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Establishing an in-house real-time polymerase chain reaction assay to quantify T-cell receptor excision circles and kappa-deleting recombination excision circles for use in screening newborn babies for inborn errors of immunity

Dissertation (MSc (Medical Immunology))--University of Pretoria, 2024.

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Other Authors: Kwofie, Luyanda Laura Illicia
Format: Thesis
Language:English
Published: University of Pretoria 2025
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access_status_str Open Access
author2 Kwofie, Luyanda Laura Illicia
author_browse Kwofie, Luyanda Laura Illicia
author_facet Kwofie, Luyanda Laura Illicia
collection Thesis
dc_rights_str_mv © 2023 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria.
description Dissertation (MSc (Medical Immunology))--University of Pretoria, 2024.
format Thesis
id oai:repository.up.ac.za:2263/100933
institution University of Pretoria (South Africa)
language English
last_indexed 2026-06-10T12:37:27.084Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository
publishDate 2025
publishDateRange 2025
publishDateSort 2025
publisher University of Pretoria
publisherStr University of Pretoria
record_format dspace
source_str UPSpace — University of Pretoria Institutional Repository
spelling oai:repository.up.ac.za:2263/100933 Establishing an in-house real-time polymerase chain reaction assay to quantify T-cell receptor excision circles and kappa-deleting recombination excision circles for use in screening newborn babies for inborn errors of immunity Kwofie, Luyanda Laura Illicia sharsingo@gmail.com Worsley, Catherine M. Meyer, Pieter Willem Adriaan Singo, Shudufhadzo Sharon UCTD Sustainable Development Goals (SDGs) Dried blood spot (DBS) Inborn errors of immunity (IEI) Kappa-deleting recombination excision circles (KREC) Real-time polymerase chain reaction (real-time PCR) T-cell receptor excision circles (TREC) Dissertation (MSc (Medical Immunology))--University of Pretoria, 2024. Inborn errors of immunity (IEI) are genetic disorders that hinder immune responses and are underdiagnosed, particularly in low-to-middle income countries. These disorders occur in one in every 500 live births. Early detection is crucial for preventing health complications. The need for early detection of IEI has led to the development of newborn screening (NBS) programmes; however, many countries lack routine NBS due to financial and technological challenges. The present study aimed to develop an in-house screening technique for T-cell receptor excision circles (TREC) and kappa-deleting recombination excision circles (KREC) quantification using real-time polymerase chain reaction (PCR) to screen for IEI in newborn babies. We developed an in-house real-time PCR technique to detect and quantify TREC and KREC in human immunodeficiency virus (HIV)-exposed uninfected (HEU) and HIV-unexposed uninfected (HUU) neonates, using dried blood spot (DBS) samples collected and preserved as part of the Siyakhula study cohort. Deoxyribonucleic acid (DNA) was extracted from DBS samples, and TREC and KREC genes were simultaneously detected using a newly developed real-time PCR technique. Results revealed that HUU infants had statistically significant higher TREC concentrations (P-value = 0.006) than HEU infants, however, no significant difference in KREC concentrations were noted between the two cohorts. Statistical significance was determined by a P-value <0.05. These results indicate reduced TREC levels in immunologically vulnerable babies (HEU). The TREC and KREC assays showed significant potential as biomarkers for IEI screening. Importantly, the simultaneous detection and quantification of TREC/KREC is a cost-effective method for IEI screening. National Research Foundation (NRF) Immunology MSc (Medical Immunology) Unrestricted Faculty of Health Sciences SDG-03: Good health and well-being 2025-02-14T12:56:50Z 2025-02-14T12:56:50Z 2025-04 2024-12 Dissertation * A2025 http://hdl.handle.net/2263/100933 https://doi.org/10.25403/UPresearchdata.28262906 https://doi.org/10.25403/UPresearchdata.28262906 en © 2023 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria
spellingShingle UCTD
Sustainable Development Goals (SDGs)
Dried blood spot (DBS)
Inborn errors of immunity (IEI)
Kappa-deleting recombination excision circles (KREC)
Real-time polymerase chain reaction (real-time PCR)
T-cell receptor excision circles (TREC)
Establishing an in-house real-time polymerase chain reaction assay to quantify T-cell receptor excision circles and kappa-deleting recombination excision circles for use in screening newborn babies for inborn errors of immunity
title Establishing an in-house real-time polymerase chain reaction assay to quantify T-cell receptor excision circles and kappa-deleting recombination excision circles for use in screening newborn babies for inborn errors of immunity
title_full Establishing an in-house real-time polymerase chain reaction assay to quantify T-cell receptor excision circles and kappa-deleting recombination excision circles for use in screening newborn babies for inborn errors of immunity
title_fullStr Establishing an in-house real-time polymerase chain reaction assay to quantify T-cell receptor excision circles and kappa-deleting recombination excision circles for use in screening newborn babies for inborn errors of immunity
title_full_unstemmed Establishing an in-house real-time polymerase chain reaction assay to quantify T-cell receptor excision circles and kappa-deleting recombination excision circles for use in screening newborn babies for inborn errors of immunity
title_short Establishing an in-house real-time polymerase chain reaction assay to quantify T-cell receptor excision circles and kappa-deleting recombination excision circles for use in screening newborn babies for inborn errors of immunity
title_sort establishing an in house real time polymerase chain reaction assay to quantify t cell receptor excision circles and kappa deleting recombination excision circles for use in screening newborn babies for inborn errors of immunity
topic UCTD
Sustainable Development Goals (SDGs)
Dried blood spot (DBS)
Inborn errors of immunity (IEI)
Kappa-deleting recombination excision circles (KREC)
Real-time polymerase chain reaction (real-time PCR)
T-cell receptor excision circles (TREC)
url http://hdl.handle.net/2263/100933
https://doi.org/10.25403/UPresearchdata.28262906
https://doi.org/10.25403/UPresearchdata.28262906