Endocrinopathies in Inborn Errors of Immunity

Inborn errors of immunity (IEI), caused by hereditary or genetic defects, are a group of more than 400 disorders, in which the immune system, including lymphocytes, neutrophils, macrophages, and complements, does not function properly. The endocrine system is frequently affected by IEI as an associa...

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Autores principales: Kei Takasawa, Hirokazu Kanegane, Kenichi Kashimada, Tomohiro Morio
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Lenguaje:EN
Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/5664f9a57e6e44948dd4868ea359551c
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spelling oai:doaj.org-article:5664f9a57e6e44948dd4868ea359551c2021-11-30T12:44:24ZEndocrinopathies in Inborn Errors of Immunity1664-322410.3389/fimmu.2021.786241https://doaj.org/article/5664f9a57e6e44948dd4868ea359551c2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fimmu.2021.786241/fullhttps://doaj.org/toc/1664-3224Inborn errors of immunity (IEI), caused by hereditary or genetic defects, are a group of more than 400 disorders, in which the immune system, including lymphocytes, neutrophils, macrophages, and complements, does not function properly. The endocrine system is frequently affected by IEI as an associated clinical feature and a complex network of glands which regulate many important body functions, including growth, reproduction, homeostasis, and energy regulation. Most endocrine disorders associated with IEI are hypofunction which would be treated with supplementation therapy, and early diagnosis and appropriate management are essential for favorable long-term outcomes in patients with IEI. In this review, we aimed to comprehensively summarize and discuss the current understanding on the clinical features and the pathophysiology of endocrine disorders in IEI. This review is composed with three parts. First, we discuss the two major pathophysiology of endocrinopathy in IEI, autoimmune response and direct effects of the responsible genes. Next, the details of each endocrinopathy, such as growth failure, hypothyroidism, hypoparathyroidism, adrenal insufficiency, diabetes mellitus (DM) are specified. We also illustrated potential endocrinopathy due to hematopoietic stem cell transplantation, including hypogonadism and adrenal insufficiency due to glucocorticoid therapy.Kei TakasawaHirokazu KaneganeKenichi KashimadaTomohiro MorioFrontiers Media S.A.articleendocrinopathythyroiditisdiabetes mellitusgrowth failureinborn errors of immunity (IEIs)HCTImmunologic diseases. AllergyRC581-607ENFrontiers in Immunology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic endocrinopathy
thyroiditis
diabetes mellitus
growth failure
inborn errors of immunity (IEIs)
HCT
Immunologic diseases. Allergy
RC581-607
spellingShingle endocrinopathy
thyroiditis
diabetes mellitus
growth failure
inborn errors of immunity (IEIs)
HCT
Immunologic diseases. Allergy
RC581-607
Kei Takasawa
Hirokazu Kanegane
Kenichi Kashimada
Tomohiro Morio
Endocrinopathies in Inborn Errors of Immunity
description Inborn errors of immunity (IEI), caused by hereditary or genetic defects, are a group of more than 400 disorders, in which the immune system, including lymphocytes, neutrophils, macrophages, and complements, does not function properly. The endocrine system is frequently affected by IEI as an associated clinical feature and a complex network of glands which regulate many important body functions, including growth, reproduction, homeostasis, and energy regulation. Most endocrine disorders associated with IEI are hypofunction which would be treated with supplementation therapy, and early diagnosis and appropriate management are essential for favorable long-term outcomes in patients with IEI. In this review, we aimed to comprehensively summarize and discuss the current understanding on the clinical features and the pathophysiology of endocrine disorders in IEI. This review is composed with three parts. First, we discuss the two major pathophysiology of endocrinopathy in IEI, autoimmune response and direct effects of the responsible genes. Next, the details of each endocrinopathy, such as growth failure, hypothyroidism, hypoparathyroidism, adrenal insufficiency, diabetes mellitus (DM) are specified. We also illustrated potential endocrinopathy due to hematopoietic stem cell transplantation, including hypogonadism and adrenal insufficiency due to glucocorticoid therapy.
format article
author Kei Takasawa
Hirokazu Kanegane
Kenichi Kashimada
Tomohiro Morio
author_facet Kei Takasawa
Hirokazu Kanegane
Kenichi Kashimada
Tomohiro Morio
author_sort Kei Takasawa
title Endocrinopathies in Inborn Errors of Immunity
title_short Endocrinopathies in Inborn Errors of Immunity
title_full Endocrinopathies in Inborn Errors of Immunity
title_fullStr Endocrinopathies in Inborn Errors of Immunity
title_full_unstemmed Endocrinopathies in Inborn Errors of Immunity
title_sort endocrinopathies in inborn errors of immunity
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/5664f9a57e6e44948dd4868ea359551c
work_keys_str_mv AT keitakasawa endocrinopathiesininbornerrorsofimmunity
AT hirokazukanegane endocrinopathiesininbornerrorsofimmunity
AT kenichikashimada endocrinopathiesininbornerrorsofimmunity
AT tomohiromorio endocrinopathiesininbornerrorsofimmunity
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