CARD9 Deficiency and Spontaneous Central Nervous System Candidiasis: Complete Clinical Remission With GM-CSF Therapy
Author(s) -
Christina Gavino,
Amanda Cotter,
Daniel A. Lichtenstein,
Duncan Lejtenyi,
Claude Fortin,
C. LEGAULT,
Najmeh Alirezaie,
Jacek Majewski,
Donald C. Sheppard,
Marcel A. Behr,
William D. Foulkes,
Donald C. Vinh
Publication year - 2014
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/ciu215
Subject(s) - medicine , meningoencephalitis , central nervous system , candida albicans , immunology , genetics , biology
We demonstrate autosomal-recessive Caspase Recruitment Domain-containing protein 9 (CARD9) deficiency in a patient with relapsing C. albicans meningoencephalitis. We identified a novel, hypomorphic mutation with intact Th17 responses, but impaired GM-CSF responses. We report complete clinical remission with adjunctive GM-CSF therapy, suggesting that a CARD9/GM-CSF axis contributes to susceptibility to candidiasis.
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