XMEN

Last reviewed

🖨 Print for my doctorAdvocacy Hub →
ORPHA:317476OMIM:300853D81.8
Who is this for?
Show terms as
1FDA treatments1Specialists8Treatment centers

Where are you in your journey?

UniteRare data is sourced from FDA.gov, ClinicalTrials.gov, Orphanet, OMIM, and NORD.
Report missing data

Overview

XMEN disease stands for X-linked immunodeficiency with magnesium defect, Epstein-Barr virus (EBV) infection, and neoplasia. It is a rare inherited immune system disorder caused by mutations in the MAGT1 gene on the X chromosome. Because of how it is inherited, XMEN disease primarily affects males. The MAGT1 gene provides instructions for making a protein that helps transport magnesium into cells, particularly immune cells called T cells. When this protein does not work properly, T cells cannot function normally. This leads to a weakened immune system, making affected individuals highly susceptible to infections, especially chronic Epstein-Barr virus (EBV) infection. Over time, the persistent EBV infection and immune dysfunction significantly raise the risk of developing lymphoma, a type of blood cancer. Key symptoms include recurrent infections, chronically elevated EBV levels in the blood, low CD4+ T cell counts, and an increased risk of EBV-related lymphoproliferative disease and lymphoma. Some patients also experience other signs of immune deficiency such as ear infections, sinus infections, and pneumonia. Treatment currently focuses on managing infections, monitoring for cancer, and in some cases, magnesium supplementation or hematopoietic stem cell transplantation (bone marrow transplant), which is the only potentially curative option available. Research into this condition is still evolving, and management requires close collaboration with immunology specialists.

Also known as:

Key symptoms:

Frequent and recurrent infectionsChronic Epstein-Barr virus (EBV) infectionSwollen lymph nodes (lymphadenopathy)Enlarged spleen (splenomegaly)Low CD4+ T cell countsIncreased risk of lymphoma (blood cancer)Ear infectionsSinus infectionsPneumoniaFatigue and low energyAbnormal lymph tissue growth (lymphoproliferative disease)Poor immune response to vaccinesEnlarged liver

Inheritance

X-linked recessive

Carried on the X chromosome; typically affects males more than females

Age of Onset

Childhood

Begins in childhood, roughly ages 1 to 12

Orphanet ↗OMIM ↗NORD ↗

FDA & Trial Timeline

1 event
Jun 2021

StrataGraft: FDA approved

Treatment of adults with thermal burns containing intact dermal elements for which surgical intervention is clinically indicated (deep partial-thickness burns)

FDAcompleted

Data sourced from FDA regulatory filings and ClinicalTrials.gov. Updated periodically.

Treatments

1 available

StrataGraft

allogeneic cultured keratinocytes and dermal fibroblasts in murine collagen-dsat· Stratatech Corporation, a Mallinckrodt companyOrphan Drug

Treatment of adults with thermal burns containing intact dermal elements for which surgical intervention is clinically indicated (deep partial-thickness burns)

No actively recruiting trials found for XMEN at this time.

New trials open frequently. Follow this disease to get notified.

Search ClinicalTrials.gov ↗Join the XMEN community →

Specialists

1 foundView all specialists →
JM
Juan C Ravell Aumaitre, M.D.
Specialist
PI on 1 active trial

Treatment Centers

8 centers
🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🏥 NORD

UCLA Rare Disease Day Program

UCLA Health

📍 Los Angeles, CA

Travel Grants

No travel grants are currently matched to XMEN.

Search all travel grants →NORD Financial Assistance ↗

Community

Open XMENForum →

No community posts yet. Be the first to share your experience with XMEN.

Start the conversation →

Latest news about XMEN

1 articles
Clinical trialCLINICALTRIALSApr 20, 2026
Trial Now Recruiting: Novel Genetic Disorders of the Immune System (NCT02257892)
Researchers are looking for adults and children with certain immune system disorders to join a study. The immune system normally helps your body fight infection
See all news about XMEN

Caregiver Resources

NORD Caregiver Resources

Support, advocacy, and financial assistance for caregivers of rare disease patients.

Mental Health Support

Rare disease caregiving can be isolating. Connect with counseling and peer support.

Family & Caregiver Grants

Financial assistance programs specifically for caregivers of rare disease patients.

Social Security Disability

Learn how rare disease patients may qualify for SSDI/SSI benefits.

Questions for your doctor

Bring these to your next appointment

  • Q1.What is my child's current EBV viral load, and how often should it be monitored?,Would magnesium supplementation be helpful in our case, and what dose is recommended?,Should we consider immunoglobulin replacement therapy to prevent infections?,How often should we screen for lymphoma, and what tests are involved?,Is bone marrow transplant an option for us, and what are the risks and benefits?,Are there any clinical trials or new treatments being studied for XMEN disease?,What vaccines are safe for my child, and which ones should be avoided?

Common questions about XMEN

What is XMEN?

XMEN disease stands for X-linked immunodeficiency with magnesium defect, Epstein-Barr virus (EBV) infection, and neoplasia. It is a rare inherited immune system disorder caused by mutations in the MAGT1 gene on the X chromosome. Because of how it is inherited, XMEN disease primarily affects males. The MAGT1 gene provides instructions for making a protein that helps transport magnesium into cells, particularly immune cells called T cells. When this protein does not work properly, T cells cannot function normally. This leads to a weakened immune system, making affected individuals highly suscep

How is XMEN inherited?

XMEN follows a x-linked recessive inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.

At what age does XMEN typically begin?

Typical onset of XMEN is childhood. Age of onset can vary across affected individuals.

Which specialists treat XMEN?

1 specialists and care centers treating XMEN are listed on UniteRare, sourced from ClinicalTrials.gov principal investigators, published research, and the NPPES NPI registry.

What treatment and support options exist for XMEN?

1 patient support program are currently tracked on UniteRare for XMEN. See the treatments and support programs sections for copay assistance, eligibility, and contact details.