Lookup NU author(s): Professor Andrew Gennery
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
© Copyright © 2020 Wolska-Kuśnierz and Gennery.The ubiquitous presence of enzymes required for repair of DNA double strand breaks renders patients with defects in these pathways susceptible to immunodeficiency, an increased risk of infection, autoimmunity, bone marrow failure and malignancies, which are commonly associated with Epstein Barr virus (EBV) infection. Treatment of malignancies is particularly difficult, as the nature of the systemic defect means that patients are sensitive to chemotherapy and radiotherapy. Increasing numbers of patients with Nijmegen Breakage syndrome, Ligase 4 deficiency and Cernunnos-XLF deficiency have been successfully transplanted. Best results are obtained with the use of reduced intensity conditioning. Patients with ataxia-telangiectasia have particularly poor outcomes and the best treatment approach for these patients is still to be determined.
Author(s): Wolska-Kusnierz B, Gennery AR
Publication type: Review
Publication status: Published
Journal: Frontiers in Pediatrics
Online publication date: 15/01/2020
Acceptance date: 20/12/2019
ISSN (electronic): 2296-2360
Publisher: Frontiers Media S.A.