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Table 1 List of only those PIDs where screening diagnosis can be made by specific protein detection by flow cytometry

From: Relevance of laboratory testing for the diagnosis of primary immunodeficiencies: a review of case-based examples of selected immunodeficiencies

PID

Disease-specific protein detected by flow*

X-linked agammaglobulinemia (XLA)

Bruton's tyrosine kinase (Btk) in monocytes, platelets

Wiskott-Aldrich syndrome (WAS) and related allelic variants, X-linked thrombocytopenia (XLT) and X-linked neutropenia/myelodysplasia

Wiskott-Aldrich Syndrome protein (WASP)

X-linked Hyper IgM syndrome (XL-HIGM)

CD40L (CD154) on activated T cells

Hyper IgM syndrome type 3

CD40 on B cells and/or monocytes

CVID-associated defects

ICOS (activated T cells), CD19, BAFF-R, TACI

Familial Hemophagocytic Lymphohistiocytosis (fHLH)

Perforin in NK cells and CD8 T cells

X-linked lymphoproliferative disease (XLP)

SAP (SH2D1A)

X-linked inhibitor of apoptosis (XLP2) disease

XIAP (BIRC4)

Chronic Granulomatous disease (CGD) - Autosomal recessive

p47phox, p67phox, p22phox in neutrophils

Leukocyte Adhesion deficiency type 1 (LAD-1)

CD18, CD11a, CD11b on leukocytes

Leukocyte Adhesion deficiency type 2 (LAD-2)

CD15 (Sialyl-Lewis X) on neutrophils and monocytes

Interferon gamma receptor 1 deficiency

IFNγR1

Interferon gamma receptor 2 deficiency

IFNγR2

IL-12 and IL-23 receptor β1 deficiency

IL-12Rβ1

STAT1 deficiency

pSTAT1

STAT5B deficiency

pSTAT5

Immunodeficiency, enteropathy, X-linked (IPEX)

FOXP3 on regulatory T cells (Tregs, CD4+CD25+FOXP3+)

Warts, Hypogammaglobulinemia, and myelokathexis (WHIM)

CXCR4 on T cells

Common gamma chain (cγ chain)

CD132 (IL-2RG, IL-4RG, IL-7RG, IL-9RG, IL-15RG) on activated T cells

Bare Lymphocyte Syndrome type I and II (BLS I and II)

MHC class I and II expression on monocytes, B cells and T cells (activated) respectively

CD25 deficiency (IPEX-like syndrome)

CD25 (IL2Rα)

Membrane cofactor protein (MCP) deficiency

CD46

Membrane attack complex deficiency (MAC)

CD59

  1. * Presence of protein as detected by flow cytometry does not rule out an underlying functional mutation, therefore, results have to be correlated with other laboratory and immunological parameters, including functional flow cytometry when applicable, clinical and family history and confirmed by genetic testing for final diagnosis. Details of these individual defects can be found in "Immunologic Disorders in Infants and Children, 5th Ed, Eds. R. Stiehm, H. Ochs and J. Winkelstein, 2005, Elsevier Saunders).