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A form of Hyper IgM syndrome characterized by mutations of the CD40 gene. In this type, Immature B cells cannot receive signal 2 from helper T cells which is necessary to mature into mature B cells.
Features include: Decreased circulating IgE concentration, Increased circulating IgM level, Absence of lymph node germinal center, and Impaired Ig class switch recombination and 6 more.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Blood and immune system | 3 | Recurrent bacterial infections, Decreased total neutrophil count, Immunodeficiency |
CD40 encodes CD40 molecule (277 aa). Receptor for TNFSF5/CD40LG. Transduces TRAF6- and MAP3K8-mediated signals that activate ERK in macrophages and B cells, leading to induction of immunoglobulin secretion Highest expression in Cells EBV-transformed lymphocytes (217.3 TPM) and Lung (49.9 TPM).
Hyper-IgM syndrome type 3 is caused by mutations in the CD40 gene on chromosome 20.
The CD40 protein participates in CD40:CD40L trimer, CD40:CD40L trimer:cIAP1,2:TRAF2:TRAF3:NIK, and Expression of STAT6-upregulated extracellular proteins pathways.
CD40 is classified as a druggable target (Cell Surface, Clinically Actionable, Druggable Genome, External Side Of Plasma Membrane, and Transcription Factor categories) with score 4.4.
Genetic testing for CD40 is available. Testing is considered confirmatory for diagnosis.
No clinical trials have been registered for hyper-IgM syndrome type 3.
15 publications have been identified in PubMed for hyper-IgM syndrome type 3. Research spans Case Report / Case Series (53%), Review / Meta-Analysis (27%), and Basic Science / Preclinical (20%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 8 | 53% |
Data assembled from 7 of 12 sources · Last updated Sep 20, 2026, 12:11 PM UTC
Patient Advocacy Groups (PAGs) provide support, resources, and community for patients and caregivers.
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Brain and nerves
1 |
Impaired memory B cell generation |
4 |
27% |
Laboratory research | 3 | 20% |
Justiz Vaillant AA (2026). [PMID: 29763203](https://pubmed.ncbi.nlm.nih.gov/29763203/). *Unknown Journal*. [Review / Meta-Analysis]
Alroqi F (2026). [PMID: 42009946](https://pubmed.ncbi.nlm.nih.gov/42009946/). *J Clin Immunol*. [Case Report / Case Series]
Li X (2025). [PMID: 40330326](https://pubmed.ncbi.nlm.nih.gov/40330326/). *Global medical genetics*. [Basic Science / Preclinical]
Bammigatti A (2025). [PMID: 39615244](https://pubmed.ncbi.nlm.nih.gov/39615244/). *Cytokine*. [Review / Meta-Analysis]
Kuo CY (2025). [PMID: 40262278](https://pubmed.ncbi.nlm.nih.gov/40262278/). *Journal of immunology (Baltimore, Md. : 1950)*. [Review / Meta-Analysis]
Meshaal SS (2025). [PMID: 39513285](https://pubmed.ncbi.nlm.nih.gov/39513285/). *Annals of human genetics*. [Case Report / Case Series]
Chen Y (2025). [PMID: 40585763](https://pubmed.ncbi.nlm.nih.gov/40585763/). *Exploration (Beijing, China)*. [Basic Science / Preclinical]
Li JW (2025). [PMID: 40784008](https://pubmed.ncbi.nlm.nih.gov/40784008/). *Joint diseases and related surgery*. [Case Report / Case Series]
Nishikawa T (2025). [PMID: 40391217](https://pubmed.ncbi.nlm.nih.gov/40391217/). *Frontiers in immunology*. [Case Report / Case Series]
Guo M (2024). [PMID: 38587548](https://pubmed.ncbi.nlm.nih.gov/38587548/). *Immunogenetics*. [Case Report / Case Series]