Inborn Errors of Immunity and Cancer

Biology

Alessandra Tiri¹  Anna Tignanelli¹  Elena Turrini¹  Susanna Esposito¹  Patrizia Bertolini²  Andrea Pession³  Francesca Conti³  Riccardo Masetti³ 

[1] Pediatric Clinic, Pietro Barilla Children’s Hospital, University of Parma, 43126 Parma, Italy;Pediatric Oncohematology Unit, Pietro Barilla Children’s Hospital, 43126 Parma, Italy;Pediatric Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, University of Bologna, 40138 Bologna, Italy;

关键词: cancer;    inborn errors of immunity;    children;   

DOI  :  10.3390/biology10040313

来源: DOAJ

【 摘 要 】

Inborn Errors of Immunity (IEI) are a heterogeneous group of disorders characterized by a defect in the function of at least one, and often more, components of the immune system. The aim of this narrative review is to discuss the epidemiology, the pathogenesis and the correct management of tumours in patients with IEI. PubMed was used to search for all of the studies published over the last 20 years using the keywords: “inborn errors of immunity” or “primary immunodeficiency” and “cancer” or “tumour” or “malignancy”. Literature analysis showed that the overall risk for cancer in children with IEI ranges from 4 to 25%. Several factors, namely, age of the patient, viral infection status and IEI type can influence the development of different cancer types. The knowledge of a specific tumour risk in the presence of IEI highlights the importance of a synergistic effort by immunologists and oncologists in tracking down the potential development of cancer in known IEI patients, as well as an underlying IEI in patients with newly diagnosed cancers. In the current genomic era, the creation of an international registry of IEI cases integrated with malignancies occurrence information is fundamental to optimizing the diagnostic process and to evaluating the outcomes of new therapeutic options, with the hope to obtain a better prognosis for these patients.

【 授权许可】

Unknown