Skip to nav Skip to content

Learn more about Seattle Children’s Anti-Racism Organizational Change plan and the independent review of efforts to combat systemic racism conducted by the Assessment Committee.



Understanding the Underlying Variants Leading to Autoimmunity or Predisposition to Infection

Our patient-directed research aims to confirm and understand how particular genetic mutations can lead to disease. Active projects:

  1. Identify novel rare genetic variants that cause familial or individual immunodeficiency diseases such as SAMD9L-associated autoinflammatory disorder. SAMD9L is an interferon-induced tumor suppressor implicated in a spectrum of multi-system disorders including risk for myeloid malignancies and immune deficiency. This project has focused on understanding how a gain-of-function variant blocks mRNA translation and the role of SAMD9L as an antiviral protein.
  2. Ask new questions of known immune system disorders such as deeply studying a family with numerous siblings with RAG2-deficiency. RAG2 is an essential gene that when missing causes Severe Combined Immunodeficiency (SCID) or “boy-in-the-bubble” disease. However, less severe (hypomorphic) variants can lead to immune dysregulation and even autoimmune disease. In deeply studying blood samples from several affected siblings longitudinally over 30 years, we employed repertoire analysis of T cells and B cells to gain insight into the immune system with this perturbation.
  3. How to preemptively test genetic variants before arising in a patient?  Genetic variants with unclear functional effect are termed variants-of-uncertain-significance (VUS), which are not useful clinically for patients. Thus, the functional uncertainty can delay diagnoses by several years waiting for individual testing. Multiplexed Assays of Variant Effect (MAVEs) such as a deep mutational scanning (DMS) is being applied in several projects to simultaneously test thousands of variants for the functional effect at the same time. One such screen was already performed on the gene CARD11

Graphical abstract


Genetic Variant Roles in Increasing Risk of Developing Type 1 Diabetes

A common genetic variant (present in at least 5% of a population) can get enriched get enriched to help fight a specific microbe (infection) or adjust to a new change in the environment.  This same variant may also have unintended side effects like autoimmune disease.  We combined a genetic association study comparing subjects with Type 1 Diabetes and controls with similar genetic backgrounds and looked through all common variants across our population to find those enriched for Type 1 diabetes. We discovered a strongly associated variant (rs3184504) that located in the gene SH2B3, encoding the adaptor protein SH2B3 (also termed LNK). This adaptor dampens down cytokine signaling and highly expressed in blood cells. The genetic region was enriched (selected) in Northern European populations and nearly absent in African and Asian populations that all carry the “ancestral allele” or the allele not associated with diabetes, similar to non-human primates. Through studying primary blood samples from humans and developing a novel mouse model to study this risk during stress (infection) and in models of autoimmunity, the project goal is to better understand how this critical adaptor protein shapes the immune response in the presence of this precise genetic variant.

  • Funded by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)


Allenspach Lab
JMB 6 - Immunology
1900 9th Ave
Seattle, WA 98101

Looking for information about the Immunology Diagnostic Laboratory? Learn more.

By clicking “Accept All Cookies,” you agree to the storing of cookies on your device to enhance site navigation, analyze site usage and assist in marketing efforts. For more information, see Website Privacy.

Accept All Cookies