[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.
Abstract

Related Concept Videos

Sex-linked Disorders01:43

Sex-linked Disorders

Like autosomes, sex chromosomes contain a variety of genes necessary for normal body function. When a mutation in one of these genes results in biological deficits, the disorder is considered sex-linked.
Cystic Fibrosis: Pathogenesis01:23

Cystic Fibrosis: Pathogenesis

Cystic fibrosis (CF), an autosomal recessive disorder, significantly affects the function of exocrine glands. This genetically inherited disease is characterized by the production of thick and sticky mucus, which can severely affect various organs and systems in the body.
CF is primarily caused by a genetic mutation in a chromosome 7 gene coding for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. The most common gene mutation leading to CF is the ΔF508 mutation, but...
Exon Recombination02:32

Exon Recombination

The evolution of new genes is critical for speciation. Exon recombination, also known as exon shuffling or domain shuffling, is an important means of new gene formation. It is observed across vertebrates, invertebrates, and in some plants such as potatoes and sunflowers. During exon recombination, exons from the same or different genes recombine and produce new exon-intron combinations, which might evolve into new genes. 
Exon shuffling follows “splice frame rules.” Each exon has three reading...
Pharmacogenomics: Identification of New Drug Targets01:29

Pharmacogenomics: Identification of New Drug Targets

Advances in genomics have profoundly influenced drug discovery by increasing both the speed and accuracy of pharmaceutical development. Pharmacogenomics, which examines how genetic variation influences drug response, facilitates the identification of novel therapeutic targets and enables patient stratification for personalized treatment. These strategies contribute to improved drug efficacy, minimized adverse effects, and more efficient clinical trial design.Mapping genetic differences...
Cytomegalovirus Disease01:27

Cytomegalovirus Disease

Cytomegalovirus (CMV) disease is caused by human cytomegalovirus, a double-stranded DNA virus of the Herpesviridae family. While primary CMV infection is often asymptomatic in immunocompetent individuals, the virus can cause severe disease in neonates and immunocompromised patients. CMV is the most common cause of congenital viral infection in the United States, and a major pathogen in solid organ and hematopoietic stem cell transplant recipients.CMV is transmitted via bodily fluids, sexual...
X-linked Traits01:19

X-linked Traits

In most mammalian species, females have two X sex chromosomes and males have an X and Y. As a result, mutations on the X chromosome in females may be masked by the presence of a normal allele on the second X. In contrast, a mutation on the X chromosome in males more often causes observable biological defects, as there is no normal X to compensate. Trait variations arising from mutations on the X chromosome are called “X-linked”.