetic variations involved is important for diagnosis, management, and potential treatment options.

Diagnosis

Diagnosis of Severe combined immunodeficiency due to DCLRE1C deficiency involves genetic testing to identify mutations in the DCLRE1C gene, confirming the presence of genetic abnormalities. Immune function tests are conducted to assess the performance of the immune system by measuring the levels and activity of various immune cells, determining the extent of immune deficiency. Newborn screening can detect this condition early in life, allowing for prompt intervention and treatment.

Treatment and Drugs

Treatment for this condition primarily involves Hematopoietic Stem Cell Transplantation, which replaces the faulty immune system with healthy cells from a donor, potentially curing the disorder. Gene therapy is an experimental approach that introduces a correct version of the faulty gene into the patient's cells, aiming for a long-term solution. Immunoglobulin Replacement Therapy provides temporary immune support by supplying antibodies to fight infections while other treatments are pursued.

Symptoms

Individuals with this condition often experience a range of symptoms due to their compromised immune system. These symptoms typically manifest early in life and can lead to severe health complications if not addressed promptly. Frequent infections, poor growth, and other related issues are common among those affected. Early diagnosis and treatment are crucial for managing the condition effectively.

  • Frequent infections: Individuals often suffer from repeated infections, including pneumonia, meningitis, and skin infections. These infections occur because the immune system is unable to effectively fight off bacteria, viruses, and fungi. The infections can be severe and persistent, requiring medical intervention.

  • Poor growth: Affected individuals may experience failure to thrive, which means they do not gain weight or grow as expected. This can be due to the body's inability to absorb nutrients properly or the energy demands of fighting constant infections. Poor growth can lead to developmental delays if not addressed.

  • Chronic diarrhea: Chronic diarrhea is common and can contribute to poor nutrient absorption and weight loss. It is often caused by infections in the gastrointestinal tract. Persistent diarrhea can lead to dehydration and further complicate the individual's health.

  • Skin rashes: Skin rashes may occur frequently and can be a sign of underlying infections or immune system dysfunction. These rashes can vary in appearance and severity. They may require treatment to prevent further complications.

  • Respiratory problems: Breathing difficulties and chronic lung infections are common due to the weakened immune system. These respiratory issues can lead to long-term lung damage if not treated. Regular monitoring and medical care are essential to manage these symptoms.

How people usually first notice

Infants with Severe combined immunodeficiency due to DCLRE1C deficiency often first show signs through frequent, severe infections that are difficult to treat and do not improve as expected. These infections may include pneumonia, chronic diarrhea, and skin rashes. Additionally, affected infants may experience poor growth and fail to gain weight or thrive as expected.

Types of Severe combined immunodeficiency due to dclre1c deficiency

Severe combined immunodeficiency due to DCLRE1C deficiency presents in various forms, each with distinct symptoms. These variations are primarily due to differences in the genetic mutations affecting the DCLRE1C gene. The symptoms can range from mild to severe, impacting the immune system's ability to function properly. Understanding these variations is crucial for diagnosis and treatment.

Classic SCID

This type is characterized by a near-total lack of immune function, leading to severe infections early in life. Infants with this form often experience persistent diarrhea, pneumonia, and skin rashes. Without treatment, it can be life-threatening within the first year of life.

Leaky SCID

Leaky SCID presents with partial immune function, allowing some immune response but still leading to frequent infections. Symptoms may include chronic lung infections, skin issues, and growth delays. This form may not be immediately life-threatening but requires medical intervention.

Omenn Syndrome

Omenn Syndrome is a variant where there is some immune activity, but it is misdirected, causing autoimmune-like symptoms. Patients often have red, peeling skin, enlarged liver and spleen, and chronic diarrhea. This form can lead to severe complications if not treated promptly.

Atypical SCID

Atypical SCID may present later in childhood with milder symptoms compared to classic SCID. Children may experience recurrent infections and mild skin conditions. This form can sometimes be managed with less intensive treatments.

