[Prenatal diagnosis and novel mutation in X-linked chronic granulomatous disease]
V Pérez-Aradas1, E Mancebo, P Talayero
1Servicio de Inmunología, Hospital Universitario 12 de Octubre, Madrid, España.
Insights
Genetic testing identified a new mutation causing Chronic Granulomatous Disease (CGD) in a child. This allowed for prenatal diagnosis in a subsequent pregnancy, highlighting the importance of molecular diagnostics for CGD.
Area of Science:
- Immunology
- Genetics
- Molecular Biology
Background:
- Chronic Granulomatous Disease (CGD) is a rare primary immunodeficiency.
- It results from impaired NADPH oxidase function, affecting phagocytic cells.
- CGD patients experience recurrent bacterial and fungal infections.
Observation:
- A 6-year-old boy presented with suspected CGD.
- Diagnosis was confirmed via NADPH oxidase functional studies.
- Genetic analysis was requested during the mother's second pregnancy.
Findings:
- A novel disease-causing mutation in the CYBB gene was identified.
- This mutation causes X-linked CGD.
- Prenatal testing confirmed the mutation in the fetus.
Implications:
- Molecular genetic characterization is crucial for accurate CGD diagnosis.
- Enables prenatal diagnosis and genetic counseling for future pregnancies.
- Improves management and understanding of inherited immune disorders.
Background:
Chronic Granulomatous Disease (CGD) is a rare primary immunodeficiency caused by the alteration of the enzyme complex NADPH oxidase, which affects the phagocytic function. CGD patients are susceptible to recurrent infections mainly caused by bacteria and/or fungi.
Methods:
We studied a 6 year-old boy with suspicion of CGD. The diagnosis was confirmed based on the functional study of NADPH oxidase. Simultaneously, the second pregnancy of the mother was reported and genetic counselling was requested.
Results:
We identified a new disease-causing mutation by direct sequencing of the CYBB gene (X-linked CGD). The prenatal study resulted in the identification of the same mutation in the foetus.
Comments:
Molecular genetics characterisation of CGD is needed to obtain an accurate diagnosis of the disease and to offer prenatal diagnosis and genetic counselling in future pregnancies.
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