Summary of the clinical characteristics of reported STAT2-deficient patients
| Patient | Genetic defect | Birth year | Sex | Symptom onset age | Bacterial infections | Viral infections | Cytopenia | Other | LAV | Complications after LAV | Outcome | Current treatment | Reference |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| P1 | K490Qfs*41 | 1989 | F | 22 days | Recurrent infections | Viral meningitis | No | – | MMR | Hepatosplenomegaly, adenomegalies, and oral candida | Alive | Cotrimoxazole Itraconazole | Current report |
| P2 | K490Qfs*41 | 1992 | M | 4 mo | S. epidermidis | Chickenpox | No | – | MMR | Fever, rash, conjunctivitis, seromucous rhinitis, cheilitis, pharyngitis, and edema (atypical Kawasaki disease) | Alive | Cotrimoxazole | Current report |
| P3 | c.941+1G>T | 2022 | M | 1 year | No | No | No | – | MMR | HLH | Alive | IVIG | Current report |
| P4 | c.381+5G>C | 1982 | F | NA | No | NA | No | – | NA (positive serological tests) | NA | Alive | None | (17) |
| P5 | c.381+5G>C | 2006 | F | 2 years | No | Influenza A pneumonia, HSV stomatitis, asymptomatic EBV, and mild SARS-CoV-2 | No | – | MMR | Disseminated measles with pneumonia | Alive | Acyclovir | (17) |
| P6 | c.381+5G>C | 2007 | M | 2 mo | No | NA | No | – | No | – | Died at 2 mo | – | (17) |
| P7 | c.381+5G>C | 2006 | F | 1 year | No | Several URTI, chickenpox | No | – | MMR | Prolonged fever, rash, profound sensorineural hearing loss | Alive | Acyclovir | (17) |
| P8 | c.381+5G>C | 2008 | F | NA | No | Several URTI, chickenpox | No | Asthma, urticaria | No | – | Alive | Acyclovir cetirizine | (17) |
| P9 | c.381+5G>C | 2014 | F | NA | No | Several URTI | No | Atypical Kawasaki disease | No | – | Alive | Acyclovir | (16) |
| P10 | C612X | 2009 | M | 1 year | No | NA | No | – | MMR | Disseminated measles with systemic inflammation, atypical Kawasaki disease, and meningoencephalitis | Alive | SCIG levetiracetam, topiramate, lacosamide, and omeprazole | (24) |
| P11 | C612X | 2010 | F | 1 year | No | No | Yes | – | MMR | Disseminated measles with systemic inflammation, cytopenia, coagulopathy, and sepsis-like | Alive | SCIG | (24) |
| P12 | R510X/c.1576G>A | 1995 | M | 3 mo | Otitis, pneumonia, mycoplasma pneumonia | Recurrent severe viral infections, RSV, adenovirus, and enterovirus | Yes | – | MMR | Disseminated measles with systemic inflammation and atypical Kawasaki disease | Died at 7 years | – | (25) |
| P13 | R510X/c.1576G>A | 2004 | F | 6 mo | Otitis, pneumonia | Recurrent viral infections, influenza A pneumonia, severe chickenpox, severe EBV, enterovirus B virus meningitis, and mild SARS-CoV-2 | Yes | | MMR | Disseminated measles with systemic inflammation, pneumonia, and hepatitis | Alive | None | (25) |
| P14 | V628fs*14 | 2002 | F | 1 year | Otitis | Enterovirus B meningitis, severe SARS-CoV-2, and pneumonia | No | | MMR | Disseminated measles with systemic inflammation, atypical Kawasaki disease, and meningitis | Alive | Cetirizine, inhaled fluticasone-salmeterol | (16) |
| P15 | V628fs*14 | 2012 | F | 9 mo | No | RSV, rotavirus, influenza A pneumonia, and enterovirus enteritis | No | | MMR | MA | Died at 5 years | – | (16) |
| P16 | R330X | 1998 | F | 3 mo | Pneumonia, urinary tract infections | Recurrent URTI | No | Bronchitis, hypo-IgA | MMR, BCG | No | Alive | None | (16) |
| P17 | R330X | 2015 | F | 5 mo | Pneumonia | Chickenpox | No | – | MMR, BCG | No | Alive | IVIG, cotrimoxazole | (16) |
| P18 | Sibling to P16 and P17 | 1996 | F | 2 years | Pneumonia | Severe HSV stomatitis and encephalitis | NA | – | MMR, BCG | NA | Died at 2 years | – | (16) |
| P19 | Q174X | 2014 | M | 9 mo | Bacterial pneumonia during ARDS due to influenza pneumonia | Influenza A with ARDS, enterovirus, HSV stomatitis, and keratitis | No | Sensorineural hearing loss | MMR | Mumps, systemic inflammation, atypical Kawasaki disease, and sensorineural hearing loss | Died at 5 years | – | (16) |
