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Published on: August 20, 2019
Hematologically important mutations: X-linked chronic granulomatous disease (third update)
Dirk Roos1, Douglas B Kuhns, Anne Maddalena
1Sanquin Research, and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam, Plesmanlaan 125, 1066 CX, Amsterdam, The Netherlands. d.roos@sanquin.nl
Insights
This study catalogs mutations in the CYBB gene, the cause of X-linked Chronic Granulomatous Disease (CGD). Identifying these genetic variations aids in diagnosing this rare immunodeficiency and distinguishing disease-causing mutations from benign polymorphisms.
Area of Science:
- Immunology
- Genetics
Background:
- Chronic Granulomatous Disease (CGD) is a primary immunodeficiency affecting approximately 1 in 250,000 individuals.
- It results from impaired superoxide production by the leukocyte enzyme NADPH oxidase, crucial for microbial killing.
- The gp91-phox (Nox2) subunit, encoded by the CYBB gene on the X chromosome, is a key component of this enzyme.
Purpose of the Study:
- To compile a comprehensive list of all identified mutations within the CYBB gene associated with X-linked CGD.
- To document benign polymorphisms in the CYBB gene to aid in the accurate identification of pathogenic mutations.
Main Methods:
- Systematic review and compilation of genetic data from patients with X-linked CGD.
- Analysis of CYBB gene sequences to identify mutations and polymorphisms.
Main Results:
- Mutations in the CYBB gene are responsible for approximately 70% of all CGD cases.
- The article provides a detailed catalog of these disease-causing CYBB mutations.
- A list of apparently benign CYBB polymorphisms is also presented.
Conclusions:
- This curated list of CYBB mutations and polymorphisms serves as a valuable resource for diagnosing X-linked CGD.
- Accurate genetic characterization is essential for understanding disease mechanisms and facilitating future diagnostic efforts.
Abstract:
Chronic granulomatous disease (CGD) is an immunodeficiency disorder affecting about 1 in 250,000 individuals. The disease is caused by a lack of superoxide production by the leukocyte enzyme NADPH oxidase. Superoxide is used to kill phagocytosed micro-organisms in neutrophils, eosinophils, monocytes and macrophages. The leukocyte NADPH oxidase is composed of five subunits, of which the enzymatic component is gp91-phox, also called Nox2. This protein is encoded by the CYBB gene on the X chromosome. Mutations in this gene are found in about 70% of all CGD patients. This article lists all mutations identified in CYBB in the X-linked form of CGD. Moreover, apparently benign polymorphisms in CYBB are also given, which should facilitate the recognition of future disease-causing mutations.
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Translation
Translation is the process of synthesizing proteins from the genetic information carried by messenger RNA (mRNA). Following transcription, it constitutes the final step in the expression of genes. This process is carried out by ribosomes, complexes of protein and specialized RNA molecules. Ribosomes, transfer RNA (tRNA), and other proteins produce a chain of amino acids—the polypeptide—as the end product of translation.
Translation Produces the Building Blocks of Life
Translation
Translation is the process of synthesizing proteins from the genetic information carried by messenger RNA (mRNA). Following transcription, it constitutes the final step in the expression of genes. This process is carried out by ribosomes, complexes of protein and specialized RNA molecules. Ribosomes, transfer RNA (tRNA), and other proteins produce a chain of amino acids—the polypeptide—as the end product of translation.
Translation Produces the Building Blocks of Life

