Genetic and clinical characteristics of the analyzed patients
Patient . | Protein deficit . | Genetics . | Age at diagnosis (mo) . | Treatment . | Disease status if AC at diagnosis . | Outcome . | Follow-up from diagnosis (mo) . |
---|---|---|---|---|---|---|---|
IC 1 | MUNC18-2 | Compound heterozygous | 3 | Antithymocyte globulin + cyclosporine + steroids + HSCT | Died TRM | 5 | |
AC 1 | MUNC18-2 | Compound heterozygous | 1 | HLH04 + HSCT | Activated during active follow-up | Alive CR | 22 |
IC 2 | MUNC18-2 | 474-483delinsGA 1001C>T | 12 | Steroids | Alive CR | 48 | |
AC 2 | MUNC18-2 | 474_483delinsGA 1001C>T | 24 | None | Never activated | Alive CR | 72 |
IC 3 | MUNC18-2 | 1247G>C | 18 | HLH04 + rituximab + HSCT | Alive CR | 108 | |
AC 3 | MUNC18-2 | 1247G>C | 60 | None | Never activated | Alive CR | 36 |
IC 4 | MUNC18-2 | Unknown | 16 | HLH04 + HSCT | Died TRM | 72 | |
AC 4 | MUNC18-2 | Unknown | 9 | HSCT | Never activated | Alive CR | 60 |
IC 5 | MUNC18-2 | Compound heterozygous | NA | HLH04 + HSCT | Alive CR | 91 | |
AC 5 | MUNC18-2 | Compound heterozygous | 6 | HSCT | Never activated | Alive CR | 75 |
IC 6 | MUNC18-2 | 1247G>C | 138 | Steroids + intravenous immunoglobulin | Alive CR | 38 | |
AC 6 | MUNC18-2 | 1247G>C | 108 | None | Never activated | Alive CR | 42 |
IC 7 | LYST | 2749-50delAG | 24 | HLH04 + HSCT | Died TRM after graft loss and second HSCT | 26 | |
AC 7 | LYST | 2749-50delAG | 102 | None | Never activated | Alive CR | 12 |
IC 8 | PRF1 | 50delT 853-855delAAG | 5 | Unspecified chemotherapy | Died HLH progression | 1 | |
AC 8 | PRF1 | 50delT 853-855delAAG | 5 | HLH04 + HSCT | Never activated; received prophylactic treatment pre-SCT | Alive CR | 32 |
IC 9 | PRF1 | 445G>A 886T>C | 60 | Steroids | Died as a result of infection | 72 | |
AC 9 | PRF1 | 445G>A 886T>C | 1 | HSCT | Never activated | Alive CR | 24 |
IC 10 | PRF1 | Not available | 18 | Steroids + cyclosporine + alemtuzumab + HSCT | Alive CR | 12 | |
AC 10 | PRF1 | Not available | 100 | Steroids + cyclosporine + alemtuzumab + HSCT | Activated while waiting for SCT | Alive CR | 12 |
IC 11 | PRF1 | 254G>T;473C>T; 390C>T | 48 | HLH94 + HSCT | Alive CR | 36 | |
AC 11 | PRF1 | 254G>T;473C>T; 390C>T | 9 | HSCT | Never activated | Alive CR | 38 |
IC 12 | PRF1 | 1122G>A | 2 | HLH04 | Died HLH progression | 2 | |
AC 12 | PRF1 | 1122G>A | Birth | HLH04 | Activated during prophylactic treatment while waiting for SCT | Lost to follow-up | |
IC 13 | PRF1 | Not available | 4 | Etoposide + steroids + cyclosporine + intrathecal methotrexate + antithymocyte globulin + HSCT | Died HLH progression | 8 | |
AC 13 | PRF1 | Not available | Prenatal | Steroids + cyclosporine + antithymocyte globulin + alemtuzumab + HSCT | Activated during prophylactic treatment while waiting for SCT | Died HLH progression | 15 |
IC 14 | PRF1 | Not available | 54 | Steroids + cyclosporine + alemtuzumab + HSCT | Alive CR | 18 | |
AC 14 | PRF1 | Not available | 75 | Steroids + cyclosporine + rituximab + HSCT | Activated during prophylactic treatment while waiting for SCT | Alive CR | 48 |
IC 15 | PRF1 | 1376C>T | 36 | HLH04 + HSCT | Alive CR | 36 | |
AC 15a | PRF1 | 1376C>T | 5 | HLH04 + HSCT | Activated while waiting for HSCT | Died TRM | 16 |
AC 15b | PRF1 | 1376C>T | Prenatal | HSCT | Never activated | Alive CR | 17 |
IC 16 | PRF1 | 50delT; 1034C | 8 | HLH94 + HSCT | Alive CR | 144 | |
