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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 (T155 C), (c) a splice site
mutation at the 5' end of intron 3, (d) a missense mutation in
exon 2 (G74 T), (e) a nonsense mutation in exon 1 (G26 A), (f) a missense mutation in exon 4 (C268 T),
(g) a frameshift in exon 3 due to the insertion of C at C162, (h) a
nonsense mutation in exon 2 (G107 A), and (i) a missense
mutation in exon 2 (G70 A).

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