[CIS PIDD] [cis-pidd] CD40L defect carrier detection

CIS-PIDD cis-pidd at lists.clinimmsoc.org
Wed Jun 15 08:09:59 EDT 2016


Hi Richard,
Knowing the exact familial mutation, and having future genetic counseling in mind, makes it difficult settle for anything else than targeted genetic testing. All other tests will still leave room for errors: sister can be lyonized towards the WT allele (up to 10% of women are for not known reasons) and you would only be detecting the “healthy” cells by flow. On the other hand, is the mom a carrier? Even if she is negative (because of de novo mutation in her son, germinal mosaicism, etc) I’d still test the daughter. In terms of when to test the daughter for carrier status…that’s a different issue.
Sergio

Immunology Service, DLM, CC, NIH
srosenzweig at cc.nih.gov<mailto:srosenzweig at cc.nih.gov>

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From: CIS-PIDD <cis-pidd at lists.clinimmsoc.org<mailto:cis-pidd at lists.clinimmsoc.org>>
Reply-To: CIS-PIDD <cis-pidd at lyris.dundee.net<mailto:cis-pidd at lyris.dundee.net>>
Date: Tuesday, June 14, 2016 at 9:52 PM
To: CIS-PIDD <cis-pidd at lyris.dundee.net<mailto:cis-pidd at lyris.dundee.net>>
Subject: [cis-pidd] CD40L defect carrier detection

I follow a young boy with HIGM with the following mutation: g3715C>A in Exon 2 (Genbank EF064753) of CD10L. He now has a new sister. What is the easiest way to test her for carrier status?
Thanks,
Richard Wasserman

--
Richard L. Wasserman, MD, PhD
Allergy Partners of North Texas
7777 Forest Lane, Suite B-332
Dallas, Texas 75230
Office (972) 566-7788
Fax (972) 566-8837
Cell (214) 697-7211

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