Submitted March 19, 2002
Accepted April 11, 2002
Identification of a novel NCF-1 (p47-phox) pseudogene not containing the signature GT deletion; significance for A47o chronic granulomatous disease carrier detection
Paul G Heyworth*, Deborah Noack, and Andrew R Cross
Department of Molecular and Experimental Medicine, The Scripps Research Institute, La Jolla, CA, USA
* Corresponding author; email: heyworth{at}scripps.edu.
The p47-phox gene, NCF-1, has two nearly identical pseudogenes (
NCF-1) in close 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 (A47o) 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 while in most (44) the ratio of pseudogene (
GT) to functional gene (GTGT) sequence in amplicons spanning exon 2 was 2:1 as previously observed, surprisingly in seven persons the ratio was 1:1, and in two 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 A47o CGD allele. The existence of two extended haplotypes encompassing NCF-1/
NCF-1 further complicates the detection of A47o CGD carriers. While 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.