2019
DOI: 10.1002/pbc.27890
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STX11‐deficient familial hemophagocytic lymphohistiocytosis type 4 is associated with self‐resolving flares and a milder clinical course

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Cited by 5 publications
(4 citation statements)
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“…43 As STX11 plays a nonredundant role in platelet secretion, FHL4 patients may present with defective platelet secretion and bleeding history. 44 Although STX11 and STXB2 act as partners at the IS, patients with FHL4 seem to have milder phenotype 45 ; moreover, gastrointestinal symptoms may be observed in FHL5 as Munc18-2 is expressed also in intestinal epithelium and defective neutrophils granules may result in inadequate bacteria-gut clearance. 46,47 Within IEI with hypopigmentation, the transient or chronic neutropenia seen in CHS and GS2 or HPS2, respectively, is the consequence of the impair distribution of secretory giant lysosomes of phagocytes that impairs neutrophil chemotaxis.…”
Section: Pathophysiologymentioning
confidence: 99%
See 1 more Smart Citation
“…43 As STX11 plays a nonredundant role in platelet secretion, FHL4 patients may present with defective platelet secretion and bleeding history. 44 Although STX11 and STXB2 act as partners at the IS, patients with FHL4 seem to have milder phenotype 45 ; moreover, gastrointestinal symptoms may be observed in FHL5 as Munc18-2 is expressed also in intestinal epithelium and defective neutrophils granules may result in inadequate bacteria-gut clearance. 46,47 Within IEI with hypopigmentation, the transient or chronic neutropenia seen in CHS and GS2 or HPS2, respectively, is the consequence of the impair distribution of secretory giant lysosomes of phagocytes that impairs neutrophil chemotaxis.…”
Section: Pathophysiologymentioning
confidence: 99%
“…As STX11 plays a nonredundant role in platelet secretion, FHL4 patients may present with defective platelet secretion and bleeding history 44 . Although STX11 and STXB2 act as partners at the IS, patients with FHL4 seem to have milder phenotype 45 ; moreover, gastrointestinal symptoms may be observed in FHL5 as Munc18‐2 is expressed also in intestinal epithelium and defective neutrophils granules may result in inadequate bacteria‐gut clearance 46,47 …”
Section: Review Of the Literaturementioning
confidence: 99%
“…Different types of STX11 mutations that are associated with FHL4 have been identified (X. Guo et al, 2019; Kram et al, 2019; Rudd et al, 2006; zur Stadt et al, 2005). FHL4 resulting from STX11 mutations is typically late‐onset and often with milder symptoms compared to the perforin‐deficient FLH2 subtypes (Kram et al, 2019; Sepulveda et al, 2013), and even a case with homozygous nonsense mutations are relatively treatment responsive (X. Guo et al, 2019).…”
Section: Snares and Developmental Disorders Of The Immune Systemmentioning
confidence: 99%
“…Different types of STX11 mutations that are associated with FHL4 have been identified (X. Guo et al, 2019; Kram et al, 2019; Rudd et al, 2006; zur Stadt et al, 2005). FHL4 resulting from STX11 mutations is typically late‐onset and often with milder symptoms compared to the perforin‐deficient FLH2 subtypes (Kram et al, 2019; Sepulveda et al, 2013), and even a case with homozygous nonsense mutations are relatively treatment responsive (X. Guo et al, 2019). Comparison between STX11‐deficient and perforin‐deficient mice that developed HLH when challenged with lymphocytic choriomeningitis virus indicated that HLH progression is not fatal for the former due to T cell exhaustion (Kögl et al, 2013).…”
Section: Snares and Developmental Disorders Of The Immune Systemmentioning
confidence: 99%