Immunologic Evaluation in Patients With DiGeorge Syndrome or Velocardiofacial Syndrome

Overview

OBJECTIVES: I. Determine the pattern of immunologic reconstitution in patients with T-cell compromise due to DiGeorge syndrome or velocardiofacial syndrome. II. Determine any correlation between immunologic function in these patients and chromosome 22 deletion breakpoints. III. Determine presence of sustained immunologic compromise in older patients.

Study Type

  • Study Type: Observational
  • Study Design

Detailed Description

PROTOCOL OUTLINE: Blood samples are collected at diagnosis of chromosome 22q11 deletion and assessed for lymphocyte proliferation in response to mitogens phytohemagglutinin, pokeweed mitogen, and concanavalin A (mitogen stimulation analyses). These analyses are repeated at 4 months along with a quantitative analysis of immunoglobulin. At 8 months, patients are tested for their lymphocytes' ability to respond to antigens (candida, tetanus, and diphtheria). At 1 year, patients have lymphocyte subset, IgG, IgA, and IgM analyses performed. Quantitative evaluations of antibody titers to diphtheria, tetanus, Haemophilus influenza, and hepatitis B are also performed. Over 1 year of age, all studies are performed if the patient is seen for a single visit.

Participating in This Clinical Trial

  • Conotruncal cardiac lesion to be repaired by surgery AND Chromosome 22q11 deletion by FISH
  • Gender Eligibility: All

    Minimum Age: N/A

    Maximum Age: N/A

    Are Healthy Volunteers Accepted: No

    Investigator Details

    • Lead Sponsor
      • National Center for Research Resources (NCRR)
    • Collaborator
      • Children’s Hospital of Philadelphia
    • Overall Official(s)
      • Kathleen E. Sullivan, Study Chair, Children’s Hospital of Philadelphia

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