Purine nucleoside phosphorylase deficiency presenting as severe combined immune deficiency

Raz Somech, Atar Lev, Galia Grisaru-Soen, Shelly I. Shiran, Amos J. Simon, Eyal Grunebaum

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34 Scopus citations


Purine nucleoside phosphorylase (PNP) deficiency is an autosomal recessive genetic disorder of the purine salvage pathway, associated with a variable extent of immunodeficiency. Here, we report a PNP-deficient patient who presented early in life with clinical and laboratory characteristics of severe combined immunodeficiency, including severe infections, marked T-and B-cell deficiency, lack of lymphocyte response to mitogenic stimulation, monoclonal T-cell receptors representation and the absence of T-cell receptor excision circles and Kappa-receptor excision circles. The patient carried homozygote mutation at the PNP gene that putatively led to aberrant splicing, allowing normal and abnormally spliced products from the mutant alleles. We suggest that the aberrant slice site was used preferentially over the normal slice site in some cells correlating with the severity of disease.

Original languageEnglish
Pages (from-to)150-154
Number of pages5
JournalImmunologic Research
Issue number1
StatePublished - May 2013
Externally publishedYes

Bibliographical note

Funding Information:
Acknowledgments The Jeffery Modell Foundation (JMF), the Legacy Heritage Biomedical Science Partnership Program of the Israel Science Foundation and the Chief Scientist Office of the Ministry of Health, for their support.


  • Immunodeficiency
  • KREC
  • PNP
  • Purine nucleoside phosphorylase
  • SCID
  • TREC


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