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Allergology and Immunology in Paediatrics

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Approaches to the diagnosis of immunodeficiency disorders in children with Down syndrome

https://doi.org/10.53529/2500-1175-2025-3-56-65

Abstract

   Relevance. Down syndrome is one of the most common genetic diseases worldwide. People with this syndrome are at risk for developing immunodeficiency conditions. The article discusses the results of a study of TREC and KREC concentrations in children with Down syndrome.

   The aim of the study was to determine the concentration of TREC and KREC in children with Down syndrome compared with healthy children.

   Materials and methods. A prospective study was conducted to determine the content of TREC and KREC in the bloo d of children and adolescents with Down syndrome.

   Results. It was found that the co ncentration of TREС in children with Down syn drome is significantly lower than in healthy children of the appropriate age, which indicates a violation in the development of the T-cell link of immunity. A similar pattern is observed for KREС levels, which indicates a violation of the maturation of B-lymphocytes responsible for the synthesis of antibodies.

   Conclusion. This study highlights the importance of early diagnosis and monitoring of the immune status in children with Down syndrome by determining the conc entration of TREС and KREС, which will allow timely corrective measures and prevent the development of complications.

About the Authors

A. Yu. Chirkova
“Privolzhsky Research Medical University” of the Ministry of Health of Russia
Russian Federation

Anna Yurievna Chirkova, Assistant

department of Faculty and Polyclinic Pediatrics

603005; pl. Minina and Pozharsky, 10/1; Nizhny Novgorod Region; Nizhny Novgorod



E. G. Novopoltseva
“Privolzhsky Research Medical University” of the Ministry of Health of Russia; Nizhny Novgorod Regional Children’s Clinical Hospital
Russian Federation

Ekaterina Gennadievna Novopoltseva, Dr. Sci., professor, head of the department

department of Faculty and Polyclinic Pediatrics

603005; pl. Minina and Pozharsky, 10/1; 603136; Vaneeva St., 211; Nizhny Novgorod Region; Nizhny Novgorod



A. A. Tarasova
“Privolzhsky Research Medical University” of the Ministry of Health of Russia
Russian Federation

Alla Anatolyevna Tarasova, Dr. Sci., professor

department of Faculty and Polyclinic Pediatrics

603005; pl. Minina and Pozharsky, 10/1; Nizhny Novgorod Region; Nizhny Novgorod



K. Yu. Ozhgikhin
“Privolzhsky Research Medical University” of the Ministry of Health of Russia
Russian Federation

Kirill Yurievich Ozhgikhin, 3rd year student

Faculty of Medicine

603005; pl. Minina and Pozharsky, 10/1; Nizhny Novgorod Region; Nizhny Novgorod



A. S. Veselova
“Privolzhsky Research Medical University” of the Ministry of Health of Russia
Russian Federation

Alina Sergeevna Veselova, 6th year pediatrics student

603005; pl. Minina and Pozharsky, 10/1; Nizhny Novgorod Region; Nizhny Novgorod



I. D. Morozov
“Privolzhsky Research Medical University” of the Ministry of Health of Russia
Russian Federation

Ivan Dmitrievich Morozov, 6th year pediatrics student

603005; pl. Minina and Pozharsky, 10/1; Nizhny Novgorod Region; Nizhny Novgorod



U. A. Klokova
“Privolzhsky Research Medical University” of the Ministry of Health of Russia
Russian Federation

Uliana Alexandrovna Klokova, 6th year pediatrics student

603005; pl. Minina and Pozharsky, 10/1; Nizhny Novgorod Region; Nizhny Novgorod



H. F. Aksyanova
Nizhny Novgorod Regional Children’s Clinical Hospital
Russian Federation

Hasyanya Fatihovna Aksyanova, Head of the consultation, geneticist

medical and genetic consultation

603136; Vaneeva St., 211; Nizhny Novgorod Region; Nizhny Novgorod



N. Yu. Smelikova
Nizhny Novgorod Regional Children’s Clinical Hospital
Russian Federation

Nina Yurievna Smelikova, Deputy Chief Physician for Consultative and Diagnostic Care

603136; Vaneeva St., 211; Nizhny Novgorod Region; Nizhny Novgorod



E. Yu. Baskakova
“Privolzhsky Research Medical University” of the Ministry of Health of Russia
Russian Federation

Evgenia Yurievna Baskakova, Cand. Sci, associate professor

department of Faculty and Polyclinic Pediatrics

603005; pl. Minina and Pozharsky, 10/1; Nizhny Novgorod Region; Nizhny Novgorod



E. M. Kozlova
“Privolzhsky Research Medical University” of the Ministry of Health of Russia
Russian Federation

Elena Mikhailovna Kozlova, Dr. Sci., professor

department of Faculty and Polyclinic Pediatrics

603005; pl. Minina and Pozharsky, 10/1; Nizhny Novgorod Region; Nizhny Novgorod



E. E. Larionova
“Privolzhsky Research Medical University” of the Ministry of Health of Russia
Russian Federation

Evgenia Evgenievna Larionova, Cand. Sci, associate professor

department of Faculty and Polyclinic Pediatrics

603005; pl. Minina and Pozharsky, 10/1; Nizhny Novgorod Region; Nizhny Novgorod



E. Yu. Shumskaya
“Privolzhsky Research Medical University” of the Ministry of Health of Russia; Nizhny Novgorod Regional Children’s Clinical Hospital
Russian Federation

Ekaterina Yurievna Shumskaya, Assistant, Head of the Department, neonatologist

department of Faculty and Polyclinic Pediatrics; Department of Pathology of Newborns and Premature Infants

603005; pl. Minina and Pozharsky, 10/1; 603136; Vaneeva St., 211; Nizhny Novgorod Region; Nizhny Novgorod



M. A. Pakhomova
“Privolzhsky Research Medical University” of the Ministry of Health of Russia
Russian Federation

Maria Andreevna Pakhomova, 3rd year student

Faculty of Medicine

603005; pl. Minina and Pozharsky, 10/1; Nizhny Novgorod Region; Nizhny Novgorod



A. N. Krylova
“Privolzhsky Research Medical University” of the Ministry of Health of Russia
Russian Federation

Anastasia Nikolaevna Krylova, graduate student

department of Faculty and Polyclinic Pediatrics

603005; pl. Minina and Pozharsky, 10/1; Nizhny Novgorod Region; Nizhny Novgorod



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Review

For citations:


Chirkova A.Yu., Novopoltseva E.G., Tarasova A.A., Ozhgikhin K.Yu., Veselova A.S., Morozov I.D., Klokova U.A., Aksyanova H.F., Smelikova N.Yu., Baskakova E.Yu., Kozlova E.M., Larionova E.E., Shumskaya E.Yu., Pakhomova M.A., Krylova A.N. Approaches to the diagnosis of immunodeficiency disorders in children with Down syndrome. Allergology and Immunology in Paediatrics. 2025;(3):56-65. (In Russ.) https://doi.org/10.53529/2500-1175-2025-3-56-65

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ISSN 2500-1175 (Print)
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