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Blood, Vol. 95 No. 11 (June 1), 2000:
pp. 3548-3554
Interferon-gamma improves splicing efficiency of CYBB gene
transcripts in an interferon-responsive variant of chronic
granulomatous disease due to a splice site consensus region
mutation
Antonio Condino-Neto and
Peter E. Newburger
From the Department of Pediatrics and Center for Investigation in
Pediatrics, State University of Campinas Medical School, Campinas,
São Paulo, Brazil; and the Department of Pediatrics and Cancer
Center, University of Massachusetts Medical School, Worcester, MA.
X-linked chronic granulomatous disease (CGD) derives from defects in
the CYBB gene, which encodes the gp91-phox component of
NADPH oxidase. We studied the molecular basis of the disease in a
kindred with variant CGD, due to a single base substitution at the
sixth position of CYBB first intron. The patients' phagocytes have been shown previously to greatly increase superoxide release in
response to interferon-gamma (IFN- ) in vitro and in vivo. We
examined CYBB gene expression in an Epstein-Barr virus
(EBV)-transformed B-cell line from 1 patient in this kindred. These
cells showed markedly decreased levels of CYBB transcripts in
total RNA (5% of normal) and nuclear RNA (1.4% of normal), despite
equal CYBB transcription rates in the CGD and control cells.
Incubation with IFN- produced a 3-fold increase in CYBB
total messenger RNA (mRNA) levels in the patient's cells, and
decreased nuclear transcripts to undetectable levels. Reverse
transcriptase-polymerase chain reaction analysis of RNA splicing
revealed a preponderance of unspliced CYBB transcripts in the
patient's nuclear RNA. In vitro incubation with IFN- increased by
40% the ratio of spliced relative to unspliced CYBB mRNA in
nuclei from the CGD B-cell line. Total RNA harvested from the same
patient's monocytes, on and off therapy with IFN- , showed a similar
improvement in splicing. We conclude that IFN- partially corrects a
nuclear processing defect due to the intronic mutation in the
CYBB gene in this kindred, most likely by augmentation of
nuclear export of normal transcripts, and improvement in the fidelity
of splicing at the first intron.

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