Table 2.
Rare genetic causes of chronic granulomatous disease (CGD) or related disorders: non-NADPH oxidase causes.
Gene symbol | CYBC1 | RAC2 | G6PD | MPO | GSS |
NCBI gene ID | 79415 | 5880 | 2539 | 4353 | 2937 |
Gene name | Cytochrome b558 chaperone 1 | Rac family small GTPase 2 | Glucose-6-phosphate dehydrogenase | Myeloperoxidase | Glutathione synthetase |
Gene location | 17q25.3 | 22q13.1 | Xq28 | 17q22 | 20q11.22 |
Exon count | 8 | 8 | 14 | 12 | 15 |
Protein | CYBC1/Eros | Rac2-GTPase | G6PD | MPO | GSS |
Protein location | Endoplasmic reticulum | Cytosol | Cytosol | Granule lumen | Cytosol, nucleus, mitochondria |
Frequency | Rare | Rare | Severe deficiency is rare | Common but unlikely to cause CGD-like features | Rare |
Inheritance | AR | AD | XR | AR | AR |
Clinical severity | Few cases described | Few cases described | Spectrum from mild to severe | Asymptomatic or susceptible to Candida | Spectrum from mild to severe |
Mutations | Nonsense Missense Missplicing |
Nonsense Missense |
Deletion Missense |
Nonsense Missense Missplicing Deletions |
Indels Nonsense Missense Missplicing |
Notes | Also regulates expression of proteins other than gp91phox-p22phox, e.g., P2X7 | Also associated with abnormalities of neutrophil chemotaxis and lymphocyte function | Mild cases: relatively common but lack CGD-like features Severe cases: generally mild CGD features |
Rarely solely responsible for immunodeficiency | Mild cases: haemolytic anaemia only Moderate: metabolic acidosis Severe: progressive neurological dysfunction and infection susceptibility |