Information on IMD31C

Basic details

Name: Immunodeficiency 31C | Acronym: IMD31C
Alt. names: IMD31C | STAT1-GOF | Immunodeficiency 31C, candidiasis, autosomal dominant | familial candidiasis 7

Gene: STAT1 | MOI: Autosomal dominant | Mechanism of action: Gain of Function

No. of cases in DB: 15 | First reported in: 2011

Last updated on: 2023-02-28 16:41:18 by Andrés Caballero-Oteyza

OMIM: 614162

Orphanet: -

MONDO: -

DOID: -

ClinGen:

Description

IMD31C is disorder of immunologic dysregulation with highly variable manifestations resulting from autosomal dominant gain-of-function mutations in STAT1. Most patients present in infancy or early childhood with chronic mucocutaneous candidiasis (CMC). Other highly variable features include recurrent bacterial, viral, fungal, and mycoplasmal infections, disseminated dimorphic fungal infections, enteropathy with villous atrophy, and autoimmune disorders, such as hypothyroidism or diabetes mellitus. A subset of patients show apparently nonimmunologic features, including osteopenia, delayed puberty, and intracranial aneurysms. Laboratory studies show increased activation of gamma-interferon (IFNG).[OMIM]

Management

Individuals with heterozygous forms may be susceptible to candidiasis, and may be susceptible to neoplasms including carcinoma, as well as autoimmune thyroid disease, and awareness may allow prompt diagnosis and treatment. HSCT has beeen described in some STAT1-related conditions.

Please mind that full curation of this condition has not been completed yet. It is currently ongoing.

15 reported cases added to GenIA

SubjectID Sex Fam.ID AD AFM Validity Country Population Reference & Pub.code
101058arrow icon M 210120 21 Germany PMID:34390440 [CMC21]
101066arrow icon F 211365 14 PMID:34390440 [CMC23]
101577arrow icon M 212600 51 Germany PMID:34390440 [CMC12]
101831arrow icon M 210126 27 Israel Israeli PMID:34390440 [CMC18]
101835arrow icon F 212354 21 Germany PMID:34390440 [CMC07]; PMID:34390440 [CMC07]
101858arrow icon U 210051 United Kingdom PMID:34390440 [CMC14]
101859arrow icon U 210052 United Kingdom PMID:34390440 [CMC15]
101860arrow icon U 210053 United Kingdom PMID:34390440 [CMC16]
101861arrow icon U 210054 United Kingdom PMID:34390440 [CMC17]
101869arrow icon M 210076 10 U.S.A. PMID:34390440 [CMC08]
101919arrow icon M 210084 19 Germany PMID:34390440 [CMC09]
101924arrow icon M 210094 31 Germany German PMID:34390440 [CMC05]
101927arrow icon M 210097 40 Germany PMID:34390440 [CMC10]
101930arrow icon M 210100 Algeria Algerian PMID:34390440 [CMC13]
101932arrow icon F 210102 44 France PMID:34390440 [CMC11]

AD: Age at genetic diagnosis; AFM: age at first manifestation; PMID: PubMed ID; GRID: GenIA reference ID (ref. not in PubMed).

Summary of clinical findings

[Considering only Definitive and Possible cases]

