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).

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