AC 16 | PRF1 | 50delT; 1034C | Birth | HLH94 + HSCT | Activated during active follow-up | Alive CR | 48 |
IC 17 | PRF1 | 50delT; 1130G>A | 1 | Undefined induction + HSCT | Alive CR | 12 | |
AC 17 | PRF1 | 50delT;1130G>A | Birth | HLH04 + HSCT | Activated during active follow-up | Alive CR | 62 |
IC 18 | PRF1 | 1081A>T; 1081A>T | 60 | HLH04 + HSCT | Died TRM | 3 | |
AC 18 | PRF1 | 1081A>T; 1081A>T | 30 | HSCT | Never activated | Alive CR | 21 |
IC 19 | PRF1 | Not available | 72 | HLH04 + HSCT | Alive CR | 60 | |
AC 19 | PRF1 | Not available | 3 | HLH04 + HSCT | Activated while waiting for HSCT | Alive CR | 72 |
IC 20 | PRF1 | G5759C>T G5897A>C | 8 | HLH04 + HSCT | Alive CR | 36 | |
AC 20 | PRF1 | G5759C>T G5897A>C | Prenatal | HSCT | Never activated | Alive CR | 18 |
IC 21 | MUNC13-4 | 1389G>A; 1620-1621delCA | 1 | HLH04 + HSCT | Alive CR | 36 | |
AC 21 | MUNC13-4 | 1389G>A; 1620-1621delCA | Prenatal | HSCT | Never activated | Alive CR | 60 |
IC 22 | MUNC13-4 | 118-308C>T | 16 | Cyclosporine + etoposide (withdrew) | Died HLH progression | 2 | |
AC 22 | MUNC13-4 | 118-308C>T | 13 | HSCT, lost graft, HLH04 + second HSCT | Never activated | Alive CR | 89 |
IC 23 | MUNC13-4 | Not available | 2 | HLH94 + antithymocyte globulin + HSCT | Alive CR | 144 | |
AC 23 | MUNC13-4 | Not available | 1 | None | Alive CR | 144 | |
IC 24/a | MUNC13-4 | 118-308C>T; 1596+1G>C | 1 | HLH04 + HSCT | Alive CR | 45 | |
IC 24/b | MUNC13-4 | 118-308C>T; 1596+1G>C | 1 | HLH04 + HSCT | Died TRM | 13 | |
AC 24 | MUNC13-4 | 118-308C>T; 1596+1G>C | Birth | HSCT | Never activated | Alive CR | 26 |
IC 25 | STX11 | 37+16>A | Birth | HLH04 | Died HLH progression | 1 | |
AC 25 | STX11 | 37+16>A | Prenatal | Cyclosporine + steroids + HSCT | Never activated; receiving prophylactic treatment | Died; sudden death in CR | 17 |
IC 26 | STX11 | Not available | 36 | HLH04 + HSCT | Alive CR | 120 | |
AC 26 | STX11 | Not available | 72 | HLH94 + HSCT | Activated during active follow up | Died TRM | 76 |
IC 27 | RAB27A | 281G>A | 18 | HLH04 + HSCT | Alive CR | 25 | |
AC 27 | RAB27A | 281G> | 144 | None | Never activated | Alive CR | 2 |
IC 28 | RAB27A | 467+1G>A | 12 | HLH94 | Lost to follow-up | NA | |
AC 28 | RAB27A | 467+1G>A | Birth | Cyclosporine + HSCT | Never activated; receiving prophylactic treatment | Alive CR | 12 |
IC 29 | RAB27A | 220G>C;335delA | 9 | Dexamethasone + etoposide | Died HLH progression | 36 | |
AC 29 | RAB27A | 220G>C;335delA | 1 | HSCT | Never activated | Alive CR | 91 |
IC 30 | RAB27A | Not available | 9 | Corticosteroids, cyclosporine, intrathecal methotrexate, HSCT × 3 | Alive CR | 84 | |
AC 30 | RAB27A | Not available | Prenatal | Corticosteroids, cyclosporine, HSCT | Activated while waiting for HSCT | Died HLH progression | 18 |
IC 31 | RAB27A | Not available | 126 | Alemtuzumab, corticosteroids, cyclosporine, intrathecal methotrexate, natalizumab, HSCT | Died TRM | 30 | |
AC 31 | RAB27A | Not available | 180 | HSCT | Never activated; receiving prophylactic treatment while waiting for HSCT | Alive in CR | 36 |
IC 32 | RAB27A | Not available | 84 | Cyclosporine + alemtuzumab + steroids | Died HLH progression | 12 | |
AC 32 | RAB27A RAB27A | Not available | 84 | Cyclosporine + HSCT | Never activated; receiving prophylactic treatment while waiting for HSCT | Alive in CR | 26 |