Did you know?

Specific genetic variations in the DCLRE1C gene can lead to a lack of functional immune cells, resulting in frequent infections and poor growth. These variations disrupt the gene's role in repairing DNA, crucial for developing a healthy immune system.

doctor_quote

Dr. Wallerstorfer

Causes and Risk Factors

Severe combined immunodeficiency due to DCLRE1C deficiency is caused by mutations in the DCLRE1C gene, which plays a crucial role in the development and function of immune cells. These mutations lead to a lack of functional immune cells, severely compromising the body's ability to fight infections. The condition is inherited in an autosomal recessive pattern, meaning both copies of the gene in each cell have mutations. Risk factors include having parents who are carriers of the mutated gene, particularly in populations where consanguineous marriages are common. Early diagnosis and treatment are critical to managing the condition and improving outcomes.

Environmental and Biological Risk Factors

Severe combined immunodeficiency due to DCLRE1C deficiency is influenced by various environmental and biological factors. These factors can exacerbate the condition or affect the severity of symptoms. Understanding these influences is crucial for managing the condition effectively.

  • Infections: Exposure to infections can significantly impact individuals with DCLRE1C deficiency. Due to their compromised immune system, even common infections can lead to severe complications. Preventive measures, such as vaccinations and avoiding exposure to sick individuals, are essential.

  • Environmental Toxins: Exposure to environmental toxins, such as pollutants and chemicals, can further weaken the immune system. These toxins may exacerbate the symptoms and increase the risk of infections. Reducing exposure to such toxins is important for managing the condition.

  • Nutritional Deficiencies: Nutritional deficiencies can impair immune function and worsen the condition. Adequate nutrition is vital to support the immune system and overall health. Ensuring a balanced diet can help mitigate some of the risks associated with the deficiency.

Genetic Risk Factors

Severe combined immunodeficiency due to DCLRE1C deficiency is primarily caused by genetic mutations that affect the DCLRE1C gene. This gene is crucial for the proper development and function of the immune system. Mutations in this gene can lead to a lack of functional immune cells, making individuals highly susceptible to infections. The genetic risk factors are specific mutations that disrupt the normal function of the DCLRE1C gene.

  • Mutations in the DCLRE1C gene: These mutations can lead to the production of a non-functional protein that is essential for DNA repair in immune cells. Without proper DNA repair, immune cells cannot develop or function correctly, leading to severe immunodeficiency. The mutations can be inherited in an autosomal recessive manner, meaning both copies of the gene must be altered for the condition to manifest.

  • Autosomal recessive inheritance pattern: This inheritance pattern means that an individual must inherit two copies of the mutated gene, one from each parent, to be affected by the condition. Parents of an affected individual typically carry one copy of the mutated gene but do not show symptoms themselves. This pattern increases the risk of the condition in families where both parents are carriers.

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Dr. Wallerstorfer

Lifestyle Risk Factors

Lifestyle factors can play a role in managing health conditions, even those with a genetic basis like Severe combined immunodeficiency due to dclre1c deficiency. While lifestyle choices cannot cure the condition, they may help support overall health and well-being. Proper nutrition and regular physical activity are important for maintaining a healthy immune system and overall vitality. However, individuals with this condition should always consult healthcare professionals before making significant lifestyle changes.

  • Balanced Diet: A balanced diet rich in vitamins and minerals can support the immune system. Consuming a variety of fruits, vegetables, lean proteins, and whole grains is recommended. Individuals should avoid processed foods and excessive sugar intake.

  • Regular Exercise: Engaging in regular, moderate exercise can help maintain overall health and improve energy levels. Exercise should be tailored to the individual's abilities and health status. It is important to avoid overexertion, which can lead to fatigue.

