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Blood, 15 May 2007, Vol. 109, No. 10, pp. 4181-4190.
Prepublished online as a Blood First Edition Paper on January 23, 2007; DOI 10.1182/blood-2005-05-022004.


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HEMATOPOIESIS

Growth factor independence-1 (Gfi-1) plays a role in mediating specific granule deficiency (SGD) in a patient lacking a gene-inactivating mutation in the C/EBP{epsilon} gene

Arati Khanna-Gupta1, Hong Sun1, Theresa Zibello1, Han Myung Lee1, Richard Dahl2, Laurence A. Boxer3, and Nancy Berliner1

1 Section of Hematology, Yale University School of Medicine, New Haven, CT; 2 University of New Mexico, Cancer Research Facility, Albuquerque; 3 Division of Pediatric, Hematology/Oncology, University of Michigan School of Medicine, Ann Arbor

Neutrophil-specific granule deficiency (SGD) is a rare congenital disorder marked by recurrent bacterial infections. Neutrophils from SGD patients lack secondary and tertiary granules and their content proteins and lack normal neutrophil functions. Gene-inactivating mutations in the C/EBP{epsilon} gene have been identified in 2 SGD patients. Our studies on a third SGD patient revealed a heterozygous mutation in the C/EBP{epsilon} gene. However, we demonstrate elevated levels of C/EBP{epsilon} and PU.1 proteins in the patient's peripheral blood neutrophils. The expression of the transcription factor growth factor independence-1 (Gfi-1), however, was found to be markedly reduced in our SGD patient despite the absence of an obvious mutation in this gene. This may explain the elevated levels of both C/EBP{epsilon} and PU.1, which are targets of Gfi-1 transcriptional repression. We have generated a growth factor–dependent EML cell line from the bone marrow of Gfi-1+/– and Gfi-1+/+ mice as a model for Gfi-1–deficient SGD, and demonstrate that lower levels of Gfi-1 expression in the Gfi-1+/– EML cells is associated with reduced levels of secondary granule protein (SGP) gene expression. Furthermore, we demonstrate a positive role for Gfi-1 in SGP expression, in that Gfi-1 binds to and up-regulates the promoter of neutrophil collagenase (an SGP gene), in cooperation with wild-type but not with mutant C/EBP{epsilon}. We hypothesize that decreased Gfi-1 levels in our SGD patient, together with the mutant C/EBP{epsilon}, block SGP expression, thereby contributing to the underlying etiology of the disease in our patient.


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