ORPHA:542301
EBV-induced lymphoproliferative disease due to CARMIL2 deficiency
Also known as: EBV-induced lymphoproliferative disease due to capping protein regulator and myosin 1 linker 2 deficiency
Query health: suspect — Source fetch failed for trials.
Publications
357
78.1th percentile
Trials
—
Interventional, condition-specific
Researchers
293
Distinct authors in sample
Gene link
CARMIL2
Definitive
Readiness
3/6
Stages with a signal
Clinical definition (Orphanet)
A rare immune dysregulation disease with immunodeficiency characterized by or childhood onset of a variable including recurrent/persistent bacterial, fungal, and viral infections with involvement of the skin, lower respiratory tract, and gastrointestinal tract, eczema, allergies, and inflammatory bowel disease, among others. EBV-related smooth muscle tumors have also been reported. Immunophenotyping shows decreased Treg counts, as well as a deficient CD3/CD28 co-stimulation response in CD4+ and CD8+ T-cells.
How rare: <1 / 1 000 000 — fewer than one in a million. In a city the size of Kolkata, that might mean on the order of fifteen people.
Cross-references
Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.
- MONDO:0029134
- OMIM:618131
- UMLS:C4748304
Additional Mondo synonyms (1)
immunodeficiency 58
Research stages
Trial readiness signals
Where this condition sits on an open-data research pipeline — not how close a treatment is, and not medical advice. Empty stages often mean “not in these databases under this Mondo ID,” not “impossible.”
3/6 stages with a signal
Research-stage checklist from open sources (GenCC, literature, Monarch when enriched, ClinicalTrials.gov). Not a prognosis or care recommendation.
- Gene identifiedPresent
Definitive — CARMIL2
- LiteraturePresent
357 matched papers (336 in last 10 years) Source
- Phenotype characterisedPresent
38 HPO annotations (e.g. Seborrheic dermatitis; Muscle spasm; Atrophic scars) Source
- Animal modelNot found
No Alliance genotype “model of” associations via Monarch for these Mondo IDs
- Orphan designationNot found
No FDA or EMA orphan-drug designation matched this disease via UMLS or preferred name Source
- Interventional trialNot checked
Trial fetch failed or incomplete
Biology
Genes and phenotypes
Gene–disease validity from GenCC, plus phenotypes and animal models joined from Monarch Initiative via Mondo ID — not a clinical diagnosis aid.
Do we know what causes it?
Yes — we know a specific gene responsible (CARMIL2).
GenCC classification: Definitive.
Phenotypes (Monarch / HPO)
38
Associated phenotypes · MONDO:0029134
- Seborrheic dermatitis
- Muscle spasm
- Atrophic scars
- Allergic rhinitis
- Helicobacter pylori infection
Showing 5 of 38 — open Monarch for the full list.
Animal models (Monarch / Alliance)
None returned for this Mondo ID. Empty here is not proof that no model organism work exists under another name or gene.
Monarch fetch 2026-07-29
Therapies
Designations, candidates, and chemicals
FDA OOPD and EMA orphan designations, Open Targets clinical candidates, and CTD chemical associations via MyDisease.info. These never change the interventional-trial headline.
Orphan designation (FDA · EMA)
No designation matched this disease via UMLS or preferred name on the FDA OOPD mirror or EMA orphan register. Absence here is not proof that none exists under another wording.
Open Targets candidates
No drugs or clinical candidates returned for this Mondo ID on Open Targets.
CTD chemicals (MyDisease.info)
No CTD chemical associations returned for this Mondo ID.
Literature
Is anyone studying this?
357
357 papers have ever been published on this condition (under this name). For scale, breast cancer has over 700,000. Median papers in the last 10 years for a rare disease in this dataset (publications denominator n=3967) is 59.
357 papers since the earliest indexed year in this search — median last-10-year count for a rare disease in this dataset is 59 (publications denominator n=3967).
336 in the last 10 years · medium confidence · 78.1th percentile (publications denominator)
Phrase hits: 40 · MeSH hits: 0
Who's working on it?
293
Distinct author names in 40 sampled papers — named people below.
Who's working on it?
People publishing on this condition (sampled Europe PMC records). Affiliation is the most recent found in that sample.
- 01Lin Y2 papers · 2025
Baylor Institute for Immunology Research, Baylor Research Institute, Dallas, TX 75246, USA.
Papers in Europe PMC - 02Shen Y2 papers · 2025
Jiangsu Key Laboratory of Tissue Engineering and Neuroregeneration, Key Laboratory of Neuroregeneration of Ministry of Education, Co-Innovation Center of Neuroregeneration, Nantong University, Nantong, Jiangsu Province, China.
