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Blood, Vol. 96 No. 3 (August 1), 2000: pp. 1106-1112

Molecular analysis of 9 new families with chronic granulomatous disease caused by mutations in CYBA, the gene encoding p22phox

Julie Rae, Deborah Noack, Paul G. Heyworth, Beverly A. Ellis, John T. Curnutte, and Andrew R. Cross

From the Department of Immunology, Genentech Inc, South San Francisco; and the Department of Molecular & Experimental Medicine, The Scripps Research Institute, La Jolla, CA.

Chronic granulomatous disease is a rare inherited disorder caused by nonexistent or severely decreased phagocyte superoxide production that results in a severe defect in host defense and consequent predisposition to microbial infection. The enzyme responsible for generating the superoxide, NADPH oxidase, involves at least 5 protein components. The absence of, or a defect in, any 1 of 4 of these proteins (p22phox, p47phox, p67phox, or gp91phox) gives rise to the known types of chronic granulomatous disease. One of the rarest forms of the disease is due to defects in the CYBA gene encoding p22phox, which together with gp91phox forms flavocytochrome b558, the catalytic core of NADPH oxidase. To date, only 9 kindreds with p22phox deficiency have been described in the literature comprising 10 mutant alleles. Four polymorphisms in the CYBA gene have also been reported. Here we describe 9 new, unrelated kindreds containing 12 mutations, 9 of which are novel. In addition, we report 3 new polymorphisms. The novel mutations are (a) deletion of exons 2 and 3, (b) a missense mutation in exon 3 (T155right-arrowC), (c) a splice site mutation at the 5' end of intron 3, (d) a missense mutation in exon 2 (G74right-arrowT), (e) a nonsense mutation in exon 1 (G26right-arrowA), (f) a missense mutation in exon 4 (C268right-arrowT), (g) a frameshift in exon 3 due to the insertion of C at C162, (h) a nonsense mutation in exon 2 (G107right-arrowA), and (i) a missense mutation in exon 2 (G70right-arrowA).


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