Disease | Genetic defect or probable pathogenesis | Inheritance | Mechanism of malignancy formation | Type of malignancy |
Combined immunodeficiencies |
Severe combined immunodeficiency | Mutations in IL2RG, JAK3, IL7RA, RAG1, RAG2, DCLRE1C, CORO1A, CD3D, CD3E, CD3Z, PTPRC, PRKDC, ADA, AK2 | AR in most cases, also XL | - Probably impaired function of immune system and decreased viral clearance (EBV)
| - NHL, Hodgkin lymphoma, leukemia
- Multiple kidney and pulmonary leiomyomata
- EBV-associated lymphoma (Artemis)
- Burkitt lymphoma (ADA deficiency treated with PEG-ADA)
|
IL-2-inducible T cell kinase (ITK) deficiency (an EBV-associated lymphoproliferative disease) | Mutations in ITK | AR | - Impaired function of immune system
- Decreased viral clearance (EBV)
| |
Magnesium transporter 1 (MAGT1) deficiency (ie, XMEN) | Mutations in MAGT1 | XL | - Impaired function of immune system
- Decreased viral clearance (EBV)
| |
Other combined immunodeficiency | Mutations in ZAP70, OX40, RHOH, STK4, IKZF2 | AR in most cases, also AD | - Impaired function of immune system
- Decreased viral clearance (EBV, HPV, molluscum)
| - EBV-associated smooth muscle tumors
- Kaposi sarcoma
- HPV-related cancer
|
Well-defined syndromes with immunodeficiency |
Wiskott-Aldrich syndrome | Mutations in WAS | XL | - Impaired function of immune system
- Decreased viral clearance (EBV)
- Probably impaired genetic stability
| - Diffuse large B cell lymphomas
- NHL of larynx
- Leukemia
- Cerebellar astrocytoma
- Kaposi sarcoma
- Smooth muscle tumors
|
Ataxia-telangiectasia | Mutations in ATM | AR | - Impaired genetic stability
| - Lymphoid leukemias
- Lymphomas (both B and T cell, NHL)
- Epithelial tumors
|
Nijmegen breakage syndrome | Mutations in NBS1 | AR | - Impaired genetic stability
| - Brain tumors
- Lymphomas (both B and T, NHL, DLBCL and T-LBL)
- Leukemia
|
Cartilage-hair hypoplasia | Mutations in RMRP | AR | - Sustaining proliferative signaling
| |
Autosomal dominant hyperimmunoglobulin E syndrome (AD-HIES) | Mutations in STAT3 | AD | - Sustaining proliferative signaling
| - NHL
- Squamous cell carcinoma of the vulva
- Pulmonary adenocarcinoma with liver, bone, and spinal cord metastases
|
Autosomal recessive hyperimmunoglobulin E syndrome (AR-HIES; DOCK8 deficiency) | Mutations in DOCK8 | AR | - Probably defective tumor suppression genes in DOCK8 deficiency
| - Squamous cell carcinoma
- Cutaneous T cell lymphoma/leukemia
- Burkitt lymphoma
|
Dyskeratosis congenita (telomeropathies) | Mutations in DKC1, TERC, TERT, TINF2, RTEL1, ACD, NOLA2, NOLA3, WRAP53, PARN | AD in most cases, also XL and AR | - Genome instability and enabling replicative immortality
| |
Bone marrow failures | Mutations in FANCA, FANCB, FANCC, FANCD2, FANCE, FANCF, FANCI, FANCL, FANCM, BRCA2, BRIP1, DKCX1, ERCC4, MAD2L2, PALB2, RAD51, RAD51C, RFWD3, SAMD9, SAMD9L, SLX4, UBE2T, XRCC2, XRCC9, SRP72, ERCC6L2, TP53, STN1, CTC1, MECOM | AR in most cases, also AD | - Genome instability and enabling replicative immortality
| |
NK cell deficiency | Mutations in MCM4, FCGR3A | AR | - Avoiding immune destruction
| |
Other syndromic combined immunodeficiency | Mutations in BLM, PMS2, MSH6, DNMT3B, ZBTB24, CDCA7, HELLS, CARD11, DIAPH1, IKZF3, STIM1 | AR in most cases, also AD | - Impaired function of immune system