Papers in Europe PMC - 03Wang Z2 papers · 2025
Department of Hematology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.
Papers in Europe PMC - 04Zhang H2 papers · 2025
Department of Hematology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.
Papers in Europe PMC - 05Abu-Halaweh M1 paper · 2024
Primary Immunodeficiency Department, Queen Rania Al Abdullah Hospital for Children, King Hussein Medical Center, Queen Rania Al Abdullah Hospital for Children, Amman, Jordan.
Papers in Europe PMC - 06Affaticati LM1 paper · 2023
Department of Medicine and Surgery, University of Milano Bicocca, Via Cadore 38, 20900 Monza, Italy.
Papers in Europe PMC - 07Ajazi A1 paper · 2022
The FIRC Institute of Molecular Oncology (IFOM), Milan, Italy.
Papers in Europe PMC - 08Albsoul E1 paper · 2024
Genetics Laboratory, Philadelphia University, Amman 19392, Jordan.
Papers in Europe PMC - 09Alonso C1 paper · 2017
Department of Biotechnology, Instituto Nacional de Investigación y Tecnología Agraria y Alimentaria, INIA, Madrid, Spain.
Papers in Europe PMC - 10Alzyoud R1 paper · 2024
Section of Immunology, Allergy and Rheumatology, Queen Rania Children's Hospital, Queen Rania Al Abdullah Hospital For Children, Amman 11855, Jordan.
Papers in Europe PMC
Clinical research
Is a treatment being tested?
—
interventional trials for this specific condition
We could not load trial data for this condition right now.
Data as of 11 September 2026 · last trial check 31 July 2026
medium confidence
Recruiting interventional trials
From the matched ClinicalTrials.gov set
Trial data could not be loaded for this build. This is not the same as finding zero interventional trials.
Other registries (secondary)
Broader net from EU CTIS, ISRCTN, and ICTRP when available — deduped against ClinicalTrials.gov IDs already counted above. Dual-model LLM relevance gates what we keep. These rows are not added to the interventional headline.
raw 17 · after dedupe 17 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 17 · dropped 0 · fetched 2026-07-30
Source notes: ictrp: Error: ICTRP public search unavailable (WHO portal is SPA-only; SOAP needs partnership). Tried: https://apps.who.int/tri
No secondary-registry studies passed dual-model relevance for this condition name (after dedupe).
Uncertain / not reviewed (17)
- isrctn·ISRCTN12336055·Recruiting·Initiation and management of DExcom continuous glucose monitoring in primary care in people living with type 2 diabetes on insulin
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN90362708·Recruiting·Bleximenib absorption, metabolism, and excretion in participants with acute leukemia
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN14398766·No longer recruiting·Next-generation probiotics for metabolic health
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN17883369·Recruiting·Effects of polyphenols extracted from Moringa oleifera leaves to heal split-thickness skin graft donor site wounds
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN86152317·Recruiting·A study to assess the feasibility of treating patients with gestational trophoblastic neoplasia with pre-surgical pembrolizumab prior to their second evacuation and determine if this is a desirable alternative
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN12428408·No longer recruiting·Paxlovid in the treatment of COVID-19
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN10152571·No longer recruiting·A study evaluating the absorption, metabolism, and excretion of [14C]-GDC-6036 following a single oral dose in healthy male participants
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN37043682·No longer recruiting·A study in healthy males to assess how the radiolabelled test medicine RO7223280 is broken down, processed and removed from the body
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN60043317·No longer recruiting·A study to investigate the absorption, metabolism, excretion, and bioavailability of oral and intravenous inavolisib in healthy volunteers
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN63434223·No longer recruiting·Evaluation of in vitro functional response profiling for precision medicine approaches in lymphomas and chronic lymphoproliferative syndromes
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN11520709·Stopped·Efficacy and safety of Octanorm in patients with dermatomyositis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN57081310·No longer recruiting·Mycobacteria infection in incomplete transverse myelitis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN21224989·No longer recruiting·Clinical trial of an anti-tumoural vaccination for patients suffering from stage III/IV malignant melanoma
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN69484574·No longer recruiting·A phase II uncontrolled study of BAY 73-4506 in previously untreated patients with metastatic or unresectable renal cell cancer (RCC)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN68855603·No longer recruiting·A double-blind comparative study of Predocol 40 and 60 mg per day and prednisolone 40 mg per day, comparing clinical efficacy, safety and adrenal function in the treatment of acute exacerbations of ulcerative colitis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN44153044·No longer recruiting·An international multicentre controlled clinical trial to evaluate high dose RIFApentine and a QUINolone in the treatment of pulmonary tuberculosis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN74381875·Stopped·Percutaneous Randomised Infusion of Marrow Aspirate To Improve Ventricular Efficiency
skipped — LLM skipped (--skip-llm)
Where to find support
Condition-specific patient organisations, when Orphanet lists them, are on the disease’s Orphanet page. We also link umbrella groups that support undiagnosed and ultra-rare families.