Rank Clinical term Present Absent Unreported
1 Mucocutaneous candidiasisarrow icon 15 (99.9%) 0 (0.0%) 0 (0.0%)
2 Esophageal candidiasisarrow icon 7 (46.7%) 0 (0.0%) 8 (53.3%)
3 (unusual) Respiratory tract infectionarrow icon 4 (26.7%) 1 (6.7%) 10 (66.7%)
4 Lung diseasearrow icon 4 (26.7%) 1 (6.7%) 10 (66.7%)
5 Oral candidiasisarrow icon 4 (26.7%) 0 (0.0%) 11 (73.3%)
6 Pneumoniaarrow icon 4 (26.7%) 1 (6.7%) 10 (66.7%)
7 Skin infections arrow icon 4 (26.7%) 0 (0.0%) 11 (73.3%)
8 Hypothyroidismarrow icon 3 (20.0%) 0 (0.0%) 12 (80.0%)
9 Endocrine system abnormalityarrow icon 3 (20.0%) 0 (0.0%) 12 (80.0%)
10 Hypogammaglobulinemiaarrow icon 3 (20.0%) 0 (0.0%) 12 (80.0%)
11 Decreased IgA levelsarrow icon 2 (13.3%) 0 (0.0%) 13 (86.7%)
12 Autoimmunityarrow icon 2 (13.3%) 1 (6.7%) 12 (80.0%)
13 Bronchiectasisarrow icon 2 (13.3%) 2 (13.3%) 11 (73.3%)
14 Failure to thrivearrow icon 2 (13.3%) 0 (0.0%) 13 (86.7%)
15 Onychomycosisarrow icon 2 (13.3%) 0 (0.0%) 13 (86.7%)
16 Cutaneous abscessarrow icon 2 (13.3%) 1 (6.7%) 12 (80.0%)
17 Aphthous oral ulcerarrow icon 2 (13.3%) 0 (0.0%) 13 (86.7%)
18 Eczemaarrow icon 2 (13.3%) 1 (6.7%) 12 (80.0%)
19 Cutaneous fungal infectionsarrow icon 2 (13.3%) 0 (0.0%) 13 (86.7%)
20 Decreased IgG levelsarrow icon 1 (6.7%) 0 (0.0%) 14 (93.3%)
21 Reduced IgG2 levelsarrow icon 1 (6.7%) 0 (0.0%) 14 (93.3%)
22 Reduced IgG4 levelsarrow icon 1 (6.7%) 0 (0.0%) 14 (93.3%)
23 Hepatopathyarrow icon 1 (6.7%) 0 (0.0%) 14 (93.3%)
24 Lymphopeniaarrow icon 1 (6.7%) 0 (0.0%) 14 (93.3%)
25 Enteropathyarrow icon 1 (6.7%) 0 (0.0%) 14 (93.3%)
26 Alopeciaarrow icon 1 (6.7%) 0 (0.0%) 14 (93.3%)
27 Atopyarrow icon 1 (6.7%) 0 (0.0%) 14 (93.3%)
28 Allergyarrow icon 1 (6.7%) 0 (0.0%) 14 (93.3%)
29 Hepatitisarrow icon 1 (6.7%) 0 (0.0%) 14 (93.3%)
30 Autoimmune hepatitisarrow icon 1 (6.7%) 0 (0.0%) 14 (93.3%)
31 Chronic obstructive pulmonary diseasearrow icon 1 (6.7%) 0 (0.0%) 14 (93.3%)
32 Hypoalbuminemiaarrow icon 1 (6.7%) 0 (0.0%) 14 (93.3%)
33 (unusual) Fungal infectionarrow icon 1 (6.7%) 0 (0.0%) 14 (93.3%)
34 Inflammation of the large intestinearrow icon 1 (6.7%) 0 (0.0%) 14 (93.3%)
35 Vitamin D deficiencyarrow icon 1 (6.7%) 0 (0.0%) 14 (93.3%)
36 Candida Onychomycosisarrow icon 1 (6.7%) 0 (0.0%) 14 (93.3%)
37 Eosinophiliaarrow icon 0 (0.0%) 4 (26.7%) 11 (73.3%)
38 Antineutrophil antibodiesarrow icon 0 (0.0%) 1 (6.7%) 14 (93.3%)
39 Antinuclear antibodiesarrow icon 0 (0.0%) 1 (6.7%) 14 (93.3%)
40 Increased IgE levelsarrow icon 0 (0.0%) 5 (33.3%) 10 (66.7%)
41 Autoimmune antibody positivityarrow icon 0 (0.0%) 1 (6.7%) 14 (93.3%)
42 Skin rasharrow icon 0 (0.0%) 1 (6.7%) 14 (93.3%)
43 anti-ENA antibodiesarrow icon 0 (0.0%) 1 (6.7%) 14 (93.3%)
44 Pneumatocelearrow icon 0 (0.0%) 2 (13.3%) 13 (86.7%)

Please mind that full curation of this condition has not been completed yet. It is currently ongoing.

Summary of treatment outcomes

[Considering only Definitive and Possible cases]

Treatment ⓘ Responses & clinical indications

Please mind that full curation of this condition has not been completed yet. It is currently ongoing.