Patient . | Protein deficit . | Genetics . | Age at diagnosis (mo) . | Treatment . | Disease status if AC at diagnosis . | Outcome . | Follow-up from diagnosis (mo) . |
---|---|---|---|---|---|---|---|
IC 1 | MUNC18-2 | Compound heterozygous | 3 | Antithymocyte globulin + cyclosporine + steroids + HSCT | Died TRM | 5 | |
AC 1 | MUNC18-2 | Compound heterozygous | 1 | HLH04 + HSCT | Activated during active follow-up | Alive CR | 22 |
IC 2 | MUNC18-2 | 474-483delinsGA 1001C>T | 12 | Steroids | Alive CR | 48 | |
AC 2 | MUNC18-2 | 474_483delinsGA 1001C>T | 24 | None | Never activated | Alive CR | 72 |
IC 3 | MUNC18-2 | 1247G>C | 18 | HLH04 + rituximab + HSCT | Alive CR | 108 | |
AC 3 | MUNC18-2 | 1247G>C | 60 | None | Never activated | Alive CR | 36 |
IC 4 | MUNC18-2 | Unknown | 16 | HLH04 + HSCT | Died TRM | 72 | |
AC 4 | MUNC18-2 | Unknown | 9 | HSCT | Never activated | Alive CR | 60 |
IC 5 | MUNC18-2 | Compound heterozygous | NA | HLH04 + HSCT | Alive CR | 91 | |
AC 5 | MUNC18-2 | Compound heterozygous | 6 | HSCT | Never activated | Alive CR | 75 |
IC 6 | MUNC18-2 | 1247G>C | 138 | Steroids + intravenous immunoglobulin | Alive CR | 38 | |
AC 6 | MUNC18-2 | 1247G>C | 108 | None | Never activated | Alive CR | 42 |
IC 7 | LYST | 2749-50delAG | 24 | HLH04 + HSCT | Died TRM after graft loss and second HSCT | 26 | |
AC 7 | LYST | 2749-50delAG | 102 | None | Never activated | Alive CR | 12 |
IC 8 | PRF1 | 50delT 853-855delAAG | 5 | Unspecified chemotherapy | Died HLH progression | 1 | |
AC 8 | PRF1 | 50delT 853-855delAAG | 5 | HLH04 + HSCT | Never activated; received prophylactic treatment pre-SCT | Alive CR | 32 |
IC 9 | PRF1 | 445G>A 886T>C | 60 | Steroids | Died as a result of infection | 72 | |
AC 9 | PRF1 | 445G>A 886T>C | 1 | HSCT | Never activated | Alive CR | 24 |
IC 10 | PRF1 | Not available | 18 | Steroids + cyclosporine + alemtuzumab + HSCT | Alive CR | 12 | |
AC 10 | PRF1 | Not available | 100 | Steroids + cyclosporine + alemtuzumab + HSCT | Activated while waiting for SCT | Alive CR | 12 |
IC 11 | PRF1 | 254G>T;473C>T; 390C>T | 48 | HLH94 + HSCT | Alive CR | 36 | |
AC 11 | PRF1 | 254G>T;473C>T; 390C>T | 9 | HSCT | Never activated | Alive CR | 38 |
IC 12 | PRF1 | 1122G>A | 2 | HLH04 | Died HLH progression | 2 | |
AC 12 | PRF1 | 1122G>A | Birth | HLH04 | Activated during prophylactic treatment while waiting for SCT | Lost to follow-up | |
IC 13 | PRF1 | Not available | 4 | Etoposide + steroids + cyclosporine + intrathecal methotrexate + antithymocyte globulin + HSCT | Died HLH progression | 8 | |
AC 13 | PRF1 | Not available | Prenatal | Steroids + cyclosporine + antithymocyte globulin + alemtuzumab + HSCT | Activated during prophylactic treatment while waiting for SCT | Died HLH progression | 15 |
IC 14 | PRF1 | Not available | 54 | Steroids + cyclosporine + alemtuzumab + HSCT | Alive CR | 18 | |
AC 14 | PRF1 | Not available | 75 | Steroids + cyclosporine + rituximab + HSCT | Activated during prophylactic treatment while waiting for SCT | Alive CR | 48 |
IC 15 | PRF1 | 1376C>T | 36 | HLH04 + HSCT | Alive CR | 36 | |
AC 15a | PRF1 | 1376C>T | 5 | HLH04 + HSCT | Activated while waiting for HSCT | Died TRM | 16 |
AC 15b | PRF1 | 1376C>T | Prenatal | HSCT | Never activated | Alive CR | 17 |
IC 16 | PRF1 | 50delT; 1034C | 8 | HLH94 + HSCT | Alive CR | 144 | |
AC 16 | PRF1 | 50delT; 1034C | Birth | HLH94 + HSCT | Activated during active follow-up | Alive CR | 48 |
