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September 8, 2026International Journal of Molecular SciencesOpen Access

Genetic Heterogeneity of Inborn Errors of Immunity Revealed by Whole-Genome Sequencing: Insights from a Russian Patient Cohort

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Authors

YPYunna S. Petrusenko490 BioTech (United States)TSTikhon V. SavinFirst Pavlov State Medical University of St. PetersburgASAnna V. SedykhSaint Petersburg Pasteur Institute

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Overview

Observational cross-sectional study reveals causative genetic variants in Russian patients with inborn errors of immunity, highlighting pathway-level drivers of immune deficiency.

Key Points

  • To identify causative genetic variants and characterize molecular heterogeneity in patients with diverse inborn errors of immunity using whole-genome sequencing.
  • Conducted an observational cross-sectional genomic study using whole-genome sequencing.
  • Analyzed N=72 patients with inborn errors of immunity from Saint Petersburg and Northwestern Russia, comprising 42 with CVID-like phenotypes, 6 with XLA, and 24 with other forms.
  • Identified and classified variants using the 2024 IUIS gene list and performed pathway-level analyses of rare variants within the CVID-like subcohort.
  • Pathogenic or likely pathogenic causative variants were identified in 14 of 72 patients (19%) in BTK, CYBB, CHD7, AIRE, ATM, SBDS, NFKB1, and CTLA4.
  • Potentially phenotype-linked variants of uncertain significance were detected in 6 patients across BTK, SH2D1A, SOCS1, IKBKB, CARD11, and CD40LG.
  • Pathway-level analysis of patient-specific rare variants in the CVID-like subcohort identified distinct functional patterns associated with clinical manifestations.

Cite This Study

Petrusenko et al. (2026) studied this question.

synapsesocial.com/papers/6a9fd78a58e84d0ff5b46544https://doi.org/10.3390/ijms27177923
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Genetic characteristics of a large pediatric cohort of patients with inborn errors of immunity: single-center experience2024
  2. 2Genetic analysis of children with suspected immunodeficiency: mimickers of inborn errors of immunity2026
  3. 3Clinical and genetic spectrum of inborn errors of immunity: a retrospective study on outcomes at a single center2026
  4. 4Case Report: A case series of using whole exome sequencing to detect novel variants in Vietnamese patients with inborn errors of immunity2026
  5. 5Clinical Overview of 100 Patients with Inborn Errors of Immunity at National Defense Medical College2026