Table 1.

Clinical and genetic features of patients harboring STAT2 variants with negative regulation

FamilyPatientOriginHomozygous variantAge at onsetNeurological featuresOthersISG signatureJAK inhibitor responseOutcomeStudy
F1 P1 Iran c.443G>A p.R148Q 6 wk Seizure
Intracranial calcifications
Hemorrhage
Atrophy encephalomalacia 
Draining cervical adenitis
Respiratory failure 
Upregulated Ruxolitinib, dramatic response to 5 mg, bid Favorable developmental and respirator function at 24 mo
3 years old at 2025 
Current 
F2 P2 Iran c.443G>A p.R148Q 20 days Seizure
Intracranial calcification
Encephalitis
Abnormal EEG 
Draining adenitis
Fever
Respiratory failure 
NA No Died at 8.5 years with influenza-induced respiratory failure Current 
F3 P3 Morocco c.443G>A p.R148Q 15 days Seizures
Intracranial calcifications 
Adenitis (P. aeruginosa and K. pneumoniae)
Fever
PAP
Respiratory failure skin ulcerations
Cardiomegaly 
Upregulated No Died at 5 mo from respiratory failure Gruber et al. (2020) (10) 
F4 P4 Pakistan c.442C>T p.R148W Neonatal Seizure
Intracranial calcification
Hemorrhage
White matter changes
Neurodevelopmental delay 
Thrombocytopenia
Recurrent HLH-like episodes
Thrombotic microangiopathy
Acute kidney injury
Proteinuria 
Upregulated Ruxolitinib 2.5 mg bid, clinical stabilization and improved ISG score Died in immediate post-HSCT period with sepsis (20 mo) Duncan et al. (2019) (9) 
P5 Pakistan c.442C>T p.R148W 3 wk Recurrent apnea
Intracranial calcification
Hemorrhage
White matter changes
Cerebellar hypoplasia
Brainstem atrophy
Abnormal EEG 
Preterm birth Upregulated Ruxolitinib 1 mg bid, partial response, improved ISG score but persistent neurodevelopmental abnormalities Diet at 3 mo with severe neurologic impairment Duncan et al. (2019) (9) 
F5 P6 Russia c.442C>T p.R148W Neonatal Seizures
Intracranial calcifications
Neurodevelopmental delay 
Adenitis after BCG
Fever
Interstitial pneumonia and bronchiolitis 
NA Tofacitinib, 20 mg per day with clinical and picture improvements 5 years old in 2021 Kozlova et al. (2021) (17) 
F6 P7 Turkey c.656C>T p.A219V 5 mo Intracranial calcifications
Cerebral atrophy
Delayed motor and speech
Spastic paraparesis
Stroke-like episodes of hemiparesis
Pontine hemorrhage dystonia 
Fever
Abnormal liver function 
Upregulated
Tested by qPCR and NanoString assays 
No Severe neurologic sequelae at 20 years Zhu et al. (2023) (11) 

HLH, hemophagocytic lymphohistiocytosis; mo, months; wk, week.

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