A homozygous loss-of-function mutation leading to CYBC1 deficiency causes chronic granulomatous disease

被引:78
作者
Arnadottir, Gudny A. [1 ]
Norddahl, Gudmundur L. [1 ]
Gudmundsdottir, Steinunn [1 ]
Agustsdottir, Arna B. [1 ]
Sigurdsson, Snaevar [1 ]
Jensson, Brynjar O. [1 ]
Bjarnadottir, Kristbjorg [1 ]
Theodors, Fannar [1 ]
Benonisdottir, Stefania [1 ]
Ivarsdottir, Erna V. [1 ,2 ]
Oddsson, Asmundur [1 ]
Kristjansson, Ragnar P. [1 ]
Sulem, Gerald [1 ]
Alexandersson, Kristjan F. [1 ]
Juliusdottir, Thorhildur [1 ]
Gudmundsson, Kjartan R. [1 ]
Saemundsdottir, Jona [1 ]
Jonasdottir, Adalbjorg [1 ]
Jonasdottir, Aslaug [1 ]
Sigurdsson, Asgeir [1 ]
Manzanillo, Paolo [1 ]
Gudjonsson, Sigurjon A. [1 ]
Thorisson, Gudmundur A. [1 ]
Magnusson, Olafur Th. [1 ]
Masson, Gisli [1 ]
Orvar, Kjartan B. [3 ,4 ]
Holm, Hilma [1 ]
Bjornsson, Sigurdur [3 ,4 ]
Arngrimsson, Reynir [5 ,6 ]
Gudbjartsson, Daniel F. [1 ,2 ]
Thorsteinsdottir, Unnur [1 ,6 ]
Jonsdottir, Ingileif [1 ,6 ]
Haraldsson, Asgeir [6 ,7 ]
Sulem, Patrick [1 ]
Stefansson, Kari [1 ,6 ]
机构
[1] Amgen Inc, deCODE Genet, Reykjavik, Iceland
[2] Univ Iceland, Sch Engn & Nat Sci, Reykjavik, Iceland
[3] Landspitali Univ Hosp, Dept Internal Med, Reykjavik, Iceland
[4] Glaesibae, Med Ctr, Reykjavik, Iceland
[5] Landspitali Univ Hosp, Dept Genet & Mol Med, Reykjavik, Iceland
[6] Univ Iceland, Fac Med, Reykjavik, Iceland
[7] Childrens Hosp Iceland, Landspitali Univ Hosp, Reykjavik, Iceland
关键词
INFLAMMATORY-BOWEL-DISEASE; MYCOBACTERIUM-TUBERCULOSIS; LEGIONELLA-PNEUMOPHILA; HUMAN KNOCKOUTS; NADPH OXIDASE; CATALASE; GENE; VARIANTS; PROTEIN; MACROPHAGES;
D O I
10.1038/s41467-018-06964-x
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Mutations in genes encoding subunits of the phagocyte NADPH oxidase complex are recognized to cause chronic granulomatous disease (CGD), a severe primary immunodeficiency. Here we describe how deficiency of CYBC1, a previously uncharacterized protein in humans (C17orf62), leads to reduced expression of NADPH oxidase's main subunit (gp91(phox)) and results in CGD. Analyzing two brothers diagnosed with CGD we identify a homozygous loss-of-function mutation, p.Tyr2Ter, in CYBC1. Imputation of p.Tyr2Ter into 155K chip-genotyped Icelanders reveals six additional homozygotes, all with signs of CGD, manifesting as colitis, rare infections, or a severely impaired PMA-induced neutrophil oxidative burst. Homozygosity for p.Tyr2Ter consequently associates with inflammatory bowel disease (IBD) in Iceland (P = 8.3 x 10(-8); OR = 67.6), as well as reduced height (P = 3.3 x 10(-4); -8.5 cm). Overall, we find that CYBC1 deficiency results in CGD characterized by colitis and a distinct profile of infections indicative of macrophage dysfunction.
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页数:9
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