Table 1.

Clinical, immunophenotypic, and molecular characteristics of five normolymphocytic patients with elevated TCR γδ frequencies

FuGe cohort number44 (P1)86528558581
Year of birth 1986 1985 1989 1998 1961 
Clinical phenotype, associated atopy Susceptibility to airway infections; oral erosions; elevated IgE Childhood-onset allergic asthma; recurrent viral-like airway infections; house dust mite desensitization; normal IgE Recurrent viral-like airway infections (20× per year); tonsillectomy; low IgE Recurrent tonsillitis and sinusitis since childhood; splenectomy due to spherocytosis; normal IgE Chronic rhinosinusitis without polyps; asthma; ENT surgery; low IgE 
Evaluation date 2017 2025 2019 2024 2023 2024 2024 2024 2024 2025 
Neutrophils absolute (G/L); Ref: 1.3–6.7 6.02 4.61 5.94 3.82 6.29 5.43 3.51 N.D 2.87 5.5 
Lymphocytes absolute (G/L); Ref: 0.9–3.3 2.39 1.72 3.74 2.51 2.82 2.2 1.91 N.D 2.03 1.99 
Lymphocytes (% of leukocytes); Ref: 19–48 26.23 24.20 35.10 35.20 28.40 26.50 30.80 N.D 25.60 24.70 
Absolute T cell count (cells/μl); Ref: 742–2,750 1,857 1,317 3,132 2,274 2,629 1,947 1,730 1,792 1,728 1,830 
Absolute γδ T cell count (cells/μl) 612 233 1,221 932 565 368 847 914 373 389 
γδ T cells (% of total T cells); Ref: 0.5–16 33 17.7 39 41 21.5 18.9 49 51 21.6 21.3 
T cell clonality (method) 6.7% (NGS) 13% (NGS) Biclonal (multiplex PCR) N.D 7% (NGS) N.D N.D 12.7% (NGS) 14% (NGS) N.D 
γδ T-LGL (% of T cells) as assessed by diagnostic hemato-immunologic flow cytometry 25% 12% 42% N.D N.D 17% N.D 40% 25% N.D 
γδ T cell flow phenotype CD5dim, CD2+, CD7+, CD52+, CD30, CD16+, CD56+, CD57 CD5dim, CD2+, CD7+, CD52+, CD30, CD16+, CD56+, CD57 CD5dim, CD2+, CD7+, CD52+, CD30, CD16, CD56, CD57+ N.D N.D CD5dim, CD2+, CD7+, CD16+, CD56+, CD57+ N.D CD5dim, CD2+, CD7+, CD16+, CD56+, CD57+ CD5dim, CD2+, CD7+, CD52+, CD30, CD16+, CD56+, CD57+ N.D 
STAT5B mutation (method) Yes (NGS-sorted γδ T cells) N.D No (NGS-sorted γδ T cells) N.D N.D No (Sanger sequencing; PBMCs) N.D No (Sanger sequencing; PBMCs) No (Sanger sequencing; PBMCs) N.D 
STAT3 mutation (method) No (NGS-sorted γδ T cells) N.D No (NGS-sorted γδ T cells) N.D N.D N.D N.D N.D N.D N.D 
Treatment Baricitinib Watch and wait Watch and wait Watch and wait Watch and wait 

N.D, not done; Ref, reference range. Values above reference range are indicated in bold. Sanger sequencing of bulk PBMC may fail to detect low-variant-allele-frequency mutations in both STAT3 and STAT5B.

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