- Genome instability
| - Lymphoma
- Leukemia
- Kaposi sarcoma
|
Predominantly antibody deficiencies |
X-linked agammaglobulinemia | Mutations in BTK | XL | | - Lymphoproliferative disorders
- Gastric adenocarcinoma
- Colorectal cancer
|
Common variable immunodeficiency | Unknown in most cases; mutations in TNFRSF13B (encodes TACI), TNFRSF13C (encodes BAFF-R), CD19, CD20, CD81, ICOS, PI3KCD, PIK3R1, PTEN | Variable | - Probably defective tumor suppression genes
| - NHL
- Epithelial tumors (carcinomas of stomach, breast, bladder, cervix)
- Carcinoma of the vulva (ICOS deficiency)
- Tonsillar carcinoma of epithelial origin (TNFRSF13B)
|
X-linked hyperimmunoglobulin M syndrome | Mutations in CD40L | XL | - Probably defective clearance of Cryptosporidium
| - Carcinomas of the liver, pancreas, biliary tract and associated neuroectodermal endocrine cells
|
IgG subclass deficiency | Unknown | Variable | | |
Selective IgA deficiency | Unknown | Variable | | - Lymphoma
- Gastrointestinal carcinoma
|
Diseases of immune dysregulation |
Chediak-Higashi syndrome | Mutations in CHS1 (LYST) gene | AR | | |
Hermansky-Pudlak syndrome, type 2 | Mutations in AP3B1 gene | AR | | |
Perforin deficiency, familial hemophagocytic lymphohistiocytosis, type 2 (FHL2) | Mutation in PRF1 | AR | | |
STXBP2 (Munc 18-2) deficiency, FHL5 | Mutation in STXBP2 | AR | | |
SH2DA1 deficiency, X-linked lymphoproliferative disease (XLP1) | Mutations in SH2D1A | XL | - Impaired function of immune system
- Decreased viral clearance (EBV)
| - Hodgkin B cell lymphoma
- NHL in the intestinal region
|
Autoimmune lymphoproliferative syndrome (ALPS) | Mutations in TNFRSF6 | AD (mostly) | - Probably defective tumor suppression genes
| |
Other immune dysregulation | Mutations in CD27, CD70, CTPS1, TNFRSF9, RASGRP1, CARMIL2, TET2, LRBA, CTLA4, IL10, IL10RA, IL10RB | AR in most cases, also AD | - Impaired function of immune system
- Decreased viral clearance (EBV)
- Tumor promoting inflammation
| |
Phagocytic defects |
Severe congenital neutropenia | Mutations in ELANE, HAX 1, CSF3R, WASP | AD, AR, or XL | - Genetic predisposition, iatrogenic (G-CSF treatment)
| |
Shwachman-Diamond syndrome | SBDS: Defective ribosome synthesis | AR | - Probably iatrogenic (G-CSF treatment)
| |
Chronic granulomatous disease | Mutations in gp91phox, p22phox, p47phox, p67phox, p40phox | XL or AR | | - Lymphoma
- Leukemia
- Retinoblastoma
- Melanoma
- Rhabdomyosarcoma of the liver
- Glioblastoma multiforme
|
MonoMAC syndrome | GATA2: Loss of stem cells | AD | | - AML
- MDS
- CML
- Vulvar carcinoma
- Metastatic melanoma
- Cervical carcinoma
- Bowen disease of the vulva
- Leiomyosarcoma
|
Defects in innate immunity |
WHIM syndrome | Mutations in CXCR4 | AD | - Decreased viral clearance
| - HPV-related cancers
- Lymphoma
|
Epidermodysplasia verruciformis | Mutations in EVER1, EVER2 | AR | - Impaired function of immune system
- Decreased viral clearance (HPV)
- Probably impaired genetic stability
| |
Other innate immunity | Mutations in IFNGR1, HAVCR2, SYK | AR in most cases, also AD | | - B and T cell lymphoma
- Kaposi sarcoma
|