In this work we present the case of SARS-CoV-2 infection in a 1.5-year-old boy affected by severe Wiskott-Aldrich Syndrome with previous history of autoinflammatory disease, occurring 5 months after treatment with gene therapy. Before SARS-CoV-2 infection, the patient had obtained engraftment of gene corrected cells, resulting in WASP expression restoration and early immune reconstitution. The patient produced specific immunoglobulins to SARS-CoV-2 at high titer with neutralizing capacity and experienced a mild course of infection, with limited inflammatory complications, despite pre-gene therapy clinical phenotype.
Keywords: Wiskott-Aldrich Syndrome; gene therapy; immune reconstitution; primary immunodeficiencies; severe acute respiratory syndrome Coronavirus 2 (2019-nCoV).
Copyright © 2020 Cenciarelli, Calbi, Barzaghi, Bernardo, Oltolini, Migliavacca, Gallo, Tucci, Fraschetta, Albertazzi, Fratini, Consiglieri, Giannelli, Dionisio, Sartirana, Racca, Camesasca, Peretto, Daverio, Esposito, De Cobelli, Silvani, Rabusin, Cara, Trabattoni, Dispinseri, Scarlatti, Piemonti, Lampasona, Cicalese, Aiuti and Ferrua.