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Prepublished online as a Blood First Edition Paper on May 13, 2002; DOI 10.1182/blood-2002-03-0861.
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Blood, 1 September 2002, Vol. 100, No. 5, pp. 1845-1851
PHAGOCYTES
Identification of a novel NCF-1 (p47-phox)
pseudogene not containing the signature GT deletion: significance for
A47° chronic granulomatous disease carrier detection
Paul G. Heyworth,
Deborah Noack, and
Andrew R. Cross
From the Department of Molecular and Experimental
Medicine, The Scripps Research Institute, La Jolla, CA.
The p47-phox gene, NCF-1, has 2 nearly
identical pseudogenes ( NCF-1) in proximity at
chromosomal locus 7q11.23. A dinucleotide deletion ( GT) at the
beginning of exon 2 that leads to a frameshift and premature stop codon
is considered the signature sequence of the pseudogenes. It is also the
most prevalent mutation in p47-phox-deficient (A47°)
chronic granulomatous disease (CGD) as a result of the insertion of a
GT-containing fragment of pseudogene into NCF-1.
Extending our study of the relationship between NCF-1 and
NCF-1 to 53 unaffected control individuals, we found
that although in most (n = 44), the ratio of pseudogene ( GT) to
functional gene (GTGT) sequence in amplicons spanning exon 2 was 2:1,
as previously observed, surprisingly, in 7 persons the ratio was 1:1,
and in 2 persons the ratio was 1:2. The lowered ratios are explained by
the presence, in a heterozygous or homozygous state, respectively, of a
pseudogene that contains GTGT rather than GT. It is possible that
this pseudogene has not undergone deletion of GT, but more likely,
based on analysis of additional NCF-1/ NCF-1 markers, it
represents the previously unidentified product of the reciprocal
crossover of DNA fragments between the functional gene and one of its
pseudogenes. The mutated NCF-1 resulting from this event is
the predominant A47°CGD allele. The existence of 2 extended
haplotypes encompassing NCF-1/ NCF-1 further complicates the detection of A47°CGD carriers. Although most have a GT/GTGT ratio of 5:1, some have a ratio of 2:1 and are indistinguishable by
this means from unaffected individuals.

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Related Letter in Blood Online:
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Association between p47phox pseudogenes and inflammatory bowel disease
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M. Harbord, A. Hankin, S. Bloom, and H. Mitchison
Association between p47phox pseudogenes and inflammatory bowel disease
Blood,
April 15, 2003;
101(8):
3337 - 3337.
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