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Germline CYBB mutations that selectively affect macrophages in kindreds with X-linked predisposition to tuberculous mycobacterial disease.


ABSTRACT: Germline mutations in CYBB, the human gene encoding the gp91(phox) subunit of the phagocyte NADPH oxidase, impair the respiratory burst of all types of phagocytes and result in X-linked chronic granulomatous disease (CGD). We report here two kindreds in which otherwise healthy male adults developed X-linked recessive Mendelian susceptibility to mycobacterial disease (MSMD) syndromes. These patients had previously unknown mutations in CYBB that resulted in an impaired respiratory burst in monocyte-derived macrophages but not in monocytes or granulocytes. The macrophage-specific functional consequences of the germline mutation resulted from cell-specific impairment in the assembly of the NADPH oxidase. This 'experiment of nature' indicates that CYBB is associated with MSMD and demonstrates that the respiratory burst in human macrophages is a crucial mechanism for protective immunity to tuberculous mycobacteria.

SUBMITTER: Bustamante J 

PROVIDER: S-EPMC3097900 | biostudies-literature | 2011 Mar

REPOSITORIES: biostudies-literature

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Germline CYBB mutations that selectively affect macrophages in kindreds with X-linked predisposition to tuberculous mycobacterial disease.

Bustamante Jacinta J   Arias Andres A AA   Vogt Guillaume G   Picard Capucine C   Galicia Lizbeth Blancas LB   Prando Carolina C   Grant Audrey V AV   Marchal Christophe C CC   Hubeau Marjorie M   Chapgier Ariane A   de Beaucoudrey Ludovic L   Puel Anne A   Feinberg Jacqueline J   Valinetz Ethan E   Jannière Lucile L   Besse Céline C   Boland Anne A   Brisseau Jean-Marie JM   Blanche Stéphane S   Lortholary Olivier O   Fieschi Claire C   Emile Jean-François JF   Boisson-Dupuis Stéphanie S   Al-Muhsen Saleh S   Woda Bruce B   Newburger Peter E PE   Condino-Neto Antonio A   Dinauer Mary C MC   Abel Laurent L   Casanova Jean-Laurent JL  

Nature immunology 20110130 3


Germline mutations in CYBB, the human gene encoding the gp91(phox) subunit of the phagocyte NADPH oxidase, impair the respiratory burst of all types of phagocytes and result in X-linked chronic granulomatous disease (CGD). We report here two kindreds in which otherwise healthy male adults developed X-linked recessive Mendelian susceptibility to mycobacterial disease (MSMD) syndromes. These patients had previously unknown mutations in CYBB that resulted in an impaired respiratory burst in monocyt  ...[more]

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