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Chronic granulomatous disease due to different mutations in patients from the same consanguineous extended family

Publication: LymphoSign Journal
15 April 2018

Abstract

Chronic granulomatous disease is a primary immunodeficiency disease caused by a genetic mutation in any of the 5 genes encoding the different components of the Nicotinamide Adenine Dinucleotide Phosphate reduced (NADPH)-Oxidase enzyme complex. Since primary immunodeficiency diseases are considered to be rare diseases, the genetic diagnosis of a certain primary immunodeficiency leads to the reasonable assumption that all patients with the same disease within the same family will have the same genetic mutation. We report 2 patients with chronic granulomatous disease from the same extended consanguineous family who had different genetic causes of their disease. Therefore, it is crucial to obtain a definitive genetic diagnosis of primary immunodeficiency disease even in patients from the same family, where the same genetic diagnosis is presumed to be the cause of the disease.
Statement of novelty: Genetic causes of chronic granulomatous disease may be different in patients from the same family.

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REFERENCES

Ǻhlin A., De Boer M., Roos D., Leusen J., Smith C.I., Sundin U., Rabbani H., Palmblad J., and Elinder G. 1995. Prevalence, genetics and clinical presentation of chronic granulomatous disease in Sweden. Acta Paediatr. 84:1386–1394.
Broides A., Shubinsky G., Parvari R., Grimbacher B., Somech R., Garty B.Z., and Levy J. 2009. MHC class 2 deficiency and X-linked agammaglobulinaemia in a consanguineous extended family. Int. J. Immunogenet. 36(4):223–226.
Ehlayel M., de Beaucoudrey L., Fike F., Nahas S.A., Feinberg J., Casanova J.L., and Gatti R.A. 2008. Simultaneous presentation of 2 rare hereditary immunodeficiencies: IL-12 receptor beta1 deficiency and ataxia-telangiectasia. J. Allergy Clin. Immunol. 122(6):1217–1219.
Kuhns D.B., Alvord W.G., Heller T., Feld J.J., Pike K.M., Marciano B.E., Uzel G., DeRavin S.S., Priel D.A., Soule B.P., Zarember K.A., Malech H.L., Holland S.M., and Gallin J.I. 2010. Residual NADPH oxidase and survival in chronic granulomatous disease. N Engl. J. Med. 363:2600–2610.
Leiding, J.W., Holland, S.M. 2012. Chronic granulomatous disease. In: GeneReviews®. Edited by M.P. Adam, H.H. Ardinger, R.A. Pagon, S.E. Wallace, L.J.H. Bean, K. Stephens, and A. Amemiya. Seattle, WA: University of Washington; 1993–2018.
Leiva L.E., Zelazco M., Oleastro M., Carneiro-Sampaio M., Condino-Neto A., Costa-Carvalho B.T., Grumach A.S., Quezada A., Patiño P., Franco J.L., Porras O., Rodríguez F.J., Espinosa-Rosales F.J., Espinosa-Padilla S.E., Almillategui D., Martínez C., Tafur J.R., Valentín M., Benarroch L., Barroso R., Sorensen R.U., and Latin American Group for Primary Immunodeficiency Diseases. 2007. Primary immunodeficiency diseases in Latin America: the second report of the LAGID registry. J. Clin. Immunol. 27:101–108.
Reeves E.P., Lu H., Jacobs H.L., Messina C.G., Bolsover S., Gabella G., Potma E.O., Warley A., Roes J., and Segal A.W. 2002. Killing activity of neutrophils is mediated through activation of proteases by K+ flux. Nature. 416:291–297.
Romao S., Puente E.T., Nytko K.J., Siler U., Münz C., and Reichenbach J. 2015. Defective nuclear entry of hydrolases prevents neutrophil extracellular trap formation in patients with chronic granulomatous disease. J. Allergy Clin. Immunol. 136(6):1703–1706.e5.
Wolach B., Gavrieli R., de Boer M., van Leeuwen K., Berger-Achituv S., Stauber T., Ben Ari J., Rottem M., Schlesinger Y., Grisaru-Soen G., Abuzaitoun O., Marcus N., Zion Garty B., Broides A., Levy J., Stepansky P., Etzioni A., Somech R., and Roos D. 2017. Chronic granulomatous disease: clinical, functional, molecular, and genetic studies. The Israeli experience with 84 patients. Am. J. Hematol. 92:28–36.

Information & Authors

Information

Published In

cover image LymphoSign Journal
LymphoSign Journal
Volume 5Number 2June 2018
Pages: 57 - 60

History

Received: 22 February 2018
Accepted: 3 April 2018
Accepted manuscript online: 15 April 2018

Authors

Affiliations

Arnon Broides [email protected]
Immunology Unit, Soroka University Medical Center, Beer-Sheva, Israel
Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
Ronit Gavrieli
Department of Pediatrics and laboratory for leukocyte function, Meir Medical Center, Kfar Saba, Israel
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
Jacov Levy
Immunology Unit, Soroka University Medical Center, Beer-Sheva, Israel
Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
Rachel Levy
Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
Department of Clinical Biochemistry, Infectious Disease Laboratory, Beer-Sheva, Israel
Nurit Hadad
Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
Department of Clinical Biochemistry, Infectious Disease Laboratory, Beer-Sheva, Israel
Dirk Roos
Sanquin Research, and Landsteiner Laboratory, Emma Children’s Hospital, Academic Medical Centre, University of Amsterdam, Amsterdam, the Netherlands
Baruch Wolach
Department of Pediatrics and laboratory for leukocyte function, Meir Medical Center, Kfar Saba, Israel
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
Amit Nahum
Immunology Unit, Soroka University Medical Center, Beer-Sheva, Israel
Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel

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