Autoinflammatory & rare systemic diseases

Association of IgG4-related disease with human inborn errors of immunity

Rheumatology (Oxford)Published Case-control genetic study

Authors' conclusion

Patients with IgG4-RD carry an increased frequency of ultra-rare germline variants in HIEI genes.

Study context

Population
Patients with igG4-related disease (IgG4-RD) and age-sex matched healthy individuals
Participants
18 vs 50
Comparison
IgG4-RD patients vs age-sex matched healthy controls
  • IgG4-RDn = 18
  • Controlsn = 50reference
Outcome
Germline rare and ultra-rare variants in HIEI genes with potential impact on protein structure
Methodological detailswhole exome sequencing, age-sex matched controls
  • Whole exome sequencing
  • Age-sex matched controls

Main finding

As reported in the abstract

Germline ultra-rare variants in HIEI genes
  • Up to 10 rare gene variants observed in a single patient
  • Most frequently mutated genes: PRKDC and LRBA
  • All variants heterozygous, of uncertain significance and not per se causative of a reported monogenic disorder
  • Incomplete phenotype of monogenic diseases associated with human inborn errors of immunity (HIEI) in some patients
  • Variants unique to IgG4-RD patients; not observed in controls
  • IgG4-RD vs Controls: P = 0.0025

Observational data: associations, not effects.

Original publication

Association of IgG4-related disease with human inborn errors of immunity. Rheumatology (Oxford). Published 26 June 2025. doi:10.1093/rheumatology/keaf353

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