  • Adequate Sleep: Getting enough sleep is crucial for immune function and overall health. Adults should aim for 7-9 hours of sleep per night, while children may need more. Good sleep hygiene practices can help improve sleep quality.

  • Stress Management: Chronic stress can negatively impact the immune system. Techniques such as meditation, yoga, and deep breathing exercises can help manage stress levels. Finding time for relaxation and hobbies is also beneficial.

Risk Prevention

Preventing Severe combined immunodeficiency due to dclre1c deficiency involves understanding genetic risks and taking proactive health measures. Genetic counseling and testing can help identify carriers of the gene mutation responsible for this condition. Early diagnosis and treatment can significantly improve outcomes for affected individuals. Ensuring a healthy lifestyle and avoiding infections are also crucial steps in managing the risk.

  • Genetic Counseling and Testing: Genetic counseling can provide information about the risk of passing the gene mutation to offspring. Testing can identify carriers of the gene mutation responsible for the condition. This information can help families make informed decisions about family planning.

  • Early Diagnosis and Treatment: Early diagnosis through newborn screening can lead to timely treatment. Treatment options may include bone marrow transplants or gene therapy. Early intervention can significantly improve the quality of life and outcomes for affected individuals.

  • Healthy Lifestyle: Maintaining a healthy lifestyle can support the immune system. This includes a balanced diet, regular exercise, and adequate sleep. Avoiding exposure to infections is also important for individuals at risk.

  • Avoiding Infections: Individuals at risk should take precautions to avoid infections. This includes practicing good hygiene and staying up to date with vaccinations. Limiting contact with sick individuals can also help reduce the risk of infections.

How effective is prevention

Preventing Severe combined immunodeficiency due to dclre1c deficiency involves understanding genetic risks and taking proactive health measures. Genetic counseling and testing can help identify carriers of the gene mutation responsible for this condition. Early diagnosis and treatment can significantly improve outcomes for affected individuals. Ensuring a healthy lifestyle and avoiding infections are also crucial steps in managing the risk.

Transmission

Severe combined immunodeficiency due to DCLRE1C deficiency is not infectious and cannot be transferred from person to person like a contagious disease. It is a genetic condition, meaning it is passed down from parents to their children through genes. Both parents must carry a copy of the altered gene for a child to be affected. This condition is inherited in an autosomal recessive pattern. Genetic counseling is often recommended for families with a history of this condition to understand the risks and implications.

When to test your genes

Genetic testing for early detection or personalized care is recommended if there is a family history of genetic disorders, unexplained health issues, or if planning for a family. It can help identify potential health risks and guide treatment decisions. Consulting with a healthcare professional can provide guidance on the necessity and timing of such tests.

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Dr. Wallerstorfer

Diagnosis

Diagnosis of Severe combined immunodeficiency due to DCLRE1C deficiency involves a series of tests to evaluate the immune system's functionality and identify genetic mutations. Early diagnosis is crucial for effective treatment and management of the condition. Genetic testing and immune function tests are commonly used to confirm the diagnosis.

  • Genetic Testing: Genetic testing involves analyzing the DNA to identify mutations in the DCLRE1C gene. This test confirms the presence of genetic abnormalities responsible for the condition. It is a definitive method to diagnose the disorder.

  • Immune Function Tests: Immune function tests assess the performance of the immune system by measuring the levels and activity of various immune cells. These tests help determine the extent of immune deficiency. They are essential for understanding how the condition affects the body's ability to fight infections.

  • Newborn Screening: Newborn screening can detect Severe combined immunodeficiency early in life. This test is performed shortly after birth and can identify potential immune system issues. Early detection through newborn screening allows for prompt intervention and treatment.

Stages of Severe combined immunodeficiency due to dclre1c deficiency

Severe combined immunodeficiency due to DCLRE1C deficiency progresses through several stages, each characterized by specific symptoms and challenges. Early detection and intervention are crucial in managing the condition effectively. The stages reflect the progression of immune system dysfunction and the increasing vulnerability to infections.

