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Supplementary Material1Supplementary TablesTable S1 Number of A-T patients from the ESID-Registry with their respective immunoglobulin phenotype deficient partialnormalincreasedtotalIgA*

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Supplementary Material

1 Supplementary Tables

Table S1 Number of A-T patients from the ESID-Registry with their respective immunoglobulin phenotype

deficient partial normal increased total

IgA* 161 149 141 10 461

IgG --- 125 305 30 460

IgG2* 50 43 68 10 171

IgM * --- 17 362 79 458

Lymphocytes** --- 185 191 12 388

*Ig values below or above the age-appropriate normal ranges were defined as deficient, partial and increased, respectively. IgA <0.07 g/L, IgG2<0.3 g/L were defined as deficient. IgA ≥0.07 - <0.3 g/L,

≤12 years and ≥0.3 - <0.7 g/L, >12 years and IgG2 >0.03 - <0.9 g/L were defined as partial.

**Lymphocytes <1500 cells/µL were defined as partial.

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Table S2 Characteristics of A-T patients from the Frankfurt cohort

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Table S3 Clinical characteristics of IgA deficient and no deficient IgA patients

All patients no deficient IgA IgA deficient

Number of patients 66 31 35

Age (years) 14 + 10 15.6 +10.4 13 + 9

Sex (M/F) 35/31 16/15 19/16

Granuloma 8 1 7§

Recurrent Pneumonia 27 9 18§

Bronchiectasis* 9 4 5

IgG replacement 25 8 17

Death due to lung failure 8 6 3

Cancer 15 7 8

Death due to Cancer 8 4 6

Liver disease 18 6 12

Diabetes 4 3 1

Values are presented as Mean + SD; Liver disease was defined as GPT >50U/L; Diabetes was defined as HbA1c >5.7%; *Bronchiectasis proven by CT scan

§ Patients with IgA-D suffers significantly more from granuloma and recurrent pneumonia

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Supplementary Material 2 Supplementary Figures

Fig. S1 Ig-replacement therapy. Therapeutic treatments of A-T patients from the ESID registry. a Columns show the different treatments included Ig-replacement, antibiotics, and others

(antidepressants, anti-reflux drugs, cytostatics, growth hormones, H2 receptor blockers, steroids, vitamins, iron, immunostimulants, and immunosuppressants). Circle diagram presents the percentage distribution of Ig-replacement therapy and no-replacement therapy of b all patients with treatment data, c patients with deficient IgA, and d patients with no deficient IgA.

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Fig. S2 Cause of death. Cause of death of A-T patients from the ESID registry. Circle diagram presents the percentage distribution of respiratory failure, cancer, and others of a all patients, b patients with deficient IgA, and c patients with no deficient IgA.

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Supplementary Material

Fig. S3 Sensitivity analysis to minimize influence of variants on survival of A-T patients with and without IgA deficiency. a Relative frequency of patient’s age at first visit in the ESID Registry (IgA- D, IgA deficiency (red line); noDef, no deficient IgA (black line). The hatched square presents the patients with the first visit before the age 10. Only this group was included in the survival analysis, since A-T variants may develop symptoms much later than classical A-T cases [52]. b Survival of A- T patients who were registered before the age of 10 years and who were not older than 37.5 years with deficient IgA or with no deficient IgA. IgA <0.07 g/L was defined as deficient.

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