Prenatal molecular diagnosis and allogeneic hematopoietic stem cell transplantation in an infant with RAG2 deficiency

Authors

  • Maria Laura Herrera Andino Instituto Universitario de Ciencias Biomédicas de Córdoba – Hospital Privado Universitario – Servicio de Hematología y Oncología – Córdoba, Argentina. https://orcid.org/0009-0001-8939-3394
  • Milagros López Orozco Instituto Universitario de Ciencias Biomédicas de Córdoba – Hospital Privado Universitario – Servicio de Hematología y Oncología – Córdoba, Argentina. https://orcid.org/0009-0003-2261-6500
  • María Victoria Suen Instituto Universitario de Ciencias Biomédicas de Córdoba – Hospital Privado Universitario – Servicio de Hematología y Oncología – Córdoba, Argentina. https://orcid.org/0009-0009-9199-6010
  • Carlos Hernán Hollmann Instituto Universitario de Ciencias Biomédicas de Córdoba – Hospital Privado Universitario – Servicio de Hematología y Oncología – Córdoba, Argentina. https://orcid.org/0009-0001-1157-3395
  • Lucía Spossito Hospital de Niños Dr. Orlando Alassia, Servicio de Inmunología Infantil – Santa Fe, Argentina. https://orcid.org/0000-0002-8142-1872
  • Arjan Lankester Leiden University Medical Center – Willem-Alexander Children’s Hospital – Leiden, Países Bajos. https://orcid.org/0000-0002-6703-2993
  • María Emilia Mas Instituto Universitario de Ciencias Biomédicas de Córdoba – Hospital Privado Universitario – Servicio de Hematología y Oncología – Córdoba, Argentina. https://orcid.org/0009-0000-8053-0084
  • Ana Lisa Basquiera Instituto Universitario de Ciencias Biomédicas de Córdoba – Hospital Privado Universitario – Servicio de Hematología y Oncología – Córdoba, Argentina. https://orcid.org/0000-0001-9892-5543

DOI:

https://doi.org/10.46765/2675-374X.2025v7n1e370

Keywords:

Hematopoietic stem cell transplantation, Pediatrics, Severe combined immunodeficiency

Abstract

RAG2 deficiency is a cause of severe combined immunodeficiency (SCID), characterized by a defect in the development of T and B lymphocytes that predisposes patients to life-threatening infections during the first months of life. We present the case of an infant with a prenatal molecular diagnosis of SCID secondary to RAG2 deficiency who underwent allogeneic hematopoietic stem cell transplantation (HSCT) using a human leukocyte antigen-identical sibling donor at 3 months old. The subsequent clinical course was favorable, with successful immune reconstitution. This case highlights the impact of prenatal molecular diagnosis on the implementation of preventive measures, the performance of early HSCT, and the optimization of clinical outcomes in patients with RAG2 deficiency.

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Published

08/22/2026

How to Cite

Herrera Andino, M. L., Milagros López Orozco, Suen, M. V., Hollmann, C. H., Spossito, L., Lankester, A., … Basquiera, A. L. (2026). Prenatal molecular diagnosis and allogeneic hematopoietic stem cell transplantation in an infant with RAG2 deficiency. JOURNAL OF BONE MARROW TRANSPLANTATION AND CELLULAR THERAPY, 7(1). https://doi.org/10.46765/2675-374X.2025v7n1e370