Stage 1: Early Infancy

In this stage, infants may appear healthy at birth but soon begin to experience frequent infections. These infections are often severe and difficult to treat. The lack of a functioning immune system becomes apparent as the child fails to thrive.

Stage 2: Recurrent Infections

As the child grows, they experience recurrent infections that are more severe than typical childhood illnesses. Common infections include pneumonia, meningitis, and chronic diarrhea. Hospitalization is often required to manage these infections.

Stage 3: Failure to Thrive

Children with this condition may not gain weight or grow as expected. This stage is marked by poor growth and developmental delays. Nutritional support and medical intervention are often necessary.

Stage 4: Severe Complications

Without treatment, severe complications such as organ damage and life-threatening infections can occur. The risk of death increases significantly during this stage. Bone marrow transplant or gene therapy may be considered as treatment options.

Did you know about genetic testing?

Genetic testing is crucial for identifying individuals with dclre1c deficiency, allowing for early intervention and tailored treatment strategies to enhance immune function. Early detection through genetic testing can guide decisions on bone marrow transplants or gene therapy, potentially improving outcomes and quality of life. Additionally, it aids in family planning by identifying carriers and assessing the risk of passing the condition to future generations.

doctor_quote

Dr. Wallerstorfer

Outlook and Prognosis

The outlook for individuals with Severe combined immunodeficiency due to DCLRE1C deficiency has improved significantly with advances in medical treatment. Early diagnosis and intervention are crucial for improving survival rates and quality of life. Without treatment, affected individuals are highly susceptible to infections, which can be life-threatening. However, with appropriate medical care, including bone marrow or stem cell transplantation, many individuals can achieve a functional immune system. This treatment is most effective when performed early in life, ideally before the onset of severe infections. Gene therapy is an emerging treatment option that shows promise in correcting the underlying genetic defect, although it is still under investigation. Mortality rates have decreased with these advancements, but the risk remains if treatment is delayed or complications arise. Regular follow-up and supportive care are essential to manage potential complications and ensure the best possible outcomes. Early intervention and ongoing medical support are key factors in improving the prognosis for those affected by this condition.

Long Term Effects

Individuals with this condition face a range of long-term effects due to their compromised immune system. These effects can significantly impact their quality of life and require ongoing medical attention. Early diagnosis and treatment are crucial to managing these effects and improving outcomes.

  • Increased susceptibility to infections: People with this condition are more prone to frequent and severe infections. Their immune system is unable to effectively fight off bacteria, viruses, and fungi. This can lead to recurrent illnesses and complications.

  • Growth and developmental delays: Children with this condition may experience delays in growth and development. This can affect physical growth, as well as cognitive and motor skills. Early intervention and supportive therapies can help mitigate these delays.

  • Chronic lung disease: Repeated respiratory infections can lead to chronic lung disease over time. This condition can cause breathing difficulties and reduce lung function. Long-term management may include respiratory therapies and medications.

  • Autoimmune disorders: Some individuals may develop autoimmune disorders, where the immune system attacks the body's own tissues. This can lead to a variety of symptoms depending on the organs affected. Management often involves medications to suppress the immune response.

  • Increased risk of cancer: There is an elevated risk of developing certain types of cancer due to the impaired immune surveillance. This includes cancers of the blood, such as leukemia. Regular monitoring and early detection are important for managing this risk.

How is it to live with Severe combined immunodeficiency due to dclre1c deficiency

Living with Severe combined immunodeficiency due to DCLRE1C deficiency involves facing significant challenges, as individuals are highly susceptible to infections due to a severely weakened immune system. Daily life requires strict precautions to avoid exposure to germs, including maintaining a clean environment and limiting contact with people who might carry infections. Family members and close contacts must also adhere to these precautions to protect the individual, often resulting in lifestyle adjustments to minimize health risks. Regular medical care and monitoring are essential to manage the condition and prevent complications.

