Inherited immune disorders
IL7R-deficient severe combined immunodeficiency
Also called: IL7R-SCID · IL7RA deficiency · CD127 deficiency · T-B+NK+ SCID · SCID · severe combined immunodeficiency · primary immunodeficiency · T-B+ severe combined immunodeficiency due to IL-7 receptor alpha deficiency
What a donor has to do with this
For some people with this condition, a transplant using blood stem cells from an unrelated donor is part of the treatment guidelines. When a transplant is the right route and no one in the family matches, that donor comes from a registry. Not everyone with this condition has a transplant, and many never need one.
This is our reading of published transplant guidelines for this condition, not a measurement of how many people need a donor. Where a source actually counted donors, the figure and the people it counted are shown further down. Where none did, we say so rather than estimate.
What the evidence says
- Who it affects
- Typical onset/diagnosis: infants of either sex present in the first months of life with T-B+NK+ SCID. Evidence: U.S. Duke discovery series (1998) and GeneReviews founder-variant synthesis (2023); IL7R c.2T>G is enriched in Weaverland and Groffdale Mennonites and reported with approximately 100% penetrance.
- Treatments other than a transplant
- Antimicrobial prophylaxis and immunoglobulin replacement — supportive/bridge to HCT — multiple regions — No approved disease-specific gene therapy.
- If a transplant is used, the cells come from
- bone marrow: used in opened IEI transplant guidance; disease-specific share was not reported; mobilized peripheral blood stem cells: used in opened IEI transplant guidance; disease-specific share was not reported; umbilical cord blood: used as an alternative in opened IEI transplant guidance; disease-specific share was not reported; dominance: no dominant graft source was reported in the opened disease-specific sources
- How often the donor was unrelated
- Not reported. No source we could read states this for this condition, so we do not give a number. An estimate here would be a guess dressed as evidence.
Where this gets complicated
IL7R-SCID retains B and NK cells, distinguishing it from IL2RG- and JAK3-associated T-B+NK- SCID.; The approximately 100% penetrance figure comes from the 2023 U.S. GeneReviews table for the Weaverland/Groffdale Mennonite founder variant, not worldwide IL7R-SCID.
People with this condition need donors
Joining a registry is a cheek swab and a short health form. You are contacted only if you turn out to be a possible match for someone, and you can ask questions and decline before anything else happens.
Related conditions
Others in inherited immune disorders. They are genuinely different diseases with different treatments — the group name is not a diagnosis.
Where this came from
- Combined immunodeficiencies in the genetic differential diagnosis — GeneReviews / NCBI Bookshelf, updated 2026
- Guidelines for hematopoietic stem cell transplantation for inborn errors of immunity — EBMT/ESID Inborn Errors Working Party, 2021
- Defective IL7R expression in T(-)B(+)NK(+) severe combined immunodeficiency — Duke Scholars / Nature Genetics, 1998-12
- Genetic disorders associated with founder variants common in the Mennonite population — GeneReviews / NCBI Bookshelf, 2023