» Articles » PMID: 28503543

IRAK4 Deficiency in a Patient with Recurrent Pneumococcal Infections: Case Report and Review of the Literature

Overview
Journal Front Pediatr
Specialty Pediatrics
Date 2017 May 16
PMID 28503543
Citations 7
Authors
Affiliations
Soon will be listed here.
Abstract

Primary immunodeficiencies are genetic defects of the innate or adaptive immune system, resulting in a propensity to infections. The innate immune system is the first line of defense against pathogens and is critical to recognize microbes and start the inflammatory cascade. Sensing of microbes occurs by a number of pathogen-recognition receptors, resulting in the activation of inflammatory signal transduction pathways, such as the activation of NF-κB. Herein, we describe a case of IRAK4 deficiency, a key signal transduction molecule of toll-like and IL-1 receptors. We highlight the complexities in diagnosis of these disorders and review genetic defects of the NF-κB pathway.

Citing Articles

A case report of a patient with recurrent and severe infections highlighting the importance of considering inborn errors of immunity.

Altammar F, Alshamali M, Alqunaee M, Alali A, Elshafie R, Al-Herz W Front Pediatr. 2024; 12:1340367.

PMID: 38487470 PMC: 10938594. DOI: 10.3389/fped.2024.1340367.


Protein kinases: drug targets for immunological disorders.

Castelo-Soccio L, Kim H, Gadina M, Schwartzberg P, Laurence A, OShea J Nat Rev Immunol. 2023; 23(12):787-806.

PMID: 37188939 PMC: 10184645. DOI: 10.1038/s41577-023-00877-7.


Multiscale interactome analysis coupled with off-target drug predictions reveals drug repurposing candidates for human coronavirus disease.

Sugiyama M, Cui H, Redka D, Karimzadeh M, Rujas E, Maan H Sci Rep. 2021; 11(1):23315.

PMID: 34857794 PMC: 8640055. DOI: 10.1038/s41598-021-02432-7.


Interleukin-1 Receptor-Associated Kinase 4 Deficiency in a Greek Teenager.

Karananou P, Alataki A, Papadopoulou-Alataki E Case Reports Immunol. 2020; 2020:8846827.

PMID: 33101742 PMC: 7568159. DOI: 10.1155/2020/8846827.


Clinical IRAK4 deficiency caused by homozygosity for the novel (c.1049delG, p.Gly350Glufs*15) variant.

Jia A, James E, Lu H, Sharma M, Modi B, Biggs C Cold Spring Harb Mol Case Stud. 2020; 6(3).

PMID: 32532880 PMC: 7304365. DOI: 10.1101/mcs.a005298.


References
1.
Ku C, von Bernuth H, Picard C, Zhang S, Chang H, Yang K . Selective predisposition to bacterial infections in IRAK-4-deficient children: IRAK-4-dependent TLRs are otherwise redundant in protective immunity. J Exp Med. 2007; 204(10):2407-22. PMC: 2118442. DOI: 10.1084/jem.20070628. View

2.
Burns S, Plagnol V, Gutierrez B, Al Zahrani D, Curtis J, Gaspar M . Immunodeficiency and disseminated mycobacterial infection associated with homozygous nonsense mutation of IKKβ. J Allergy Clin Immunol. 2014; 134(1):215-8. PMC: 4085475. DOI: 10.1016/j.jaci.2013.12.1093. View

3.
Courtois G, Smahi A, Reichenbach J, Doffinger R, Cancrini C, Bonnet M . A hypermorphic IkappaBalpha mutation is associated with autosomal dominant anhidrotic ectodermal dysplasia and T cell immunodeficiency. J Clin Invest. 2003; 112(7):1108-15. PMC: 198529. DOI: 10.1172/JCI18714. View

4.
Kawai T, Akira S . Toll-like receptors and their crosstalk with other innate receptors in infection and immunity. Immunity. 2011; 34(5):637-50. DOI: 10.1016/j.immuni.2011.05.006. View

5.
Pannicke U, Baumann B, Fuchs S, Henneke P, Rensing-Ehl A, Rizzi M . Deficiency of innate and acquired immunity caused by an IKBKB mutation. N Engl J Med. 2013; 369(26):2504-14. DOI: 10.1056/NEJMoa1309199. View