Treatment and Drugs

Treatment for Severe combined immunodeficiency due to DCLRE1C deficiency primarily involves Hematopoietic Stem Cell Transplantation (HSCT), which replaces the faulty immune system with healthy stem cells from a donor, potentially curing the condition. Gene therapy is another approach, aiming to fix the genetic defect by adding a working copy of the DCLRE1C gene to the patient's cells, showing promise in clinical trials. Immunoglobulin Replacement Therapy is used to provide temporary immune support by infusing antibodies to help fight infections, managing symptoms while other treatments are pursued. Each treatment option carries its own risks and benefits, and decisions are made based on individual patient needs and circumstances.

Non-Drug Treatment

Severe combined immunodeficiency due to dclre1c deficiency requires careful management to protect individuals from infections and support their immune system. Non-pharmacological treatments focus on minimizing exposure to pathogens and enhancing the body's natural defenses. These interventions are crucial in maintaining health and improving quality of life for affected individuals.

  • Protective Isolation: Protective isolation involves keeping the individual in a controlled environment to reduce exposure to germs. This may include staying in a specially designed room with filtered air and limited access to visitors. The goal is to minimize the risk of infections.

  • Nutritional Support: Nutritional support ensures that the individual receives adequate nutrients to support overall health and immune function. This may involve a specialized diet or supplements tailored to the individual's needs. Proper nutrition is essential for maintaining strength and resilience against infections.

  • Hygiene Practices: Strict hygiene practices are implemented to prevent infections. This includes regular hand washing, sterilizing equipment, and using protective clothing. These measures help reduce the risk of transmitting germs to the individual.

  • Regular Monitoring: Regular monitoring by healthcare professionals is essential to track the individual's health status. This includes frequent check-ups and laboratory tests to detect any signs of infection early. Early detection allows for prompt intervention and management.

  • Family Education: Educating family members about the condition and necessary precautions is vital. This includes training on hygiene practices and recognizing signs of infection. Informed family members can provide better support and care for the individual.

Did you know that drugs are influenced by genes?

Genetic factors influence the effectiveness of drugs for treating Severe combined immunodeficiency due to DCLRE1C deficiency by affecting how the body processes these medications. Variations in genes can alter drug metabolism, impacting treatment success and potential side effects.

doctor_quote

Dr. Wallerstorfer

Pharmacological Treatments

Severe combined immunodeficiency due to DCLRE1C deficiency is a rare genetic disorder that affects the immune system, making individuals highly susceptible to infections. Treatment often involves pharmacological interventions to manage symptoms and improve immune function. These treatments are crucial in providing patients with a better quality of life and reducing the risk of severe infections.

  • Hematopoietic Stem Cell Transplantation (HSCT): HSCT is a procedure that replaces the defective immune system with healthy stem cells from a donor. This treatment can restore immune function and is considered a potential cure for the condition. It requires a compatible donor and carries risks associated with transplantation.

  • Gene Therapy: Gene therapy aims to correct the genetic defect by introducing a functional copy of the DCLRE1C gene into the patient's cells. This experimental treatment has shown promise in clinical trials. It offers a potential long-term solution by addressing the root cause of the deficiency.

  • Immunoglobulin Replacement Therapy: This therapy involves regular infusions of antibodies to help fight infections. It provides temporary support to the immune system while other treatments are being considered or implemented. It is not a cure but helps manage symptoms and prevent infections.

Genetic Influences

Severe combined immunodeficiency due to DCLRE1C deficiency is caused by mutations in the DCLRE1C gene, which plays a crucial role in the development and function of the immune system. This gene is responsible for producing a protein that helps repair DNA breaks, an essential process for the proper formation of immune cells. When mutations occur in the DCLRE1C gene, the protein's function is impaired, leading to a failure in DNA repair. This failure affects the development of T and B cells, which are vital components of the immune system. As a result, individuals with this genetic deficiency have a severely weakened immune system, making them highly susceptible to infections. The inheritance pattern of this condition is typically autosomal recessive, meaning that an affected individual must inherit two copies of the mutated gene, one from each parent. Genetic testing can confirm the presence of mutations in the DCLRE1C gene, aiding in the diagnosis and management of the condition.

