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Brief Definitive Reports |
Neutrophil-specific granule deficiency (SGD) is a rare disorder characterized by recurrent pyogenic infections, defective neutrophil chemotaxis and bactericidal activity, and lack of neutrophil secondary granule proteins. CCAAT/enhancer binding protein (C/EBP)
, a member of the leucine zipper family of transcription factors, is expressed primarily in myeloid cells, and its knockout mouse model possesses distinctive defects, including a lack of neutrophil secondary granule proteins. Sequence analysis of the genomic DNA of a patient with SGD revealed a five-basepair deletion in the second exon of the C/EBP
locus. The predicted frame shift results in a truncation of the 32-kD major C/EBP
isoform, with loss of the dimerization domain, DNA binding region, and transcriptional activity. The multiple functional defects observed in these early neutrophil progenitor cells, a consequence of C/EBP
deficiency, define SGD as a defect in myelopoiesis and establish the requirement for C/EBP
for the promyelocyte–myelocyte transition in myeloid differentiation.
Key Words: myelopoiesis lactoferrin granulocyte immunodeficiency neutrophil
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