| P20 | Sibling to P19 | 2008 | F | 1 year | Recurrent infections | Influenza A pneumonia | NA | – | MMR, VZV | NA | Died at 2 years | – | (16) |
| P21 | Q274X | 2016 | F | 7 mo | Pneumonia | Asymptomatic EBV | No | – | Measles | Clinical measles | Alive | IVIG | (16) |
| P22 | Sibling to P22 | NA | M | 9 mo | – | – | NA | – | Measles, MMR | Prolonged fever, clinical mumps | Died at 5 years | – | (16) |
| P23 | R667X | 2017 | F | 9 mo | Recurrent otitis and pneumonia | Influenza A with ARDS, several URTI, coronavirus HKU1, rhinovirus, human metapneumovirus, HHV6, parainfluenza, and mild SARS-CoV-2 | Yes (during HLH episode) | – | MMR, VZV | Disseminated VZV, systemic inflammation, and HHV6-triggered HLH | Alive | None | (21) |
| P24 | c.1209+1delG | 2017 | M | 1 year | Recurrent otitis | Norovirus, enterovirus, HHV6, CMV, and influenza A | Yes (during HLH episode) | – | MMR, VZV | Systemic inflammation, HLH, and mumps meningitis | Alive | IVIG | (26) |
| P25 | DelChr12:56360796-56352109/DelChr12:56355504-56348082 | 2009 | F | Birth | Recurrent pneumonia | EBV, asymptomatic SARS-CoV-2, several URTI | No | Oral ulcers, appendicitis | No | – | Alive | IVIG, cotrimoxazole | (16) |
| P26 | Sibling to P25 | 2004 | M | 4 mo | – | Severe HSV stomatitis, recurrent severe URTI | NA | – | No | – | Died at 10 mo | – | (16) |
| P27 | c.633+2T>C | NA | F | 2 mo | – | URTI, MIS-C associated to SARS-CoV-2 infection, rhinovirus | Yes | MIS-C | MMR | MMR-associated HLH, febrile illness with seizure | Alive | Anakinra | (27) |
| P28 | Q685X S613F | NA | M | 2 years | – | Recurrent severe influenza pneumonia, critical SARS-CoV-2 | NA | – | MMR | Aseptic meningitis and Kawasaki disease after MMR vaccination | Alive | NA | (22) |
| Patient | Genetic defect | Birth year | Sex | Symptom onset age | Bacterial infections | Viral infections | Cytopenia | Other | LAV | Complications after LAV | Outcome | Current treatment | Reference |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| P1 | K490Qfs*41 | 1989 | F | 22 days | Recurrent infections | Viral meningitis | No | – | MMR | Hepatosplenomegaly, adenomegalies, and oral candida | Alive | Cotrimoxazole Itraconazole | Current report |
| P2 | K490Qfs*41 | 1992 | M | 4 mo | Chickenpox | No | – | MMR | Fever, rash, conjunctivitis, seromucous rhinitis, cheilitis, pharyngitis, and edema (atypical Kawasaki disease) | Alive | Cotrimoxazole | Current report | |
| P3 | c.941+1G>T | 2022 | M | 1 year | No | No | No | – | MMR | HLH | Alive | IVIG | Current report |
| P4 | c.381+5G>C | 1982 | F | NA | No | NA | No | – | NA (positive serological tests) | NA | Alive | None | ( |
| P5 | c.381+5G>C | 2006 | F | 2 years | No | Influenza A pneumonia, HSV stomatitis, asymptomatic EBV, and mild SARS-CoV-2 | No | – | MMR | Disseminated measles with pneumonia | Alive | Acyclovir | ( |
| P6 | c.381+5G>C | 2007 | M | 2 mo | No | NA | No | – | No | – | Died at 2 mo | – | ( |
| P7 | c.381+5G>C | 2006 | F | 1 year | No | Several URTI, chickenpox | No | – | MMR | Prolonged fever, rash, profound sensorineural hearing loss | Alive | Acyclovir | ( |
| P8 | c.381+5G>C | 2008 | F | NA | No | Several URTI, chickenpox | No | Asthma, urticaria | No | – | Alive | Acyclovir cetirizine | ( |
| P9 | c.381+5G>C | 2014 | F | NA | No | Several URTI | No | Atypical Kawasaki disease | No | – | Alive | Acyclovir | ( |
| P10 | C612X | 2009 | M | 1 year | No | NA | No | – | MMR | Disseminated measles with systemic inflammation, atypical Kawasaki disease, and meningoencephalitis | Alive | SCIG levetiracetam, topiramate, lacosamide, and omeprazole | ( |
| P11 | C612X | 2010 | F | 1 year | No | No | Yes | – | MMR | Disseminated measles with systemic inflammation, cytopenia, coagulopathy, and sepsis-like | Alive | SCIG | ( |