Gene variations

Genetic variations can significantly impact the risk and severity of immunodeficiency conditions linked to DCLRE1C deficiency. These variations often affect the gene's ability to repair DNA, which is crucial for the development and function of the immune system. Understanding these genetic influences can help in diagnosing and potentially treating the condition more effectively.

  • DCLRE1C Gene Mutations: Mutations in the DCLRE1C gene can lead to a complete loss of function, severely impairing the immune system's ability to develop properly. These mutations can vary in type and location within the gene, influencing the severity of the condition. Some mutations might result in a milder form of the disease, while others can cause a more severe immunodeficiency.

  • Compound Heterozygosity: Individuals with two different mutations in the DCLRE1C gene, one on each chromosome, may experience varying levels of immune system impairment. This condition, known as compound heterozygosity, can lead to a range of symptoms depending on the nature of each mutation. The combination of mutations can influence both the risk and severity of the immunodeficiency.

  • Modifier Genes: Other genes, known as modifier genes, can influence the severity of the immunodeficiency caused by DCLRE1C mutations. These genes can either exacerbate or mitigate the effects of the primary genetic defect. The presence of certain modifier genes might lead to a less severe manifestation of the condition.

  • Environmental Interactions: While not a genetic variation, environmental factors can interact with genetic predispositions to influence the severity of the condition. Factors such as infections or exposure to certain chemicals can exacerbate the symptoms. Understanding these interactions is important for managing the condition effectively.

Variants that influence Severe combined immunodeficiency due to dclre1c deficiency based on Clinical Testing

Clinical testing classifications are designed to help doctors understand how genetic changes, known as variants, might affect a person’s health and guide medical decisions. Variants are labeled as Disease Causing (harmful), likely Disease Causing, Unknown Effect (unknown impact), Likely No Effect (likely not harmful), and No Effect (not harmful). This classification relies on a mix of family history, lab tests, and computer predictions to determine the impact of variants.

Variants that Affect Both Biological Males and Females

Genotype

G

G

Level of evidence

doctor_quote

No Effect

Unisex

1 Sources

Participants: 0

The genotype with the letters G/G is thought to have no effect on your disease risk. Carriers of this genetic result are usually not at risk of developing the disease.

Genotype

G

T

Level of evidence

doctor_quote

Carrier with no risk

Unisex

1 Sources

Participants: 0

The genotype with the letters G/T has no effect on your disease risk. Carriers of this genetic result are usually not at risk of developing the disease.

Genotype

T

T

Level of evidence

doctor_quote

Disease causing

Unisex

1 Sources

Participants: 0

The genotype with the letters T/T is considered disease causing. Carriers of this genetic result are typically affected by the disease.

Genotype

G

G

Level of evidence

doctor_quote

No Effect

Unisex

1 Sources

Participants: 0

The genotype with the letters G/G is thought to have no effect on your disease risk. Carriers of this genetic result are usually not at risk of developing the disease.

Genotype

G

T

Level of evidence

doctor_quote

Carrier with no risk

Unisex

1 Sources

Participants: 0

The genotype with the letters G/T has no effect on your disease risk. Carriers of this genetic result are usually not at risk of developing the disease.

Genotype

T

T

Level of evidence

doctor_quote

Disease causing

Unisex

1 Sources

Participants: 0

The genotype with the letters T/T is considered disease causing. Carriers of this genetic result are typically affected by the disease.

Genotype

G

G

Level of evidence

doctor_quote

No Effect

Unisex

2 Sources

Participants: 0

The genotype with the letters G/G is thought to have no effect on your disease risk. Carriers of this genetic result are usually not at risk of developing the disease.