Orphanet entry for EBV-induced lymphoproliferative disease due to CARMIL2 deficiency — check Associations / patient organisations on that page.
India — NPRD
Last verified 2026-07-26Likely covered — the policy lists Severe combined immunodeficiency (SCID) as a category (Group 1), and this condition is a form of it. Confirm eligibility with a Centre of Excellence.
Group 1 — one-time curative treatment
Up to ₹50 lakh per patient
Financial support for treatment at notified Centres of Excellence (figures evolved from the original ₹20 lakh Group-1 ceiling).
Policy figures change. Verify current MoHFW / CoE guidance before relying on any amount. Verify
Centres of Excellence (15)
- All India Institute of Medical Sciences (AIIMS) — New Delhi, Delhi
- Maulana Azad Medical College — New Delhi, Delhi
- Sanjay Gandhi Post Graduate Institute of Medical Sciences — Lucknow, Uttar Pradesh
- Post Graduate Institute of Medical Education and Research (PGIMER) — Chandigarh, Chandigarh
- Centre for DNA Fingerprinting & Diagnostics with Nizam’s Institute of Medical Sciences — Hyderabad, Telangana
- King Edward Memorial Hospital — Mumbai, Maharashtra
- Institute of Post-Graduate Medical Education and Research (IPGMER) — Kolkata, West Bengal
- Centre for Human Genetics with Indira Gandhi Hospital — Bengaluru, Karnataka
- Institute of Child Health and Hospital for Children (ICH & HC) — Chennai, Tamil Nadu
- All India Institute of Medical Sciences (AIIMS) — Jodhpur, Rajasthan
- Sree Avittam Thirunal Hospital (SAT), Government Medical College — Thiruvananthapuram, Kerala
- All India Institute of Medical Sciences (AIIMS) — Bhopal, Madhya Pradesh
- Regional Institute of Medical Sciences (RIMS) — Imphal, Manipur
- All India Institute of Medical Sciences (AIIMS) — Patna, Bihar
- Assam Medical College & Hospital — Dibrugarh, Assam
Voluntary contributions / crowdfunding (separate from CoE funding): https://rarediseases.mohfw.gov.in/
Hand-curated for this project. ORPHAcode mappings are best-effort and may be incomplete or imprecise for umbrella categories. Parent (Mondo) matches mean the policy lists a broader category — confirm eligibility with a Centre of Excellence. Financial entitlements summarised from public policy statements and may change. This is not official government guidance.
How we counted this
Europe PMC query (preferred label + any corrected label + Orphanet and Mondo exact synonyms, stoplisted; unioned with resolved MeSH labels when available). UMLS / OMIM / NCIT cross-references are stored on the overview but are not added to the query string.
("EBV-induced lymphoproliferative disease due to CARMIL2 deficiency" OR "EBV-induced lymphoproliferative disease due to capping protein regulator and myosin 1 linker 2 deficiency" OR "immunodeficiency 58") OR ("CARMIL2" OR "CARMIL2 syndrome" OR "CARMIL2-related")ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"EBV-induced lymphoproliferative disease due to CARMIL2 deficiency"
Query health: suspect — strategies attempted: phrase; with hits: phrase
Run this search on ClinicalTrials.gov
Source errors: trials: Error: HTTP 400 for https://clinicaltrials.gov/api/v2/studies?query.cond=%22EBV-induced%20lymphoproliferative%20disease%20due%20to%20CARMIL2%20deficiency%22%20OR%20%22EBV-induced%20lymphoproliferative%20disease%20due%20to%20capping%20protein%20regulator%20and%20myosin%201%20linker%202%20deficiency%22%20OR%20%22immunodeficiency%2058%22&format=json&pageSize=100&countTotal=true
Confidence reasoning
- Preferred label is multi-word and distinctive
- No synonyms dropped by stoplist
- No label/synonym collisions with other diseases in this corpus
- Publication count (357) is high for prevalence class "<1 / 1 000 000" — confidence capped at medium
Ingested 2026-07-27T18:14:47.097Z
