Neutropenia, severe congenital 1
Definition
The ELANE gene encodes neutrophil elastase; this serine protease plays an important role in neutrophil differentiation and granulopoiesis. Misfolded neutrophil elastase triggers ER stress, leading to apoptosis of promyelocytes; the result is severe chronic neutropenia and susceptibility to fatal pyogenic/fungal infections. ELANE mutations are the most common genetic cause of isolated severe congenital neutropenia.
Gene/region examined
ELANE - Exon 1, ELANE - Exon 2, ELANE - Exon 3, ELANE - Exon 4, ELANE - Exon 5
Method
Sequence analysis
Accepted sample types
EDTA blood, AF, CVS
Inheritance
Hereditary, autosomal dominant (often de novo).