Genotype

A

G

Level of evidence

doctor_quote

Carrier with no risk

Unisex

2 Sources

Participants: 0

The genotype with the letters A/G has no effect on your disease risk. Carriers of this genetic result are usually not at risk of developing the disease.

Genotype

A

A

Level of evidence

doctor_quote

Disease causing

Unisex

2 Sources

Participants: 0

The genotype with the letters A/A is considered disease causing. Carriers of this genetic result are typically affected by the disease.

Genotype

G

G

Level of evidence

doctor_quote

No Effect

Unisex

2 Sources

Participants: 0

The genotype with the letters G/G is thought to have no effect on your disease risk. Carriers of this genetic result are usually not at risk of developing the disease.

Genotype

A

G

Level of evidence

doctor_quote

Carrier with no risk

Unisex

2 Sources

Participants: 0

The genotype with the letters A/G has no effect on your disease risk. Carriers of this genetic result are usually not at risk of developing the disease.

Genotype

A

A

Level of evidence

doctor_quote

Disease causing

Unisex

2 Sources

Participants: 0

The genotype with the letters A/A is considered disease causing. Carriers of this genetic result are typically affected by the disease.

Genotype

G

G

Level of evidence

doctor_quote

No Effect

Unisex

1 Sources

Participants: 0

The genotype with the letters G/G is thought to have no effect on your disease risk. Carriers of this genetic result are usually not at risk of developing the disease.

Genotype

A

G

Level of evidence

doctor_quote

Carrier with no risk

Unisex

1 Sources

Participants: 0

The genotype with the letters A/G has no effect on your disease risk. Carriers of this genetic result are usually not at risk of developing the disease.

Genotype

A

A

Level of evidence

doctor_quote

Disease causing

Unisex

1 Sources

Participants: 0

The genotype with the letters A/A is considered disease causing. Carriers of this genetic result are typically affected by the disease.

Genotype

G

G

Level of evidence

doctor_quote

No Effect

Unisex

1 Sources

Participants: 0

The genotype with the letters G/G is thought to have no effect on your disease risk. Carriers of this genetic result are usually not at risk of developing the disease.

Genotype

A

G

Level of evidence

doctor_quote

Carrier with no risk

Unisex

1 Sources

Participants: 0

The genotype with the letters A/G has no effect on your disease risk. Carriers of this genetic result are usually not at risk of developing the disease.

Genotype

A

A

Level of evidence

doctor_quote

Disease causing

Unisex

1 Sources

Participants: 0

The genotype with the letters A/A is considered disease causing. Carriers of this genetic result are typically affected by the disease.

Variants that influence Severe combined immunodeficiency due to dclre1c deficiency

All variants that were shown to influence the risk of developing Severe combined immunodeficiency due to dclre1c deficiency are listed here.

Genes that influence Severe combined immunodeficiency due to dclre1c deficiency

All Genes, that contain variants, which were shown to influence the risk of developing Severe combined immunodeficiency due to dclre1c deficiency are listed here

Pharmacogenetics - how genetics influence drugs

Genetics play a crucial role in the treatment of Severe Combined Immunodeficiency due to DCLRE1C deficiency, as this condition arises from mutations in the DCLRE1C gene, which is essential for the proper functioning of the immune system. Understanding the specific genetic mutation allows for targeted therapies, such as gene therapy, which aims to correct or replace the faulty gene. Bone marrow transplantation is another treatment option, providing the patient with healthy immune cells from a donor. The choice of treatment is influenced by the genetic makeup of both the patient and potential donors, ensuring compatibility and reducing the risk of complications. Additionally, enzyme replacement therapy may be considered to supplement the missing or dysfunctional proteins caused by the genetic mutation. Early genetic diagnosis is vital for timely intervention, improving the chances of successful treatment outcomes.

