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Immunodeficiency associated with FCN3 mutation and ficolin-3 deficiency. Export

The New England journal of medicine, Vol. 360, No. 25. (18 June 2009), pp. 2637-2644.

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immunodeficiency

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Ficolin-3, encoded by the FCN3 gene and expressed in the lung and liver, is a recognition molecule in the lectin pathway of the complement system. Heterozygosity for an FCN3 frameshift mutation (rs28357092), leading to a distortion of the C-terminal end of the molecule, occurs in people without disease (allele frequency among whites, 0.01). We describe a patient with recurrent infections who was homozygous for this mutation, who had undetectable serum levels of ficolin-3, and who had a deficiency in ficolin-3-dependent complement activation.


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