| P12 | R510X/c.1576G>A | 1995 | M | 3 mo | Otitis, pneumonia, mycoplasma pneumonia | Recurrent severe viral infections, RSV, adenovirus, and enterovirus | Yes | – | MMR | Disseminated measles with systemic inflammation and atypical Kawasaki disease | Died at 7 years | – | ( |
| P13 | R510X/c.1576G>A | 2004 | F | 6 mo | Otitis, pneumonia | Recurrent viral infections, influenza A pneumonia, severe chickenpox, severe EBV, enterovirus B virus meningitis, and mild SARS-CoV-2 | Yes | | MMR | Disseminated measles with systemic inflammation, pneumonia, and hepatitis | Alive | None | ( |
| P14 | V628fs*14 | 2002 | F | 1 year | Otitis | Enterovirus B meningitis, severe SARS-CoV-2, and pneumonia | No | | MMR | Disseminated measles with systemic inflammation, atypical Kawasaki disease, and meningitis | Alive | Cetirizine, inhaled fluticasone-salmeterol | ( |
| P15 | V628fs*14 | 2012 | F | 9 mo | No | RSV, rotavirus, influenza A pneumonia, and enterovirus enteritis | No | | MMR | MA | Died at 5 years | – | ( |
| P16 | R330X | 1998 | F | 3 mo | Pneumonia, urinary tract infections | Recurrent URTI | No | Bronchitis, hypo-IgA | MMR, BCG | No | Alive | None | ( |
| P17 | R330X | 2015 | F | 5 mo | Pneumonia | Chickenpox | No | – | MMR, BCG | No | Alive | IVIG, cotrimoxazole | ( |
| P18 | Sibling to P16 and P17 | 1996 | F | 2 years | Pneumonia | Severe HSV stomatitis and encephalitis | NA | – | MMR, BCG | NA | Died at 2 years | – | ( |
| P19 | Q174X | 2014 | M | 9 mo | Bacterial pneumonia during ARDS due to influenza pneumonia | Influenza A with ARDS, enterovirus, HSV stomatitis, and keratitis | No | Sensorineural hearing loss | MMR | Mumps, systemic inflammation, atypical Kawasaki disease, and sensorineural hearing loss | Died at 5 years | – | ( |
| P20 | Sibling to P19 | 2008 | F | 1 year | Recurrent infections | Influenza A pneumonia | NA | – | MMR, VZV | NA | Died at 2 years | – | ( |
| P21 | Q274X | 2016 | F | 7 mo | Pneumonia | Asymptomatic EBV | No | – | Measles | Clinical measles | Alive | IVIG | ( |
| P22 | Sibling to P22 | NA | M | 9 mo | – | – | NA | – | Measles, MMR | Prolonged fever, clinical mumps | Died at 5 years | – | ( |
| P23 | R667X | 2017 | F | 9 mo | Recurrent otitis and pneumonia | Influenza A with ARDS, several URTI, coronavirus HKU1, rhinovirus, human metapneumovirus, HHV6, parainfluenza, and mild SARS-CoV-2 | Yes (during HLH episode) | – | MMR, VZV | Disseminated VZV, systemic inflammation, and HHV6-triggered HLH | Alive | None | ( |
| P24 | c.1209+1delG | 2017 | M | 1 year | Recurrent otitis | Norovirus, enterovirus, HHV6, CMV, and influenza A | Yes (during HLH episode) | – | MMR, VZV | Systemic inflammation, HLH, and mumps meningitis | Alive | IVIG | ( |
| P25 | DelChr12:56360796-56352109/DelChr12:56355504-56348082 | 2009 | F | Birth | Recurrent pneumonia | EBV, asymptomatic SARS-CoV-2, several URTI | No | Oral ulcers, appendicitis | No | – | Alive | IVIG, cotrimoxazole | ( |
| P26 | Sibling to P25 | 2004 | M | 4 mo | – | Severe HSV stomatitis, recurrent severe URTI | NA | – | No | – | Died at 10 mo | – | ( |
| P27 | c.633+2T>C | NA | F | 2 mo | – | URTI, MIS-C associated to SARS-CoV-2 infection, rhinovirus | Yes | MIS-C | MMR | MMR-associated HLH, febrile illness with seizure | Alive | Anakinra | ( |
| P28 | Q685X | NA | M | 2 years | – | Recurrent severe influenza pneumonia, critical SARS-CoV-2 | NA | – | MMR | Aseptic meningitis and Kawasaki disease after MMR vaccination | Alive | NA | ( |
ARDS, acute respiratory distress syndrome; BCG, Bacille Calmette-Guerin; CMV, cytomegalovirus; EBV, Epstein-Barr virus; F, female; HHV6, human herpesvirus 6; HSV, herpes simplex virus; M, male; MIS-C, multi-inflammatory syndrome in children; mo, months; RSV, respiratory syncytial virus; URTI, upper respiratory tract infections; VZV, varicella-zoster.
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