Drugs influenced by genetics

doctor_quote

Dr. Wallerstorfer

Interactions with other diseases

Severe combined immunodeficiency due to DCLRE1C deficiency can interact with other diseases primarily through its impact on the immune system. Individuals with this condition have a significantly weakened immune response, making them more susceptible to infections that healthy individuals might easily overcome. This vulnerability can lead to complications when encountering common viral, bacterial, or fungal infections, which can become severe or even life-threatening. Additionally, the impaired immune function can complicate the management of other chronic conditions, as the body is less equipped to handle additional stressors. There is also an increased risk of developing autoimmune disorders, where the immune system mistakenly attacks the body's own cells. Furthermore, the condition can complicate the response to vaccinations, as the immune system may not respond adequately to develop the necessary protection.

Special Life Conditions

Individuals with severe combined immunodeficiency due to DCLRE1C deficiency face unique challenges in various life stages and conditions. In children, the condition often manifests early, leading to frequent infections and requiring protective measures to prevent exposure to pathogens. During pregnancy, women with this deficiency may experience heightened vulnerability to infections, necessitating close medical monitoring to ensure both maternal and fetal health. In older adults, the immune system's natural decline can exacerbate the deficiency, increasing susceptibility to infections and complicating management strategies. Active athletes with this condition may find it difficult to maintain rigorous training schedules due to increased risk of infections and slower recovery times. Each of these scenarios requires tailored medical care and lifestyle adjustments to manage the condition effectively.

History

Severe combined immunodeficiency due to DCLRE1C deficiency is a rare genetic disorder that has intrigued scientists and medical professionals since its identification. The condition was first recognized in the late 20th century when researchers began to understand the genetic basis of certain immune system failures. The discovery was part of a broader effort to unravel the complexities of the human immune system, which led to identifying specific genetic mutations responsible for various immune deficiencies.

The DCLRE1C gene, which plays a crucial role in repairing DNA and ensuring the proper development of immune cells, was found to be defective in individuals with this condition. This discovery was made possible through advances in genetic sequencing technologies, which allowed scientists to pinpoint the exact genetic mutations responsible for the disorder. The identification of the DCLRE1C gene mutation marked a significant milestone in understanding the genetic underpinnings of immune system disorders.

There have been no major outbreaks associated with this condition, as it is a genetic disorder rather than an infectious disease. Its impact on mankind, however, is profound for those affected. Individuals with this deficiency are highly susceptible to infections, which can be life-threatening without proper medical intervention. The condition has highlighted the importance of genetic research in diagnosing and treating rare diseases, emphasizing the need for continued scientific exploration.

The journey towards effective treatments began with the development of bone marrow transplantation, which provided a potential cure for some patients by replacing defective immune cells with healthy ones from a donor. This approach, while successful in many cases, posed significant risks and required a suitable donor match. The advent of gene therapy in the late 20th and early 21st centuries offered new hope. By directly correcting the genetic defect in a patient's own cells, gene therapy aimed to provide a more targeted and less risky treatment option.

Current research is focused on refining these gene therapy techniques to improve their safety and efficacy. Scientists are exploring the use of advanced technologies, such as CRISPR-Cas9, to precisely edit the defective gene and restore normal immune function. Additionally, researchers are investigating the potential of using stem cells to generate healthy immune cells, offering another avenue for treatment.

Efforts are also underway to better understand the biological mechanisms underlying the disorder, which could lead to the development of new therapeutic strategies. Collaborative research initiatives are crucial in this regard, bringing together experts from various fields to tackle the challenges posed by this complex condition.

In conclusion, the history of severe combined immunodeficiency due to DCLRE1C deficiency is a testament to the power of genetic research in uncovering the mysteries of the human immune system. While significant progress has been made in understanding and treating this disorder, ongoing research continues to hold promise for more effective and accessible therapies in the future.

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