IC 17 | PRF1 | 50delT; 1130G>A | 1 | Undefined induction + HSCT | Alive CR | 12 | |
AC 17 | PRF1 | 50delT;1130G>A | Birth | HLH04 + HSCT | Activated during active follow-up | Alive CR | 62 |
IC 18 | PRF1 | 1081A>T; 1081A>T | 60 | HLH04 + HSCT | Died TRM | 3 | |
AC 18 | PRF1 | 1081A>T; 1081A>T | 30 | HSCT | Never activated | Alive CR | 21 |
IC 19 | PRF1 | Not available | 72 | HLH04 + HSCT | Alive CR | 60 | |
AC 19 | PRF1 | Not available | 3 | HLH04 + HSCT | Activated while waiting for HSCT | Alive CR | 72 |
IC 20 | PRF1 | G5759C>T G5897A>C | 8 | HLH04 + HSCT | Alive CR | 36 | |
AC 20 | PRF1 | G5759C>T G5897A>C | Prenatal | HSCT | Never activated | Alive CR | 18 |
IC 21 | MUNC13-4 | 1389G>A; 1620-1621delCA | 1 | HLH04 + HSCT | Alive CR | 36 | |
AC 21 | MUNC13-4 | 1389G>A; 1620-1621delCA | Prenatal | HSCT | Never activated | Alive CR | 60 |
IC 22 | MUNC13-4 | 118-308C>T | 16 | Cyclosporine + etoposide (withdrew) | Died HLH progression | 2 | |
AC 22 | MUNC13-4 | 118-308C>T | 13 | HSCT, lost graft, HLH04 + second HSCT | Never activated | Alive CR | 89 |
IC 23 | MUNC13-4 | Not available | 2 | HLH94 + antithymocyte globulin + HSCT | Alive CR | 144 | |
AC 23 | MUNC13-4 | Not available | 1 | None | Alive CR | 144 | |
IC 24/a | MUNC13-4 | 118-308C>T; 1596+1G>C | 1 | HLH04 + HSCT | Alive CR | 45 | |
IC 24/b | MUNC13-4 | 118-308C>T; 1596+1G>C | 1 | HLH04 + HSCT | Died TRM | 13 | |
AC 24 | MUNC13-4 | 118-308C>T; 1596+1G>C | Birth | HSCT | Never activated | Alive CR | 26 |
IC 25 | STX11 | 37+16>A | Birth | HLH04 | Died HLH progression | 1 | |
AC 25 | STX11 | 37+16>A | Prenatal | Cyclosporine + steroids + HSCT | Never activated; receiving prophylactic treatment | Died; sudden death in CR | 17 |
IC 26 | STX11 | Not available | 36 | HLH04 + HSCT | Alive CR | 120 | |
AC 26 | STX11 | Not available | 72 | HLH94 + HSCT | Activated during active follow up | Died TRM | 76 |
IC 27 | RAB27A | 281G>A | 18 | HLH04 + HSCT | Alive CR | 25 | |
AC 27 | RAB27A | 281G> | 144 | None | Never activated | Alive CR | 2 |
IC 28 | RAB27A | 467+1G>A | 12 | HLH94 | Lost to follow-up | NA | |
AC 28 | RAB27A | 467+1G>A | Birth | Cyclosporine + HSCT | Never activated; receiving prophylactic treatment | Alive CR | 12 |
IC 29 | RAB27A | 220G>C;335delA | 9 | Dexamethasone + etoposide | Died HLH progression | 36 | |
AC 29 | RAB27A | 220G>C;335delA | 1 | HSCT | Never activated | Alive CR | 91 |
IC 30 | RAB27A | Not available | 9 | Corticosteroids, cyclosporine, intrathecal methotrexate, HSCT × 3 | Alive CR | 84 | |
AC 30 | RAB27A | Not available | Prenatal | Corticosteroids, cyclosporine, HSCT | Activated while waiting for HSCT | Died HLH progression | 18 |
IC 31 | RAB27A | Not available | 126 | Alemtuzumab, corticosteroids, cyclosporine, intrathecal methotrexate, natalizumab, HSCT | Died TRM | 30 | |
AC 31 | RAB27A | Not available | 180 | HSCT | Never activated; receiving prophylactic treatment while waiting for HSCT | Alive in CR | 36 |
IC 32 | RAB27A | Not available | 84 | Cyclosporine + alemtuzumab + steroids | Died HLH progression | 12 | |
AC 32 | RAB27A RAB27A | Not available | 84 | Cyclosporine + HSCT | Never activated; receiving prophylactic treatment while waiting for HSCT | Alive in CR | 26 |
HLH04, treatment according to the HLH04 protocol from the International Histiocyte Society; SCT, stem cell transplantation.