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PMID: 10758162 Published · ppublish English Case Reports Journal Article Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, P.H.S.

Human neutrophil immunodeficiency syndrome is associated with an inhibitory Rac2 mutation.

Ambruso DR, Knall C, Abell AN, Panepinto J, Kurkchubasche A, Thurman G, Gonzalez-Aller C, Hiester A, deBoer M, Harbeck RJ, Oyer R, Johnson GL, Roos D

Abstract

A 5-week-old male infant presented with severe bacterial infections and poor wound healing, suggesting a neutrophil defect. Neutrophils from this patient exhibited decreased chemotaxis, polarization, azurophilic granule secretion, and superoxide anion (O(2)(-)) production but had normal expression and up-regulation of CD11b. Rac2, which constitutes >96% of the Rac in neutrophils, is a member of the Rho family of GTPases that regulates the actin cytoskeleton and O(2)(-) production. Western blot analysis of lysates from patient neutrophils demonstrated decreased levels of Rac2 protein. Addition of recombinant Rac to extracts of the patient neutrophils reconstituted O(2)(-) production in an in vitro assay system. Molecular analysis identified a point mutation in one allele of the Rac2 gene resulting in the substitution of Asp57 by an Asn (Rac2(D57N)). Asp57 is invariant in all defined GTP-binding proteins. Rac2(D57N) binds GDP but not GTP and inhibits oxidase activation and O(2)(-) production in vitro. These data represent the description of an inhibitory mutation in a member of the Rho family of GTPases associated with a human immunodeficiency syndrome.

MeSH Terms
Antigens, CD/blood Chemotaxis, Leukocyte Cytosol/metabolism Guanosine 5'-O-(3-Thiotriphosphate)/pharmacology Guanosine Diphosphate/pharmacology Humans Immunologic Deficiency Syndromes/blood,genetics,immunology Infant Macrophage-1 Antigen/blood Male NADPH Oxidases/blood,deficiency Neutrophils/physiology Peroxidase/blood Reference Values Superoxides/blood rac GTP-Binding Proteins/blood,genetics
Chemicals
Antigens, CD Macrophage-1 Antigen Superoxides Guanosine Diphosphate Guanosine 5'-O-(3-Thiotriphosphate) Peroxidase NADPH Oxidases rac2 GTP-binding protein rac GTP-Binding Proteins
Authors & Affiliations
13 authors, click to expand affiliations / ORCID
Ambruso D R
Bonfils Blood Center, Denver, CO 80220, USA. daniel.ambruso@UCHSC.edu
Knall C
Abell A N
Panepinto J
Kurkchubasche A
Thurman G
Gonzalez-Aller C
Hiester A
deBoer M
Harbeck R J
Oyer R
Johnson G L
Roos D
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Article Info
Journal
Proceedings of the National Academy of Sciences of the United States of America
Abbr.
Proc Natl Acad Sci U S A
ISSN
0027-8424
Published
2000-04-25
Pages
4654-9
Language
English
Region
United States
NLM ID
7505876
PMCID
PMC18288
Subset
IM
Grants
NIGMS NIH HHS · R01 GM030324 · United States
NIGMS NIH HHS · R37 GM030324 · United States
NIGMS NIH HHS · GM30324 · United States
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