Characteristics and laboratory test of F-HLH type 5 patients with Munc18-2 R65 mutations
Patient . | Age* . | Mutation reported . | NK function† (NR >3.1 LU) . | % CD107a‡ (NR 11-35) . | CD107a-MCF (NR 207-678) . | HLH diagnosis§ . | |
---|---|---|---|---|---|---|---|
Allele 1 . | Allele 2 . | ||||||
P1 | |||||||
Proband | 10 y | 194G>A (R65Q) | WT | N/A | 4.8 | 206 | + |
P2 | 6 y | 194G>A (R65Q) | 194G>A (R65Q) | 0 | N/A | N/A | + |
P3 | |||||||
Proband | 3 mo | 194G>A (R65Q) | 1621G>A (G541S) | 0 | N/A | N/A | + |
Twin brother | 3 mo | 195G>A (R65Q) | WT | 0 | N/A | N/A | − |
P4 | |||||||
Proband | 2 y | 193C>T (R65W) | WT | 0 | 7 | 161 | + |
Mother | 42 y | 193C>T (R65W) | WT | 2.2 | 14 | 446 | − |
Father | 47 y | WT | WT | 10.6 | 18 | 391 | − |
Brother | 12 y | 193C>T (R65W) | WT | 2.7 | 16 | 217 | − |
Sister | 5 y | 193C>T (R65W) | WT | 7.9 | 7 | 75 | − |
Patient . | Age* . | Mutation reported . | NK function† (NR >3.1 LU) . | % CD107a‡ (NR 11-35) . | CD107a-MCF (NR 207-678) . | HLH diagnosis§ . | |
---|---|---|---|---|---|---|---|
Allele 1 . | Allele 2 . | ||||||
P1 | |||||||
Proband | 10 y | 194G>A (R65Q) | WT | N/A | 4.8 | 206 | + |
P2 | 6 y | 194G>A (R65Q) | 194G>A (R65Q) | 0 | N/A | N/A | + |
P3 | |||||||
Proband | 3 mo | 194G>A (R65Q) | 1621G>A (G541S) | 0 | N/A | N/A | + |
Twin brother | 3 mo | 195G>A (R65Q) | WT | 0 | N/A | N/A | − |
P4 | |||||||
Proband | 2 y | 193C>T (R65W) | WT | 0 | 7 | 161 | + |
Mother | 42 y | 193C>T (R65W) | WT | 2.2 | 14 | 446 | − |
Father | 47 y | WT | WT | 10.6 | 18 | 391 | − |
Brother | 12 y | 193C>T (R65W) | WT | 2.7 | 16 | 217 | − |
Sister | 5 y | 193C>T (R65W) | WT | 7.9 | 7 | 75 | − |
Values below the normal range are in bold type.
LU, lytic units; N/A, not available; NR, normal range at the Clinical Immunology Laboratory, Cincinnati Children’s Hospital Medical Center.
Age at diagnosis or test.
Cytolytic activity of NK cells.
Percentage of CD107a-expressing cells in degranulation assay.
Patient met (+) or did not meet (−) HLH-2004 diagnostic criteria.