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Primary immunodeficiency or monogenic inflammatory bowel disease

Gene: CD4

Green List (high evidence)

CD4 (CD4 molecule)
EnsemblGeneIds (GRCh38): ENSG00000010610
EnsemblGeneIds (GRCh37): ENSG00000010610
OMIM: 186940, Gene2Phenotype
CD4 is in 3 panels

7 reviews

Sarah Leigh (Genomics England Curator)

Green List (high evidence)

The rating of this gene has been updated to green and the mode of inheritance updated to BIALLELIC, autosomal or pseudoautosomal following NHS Genomic Medicine Service approval.
Created: 3 May 2024, 8:36 p.m. | Last Modified: 3 May 2024, 8:36 p.m.
Panel Version: 5.3

Mode of inheritance
BIALLELIC, autosomal or pseudoautosomal

Achchuthan Shanmugasundram (Genomics England Curator)

Green List (high evidence)

Comment on list classification: There are two unrelated cases and functional evidence in support of the association of this gene with this panel. Hence, this gene can be promoted to green rating in the next GMS review.
Created: 1 Nov 2023, 10:36 p.m. | Last Modified: 1 Nov 2023, 10:36 p.m.
Panel Version: 4.97

Mode of inheritance
BIALLELIC, autosomal or pseudoautosomal

Phenotypes
Immunodeficiency 79, OMIM:619238; OKT4 epitope deficiency, OMIM:613949

Publications

Hannah Knight (NIHR BioResource - University of Cambridge)

I don't know

PMID: 33471124 - second report - patient with homozygous missense variant in the translation-initiation codon
Created: 13 Oct 2023, 2:38 p.m. | Last Modified: 13 Oct 2023, 2:38 p.m.
Panel Version: 4.41

Mode of inheritance
BIALLELIC, autosomal or pseudoautosomal

Phenotypes
Immunodeficiency 79

Publications

Ivone Leong (Genomics England Curator)

Comment on list classification: Promoted from Red to Amber based on expert review.
Created: 5 May 2020, 3:14 p.m. | Last Modified: 5 May 2020, 3:14 p.m.
Panel Version: 2.155

Zornitza Stark (Australian Genomics)

I don't know

Single individual reported, functional data, emerging gene.
Created: 1 May 2020, 3:42 a.m. | Last Modified: 1 May 2020, 3:43 a.m.
Panel Version: 2.139

Mode of inheritance
BIALLELIC, autosomal or pseudoautosomal

Phenotypes
Absence of CD4+ T cells; exuberant, relapsing, treatment-refractory warts

Publications

Sophie Hambleton (Newcastle University)

Red List (low evidence)

Louise Daugherty (Genomics England Curator)

I don't know

External expert review notes Red status due to no evident link to immunodeficiency, so I have kept this gene Red on this panel
Created: 12 Jun 2018, 3:32 p.m.
Original metadata downloaded from ESID Registry. ESID_Gene_original: CD4, PanelApp HGNC gene symbol check: CD4, ESID classification: Main_category/ Sub_category/ PID_Diagnosis Combined immunodeficiencies / CD4-deficiency / Selective CD4 cell deficiency
Created: 17 Apr 2018, 12:29 p.m.

Details

Mode of Inheritance
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert Review Green
  • NHS GMS
  • ESID Registry 20171117
Phenotypes
  • Immunodeficiency 79, OMIM:619238
  • OKT4 epitope deficiency, OMIM:613949
OMIM
186940
Clinvar variants
Variants in CD4
Penetrance
None
Publications
Panels with this gene

History Filter Activity

3 May 2024, Gel status: 3

Removed Tag, Removed Tag

Achchuthan Shanmugasundram (Genomics England Curator)

Tag Q4_23_promote_green was removed from gene: CD4. Tag Q4_23_NHS_review was removed from gene: CD4.

3 May 2024, Gel status: 3

Added New Source, Added New Source, Status Update

Achchuthan Shanmugasundram (Genomics England Curator)

Source NHS GMS was added to CD4. Source Expert Review Green was added to CD4. Rating Changed from Amber List (moderate evidence) to Green List (high evidence)

1 Nov 2023, Gel status: 2

Entity classified by Genomics England curator

Achchuthan Shanmugasundram (Genomics England Curator)

Gene: cd4 has been classified as Amber List (Moderate Evidence).

1 Nov 2023, Gel status: 2

Set Phenotypes

Achchuthan Shanmugasundram (Genomics England Curator)

Phenotypes for gene: CD4 were changed from Selective CD4 cell deficiency; OKT4 epitope deficiency, 613949; Absence of CD4+ T cells; exuberant, relapsing, treatment-refractory warts to Immunodeficiency 79, OMIM:619238; OKT4 epitope deficiency, OMIM:613949

1 Nov 2023, Gel status: 2

Set publications

Achchuthan Shanmugasundram (Genomics England Curator)

Publications for gene: CD4 were set to 31781092

1 Nov 2023, Gel status: 2

Added Tag, Added Tag

Achchuthan Shanmugasundram (Genomics England Curator)

Tag Q4_23_promote_green tag was added to gene: CD4. Tag Q4_23_NHS_review tag was added to gene: CD4.

5 May 2020, Gel status: 2

Entity classified by Genomics England curator

Ivone Leong (Genomics England Curator)

Gene: cd4 has been classified as Amber List (Moderate Evidence).

5 May 2020, Gel status: 1

Set mode of inheritance

Ivone Leong (Genomics England Curator)

Mode of inheritance for gene: CD4 was changed from to BIALLELIC, autosomal or pseudoautosomal

5 May 2020, Gel status: 1

Set Phenotypes

Ivone Leong (Genomics England Curator)

Phenotypes for gene: CD4 were changed from Selective CD4 cell deficiency; OKT4 epitope deficiency, 613949 to Selective CD4 cell deficiency; OKT4 epitope deficiency, 613949; Absence of CD4+ T cells; exuberant, relapsing, treatment-refractory warts

5 May 2020, Gel status: 1

Set publications

Ivone Leong (Genomics England Curator)

Publications for gene: CD4 were set to

5 May 2020, Gel status: 1

Set Phenotypes

Ivone Leong (Genomics England Curator)

Phenotypes for gene: CD4 were changed from Selective CD4 cell deficiency to Selective CD4 cell deficiency; OKT4 epitope deficiency, 613949

12 Jul 2018, Gel status: 1

Panel promoted to version 1.0

Louise Daugherty (Genomics England Curator)

2018-07-12 Louise Daugherty (Genomics England Curator) promoted panel to v1.0. Reviews were assessed, and panel was revised according to expert reviews and further in-house curation based on PanelApp guidelines. Previous panels (A- or hypo-gammaglobulinaemia, Congenital neutropaenia, Agranulocytosis, Combined B and T cell defect, Inherited complement deficiency and SCID panels) that were merged with this panel, were checked again for any changes/new reviews prior to versioning of this panel, these merged panels are now retired/made internal.

12 Jun 2018, Gel status: 1

Entity classified by Genomics England curator

Louise Daugherty (Genomics England Curator)

Gene: cd4 has been classified as Red List (Low Evidence).

17 Apr 2018, Gel status: 1

Added New Source

Louise Daugherty (Genomics England Curator)

CD4 was added to Primary immunodeficiency disorders panel. Sources: ESID Registry 20171117

17 Apr 2018, Gel status: 1

Created

Louise Daugherty (Genomics England Curator)

CD4 was created by Louise Daugherty