TABLE 3

Main genes and proteins currently implicated in childhood interstitial lung disease (chILD) groups, their mode of transmission and the associated phenotypes

Gene (protein)Inheritance patternPhenotypes
Inherited surfactant disorders
SFTPA1, SFTPA2ADVery rarely chILD, adult ILD and adenocarcinoma of the lung
SFTPBARNeonatal respiratory distress ± PH
SFTPCADNeonatal respiratory distress; ILD in infants or children, adults
ABCA3ARNeonatal respiratory distress ± PH; ILD in infants or children, adults
NKX2-1ADBrain–lung–thyroid syndrome
PAP
MARSARPAP; hepatomegaly with cholestasis, anaemia, neurological impairment
CSF2RA, CSF2RBGR and ARPAP (infants, children, adults)
GATA2ARSecondary PAP; immune deficiency with myelodysplasia
Autoinflammatory disorders
TMEM173ADEarly chILD with autoimmune and inflammatory disease ± joint and skin involvement
COPAADEarly chILD or DAH with autoimmune and inflammatory disease ± joint and kidney involvement
ZNFX1chILD with severe viral infections, neurological symptoms, thrombotic microangiopathy
OAS1ADPAP with immunodeficiency and autoinflammation
Other chILD
FLNAGA and GDchILD with emphysema; cardiac abnormalities, neurological impairment; girls>boys
NHLRC2ARFINCA
Diffuse abnormalities of lung development
FOXF1ADchILD with PH; alveolar capillary dysplasia ± misalignment of pulmonary veins
TBX4, FGFR2AD and ARchILD with PH; acinar dysplasia
EIF2AK4ARchILD with PH; pulmonary haemangiomatosis; veno-occlusive disease

AR: autosomal recessive; AD: autosomal dominant; GR: gonosomal recessive; GD: gonosomal dominant; PH: pulmonary hypertension; PAP: pulmonary alveolar proteinosis; DAH: diffuse alveolar haemorrhage; FINCA: fibrosis, neurodegeneration and cerebral angiomatosis.