Table 1 Immunologic laboratory values at time of diagnosis of patients with TOP2B mutationsa

From: Mutations in topoisomerase IIβ result in a B cell immunodeficiency

 

Family 1

Family 2

Family 3

Age at presentation

7 years

35 years

6 years

5 years

General immune evaluation

Leukocytes (cells/μL)

5200

7600

7000

5900

 

[4500–13500]

[4000–1000]

[5500–15,000]

[5500–15,000]

Absolute Lymphocyte count (cells/μL)

1900

2000

2240

3547

 

[1500–6500]

[1200–3500]

[1500–7000]

[1500–7000]

CD3+ T cells (cells/μL)

1853

1764

2720

3422

 

[1200–2700]

[1100–2500]

[1900–3000]

[1400–3700]

CD4+ T cells (cells/μL)

1122

1008

1728

1832

 

[800–1500]

[700–1400]

[570–1200]

[700–2200]

CD8+ T cells (cells/μL)

774

726

800

1417

 

[400–1200]

[400–1100]

[475–960]

[490–1300]

CD19+ B cells (cells/μL)

0

48

0

0

 

[150–600]

[150–500]

[200–600]

[200–600]

CD16+ NK cells (cells/μL)

58

172

448

17

 

[200–400]

[150–400]

[200–600]

[200–600]

CH50

n.d.

n.d.

90

>65

 

[n.a.]

[n.a.]

[>80]

[>60]

B cell-specific immune evaluation

Total IgG (mg/dL)

232

631

73

242

 

[610–1480]

[720–1460]

[400–1075]

[463–1236]

IgA (mg/dL)

<26

158

33

7

 

[40–290]

[24–381]

[19–119]

[25–154]

IgM (mg/dL)

150

128

12

<6

 

[380–1860]

[54–227]

[25–114]

[43–196]

IgE (mg/dL)

n.d.

n.d.

5

n.d.

 

[n.a.]

[n.a.]

[0–450]

[n.a.]

tetanus titerb (IU/mL)

deficient

n.d.

<0.04–> 0.11

0.1

 

[>0.15]

[n.a.]

[>0.15]

[>0.15]

Diphtheria (IU/mL) titers

deficient

n.d.

undetectable

<0.1

 

[>0.15]

[n.a.]

[>0.15]

[>0.15]

H. influenzae B titers (ng/mL)

deficient

n.d.

undetectable

<0.15

 

[>0.15]

[n.a.]

[>100]

[>0.15]

Mitogen stimulation

normal

normal

normal

normal

  1. aNormal values for age, per reference lab, shown in square brackets. n.d. not done, n.a. not available
  2. bTiter values are expressed as expected postimmunization9,10