Issues
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ON THE COVER
MHC class I–mediated antigen presentation enables CD8+ T cells to detect and eliminate infected or malignant cells by displaying intracellular peptides on the cell surface. This process involves proteasomal degradation, TAP-mediated peptide transport into the ER, peptide trimming, and MHC class I loading. Inborn errors of immunity affecting this pathway can cause severe clinical symptoms, immune dysregulation, and functional defects due to impaired surveillance and failure to control intracellular pathogens or tumor cells.
Image © Gadola et al., 2025 https://doi.org/10.70962/jhi.20250029 - PDF Icon PDF LinkEditorial Board
Reviews
Spondyloenchondrodysplasia: An enigmatic immuno-osseus type I interferonopathy
Spondyloenchondrodysplasia (SPENCD) is associated with a loss of tartrate resistant acid phosphatase (TRAP) activity and enhanced type I interferon signaling. We describe the clinical phenotype and molecular architecture of SPENCD, review the biology of TRAP, and consider how TRAP deficiency leads to disturbed innate immunity.
Inborn errors of immunity affecting the MHC class I pathway for antigen presentation
The paper discusses rare inborn errors of immunity affecting MHC class I antigen processing, leading to infections and skin lesions, often misdiagnosed as autoimmune disease. It emphasizes the need for infection-focused care, highlights disease variability, and presents long-term data to guide personalized treatment.
Letters
Successful coil occlusion of intracranial aneurysm in a child with STAT3 hyper IgE syndrome
Hyperimmunoglobulin E (hyper IgE) syndrome (HIES) is a rare form of inborn errors of immunity. We report an unusual presentation of intracranial aneurysm in an adolescent girl with AD-HIES. The child was managed successfully by coil occlusion of the intracranial aneurysm.
Healthcare resources for inborn errors of immunity in the Asia-Pacific region
This questionnaire-based study provides insights into the current healthcare infrastructure used to diagnose and manage inborn errors of immunity across countries and regions involved in the Asia-Pacific Society for Immunodeficiencies.
Topical JAK inhibitor for refractory skin inflammation in STAT1 GOF
Topical ruxolitinib induced rapid and sustained improvement of refractory skin inflammation in a child with STAT1 GOF disease, highlighting its potential in managing localized inflammation in immune dysregulation.
A patient with complete IFN-γR1 deficiency and tuberculosis resembling BCG disease
We present a case of a patient with a deleterious variant in IFNGR1 who contracted Mycobacterium tuberculosis. However, the patient presented with clinical manifestations suggestive of BCG infection. It is crucial to correctly identify the type of M. tuberculosis to ensure effective treatment.
Article
Two different forms of inherited human TCRα chain deficiency
Previous reports suggested that inherited TCRα deficiency is not as severe as expected. We report children with complete TCRα deficiency, a lack of αβ T cells, and a severe condition. Previously characterized TCRα deficiency was partial, as opposed to complete.
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