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Gao LW, Yin QQ, Tong YJ, Gui JG, Liu XY, Feng XL, Yin J, Liu J, Guo Y, Yao Y, Xu BP, He JX, Shen KL, Lau YL, Jiang ZF. Clinical and genetic characteristics of Chinese pediatric patients with chronic granulomatous disease. Pediatr Allergy Immunol 2019; 30:378-386. [PMID: 30716179 PMCID: PMC6850071 DOI: 10.1111/pai.13033] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/26/2018] [Revised: 01/10/2019] [Accepted: 01/14/2019] [Indexed: 12/15/2022]
Abstract
BACKGROUND Chronic granulomatous disease (CGD) is a rare disease in China, and very little large-scale studies have been conducted to date. We aimed to investigate the clinical and genetic features of CGD in Chinese pediatric patients. METHODS Pediatric patients with CGD from Beijing Children's Hospital, Capital Medical University, China, were enrolled from January 2006 to December 2016. RESULTS A total of 159 pediatric patients with CGD were enrolled. The median age of clinical onset was 1.4 months, and 73% (116/159) had clinical onset symptoms before the 1 year of age. The most common site of invasion was the lungs. The lymph nodes, liver, and skin were more frequently invaded in X-linked (XL) CGD patients than in autosomal recessive (AR) CGD patients (P < 0.05). Approximately 64% (92/144) of the pediatric patients suffered from abnormal response to BCG vaccination. The most frequent pathogens were Aspergillus and Mycobacterium tuberculosis. Gene analysis indicated that 132 cases (89%, 132/147) harbored CYBB pathogenic variants, 7 (5%, 7/147) carried CYBA pathogenic variants, 4 (3%, 4/147) had NCF1 pathogenic variants, and 4 (3%, 4/147) had NCF2 pathogenic variants. The overall mortality rate in this study was 43%, particularly the patients were males, with CYBB mutant and did not receive HSCT treatment. CONCLUSIONS Chronic granulomatous disease is a rare disease affecting Chinese children; however, it is often diagnosed at a later age, and thus, the mortality rate is relatively high. The prevalence and the severity of disease in XL-CGD are higher than AR-CGD.
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Affiliation(s)
- Li-Wei Gao
- China National Clinical Research Center for Respiratory Diseases, Beijing, China.,Department of Respiratory Medicine, Beijing Children's Hospital, Capital Medical University, Beijing, China.,National Center for Children's Health, Beijing, China
| | - Qing-Qin Yin
- China National Clinical Research Center for Respiratory Diseases, Beijing, China.,Department of Respiratory Medicine, Beijing Children's Hospital, Capital Medical University, Beijing, China.,National Center for Children's Health, Beijing, China
| | - Yue-Juan Tong
- National Center for Children's Health, Beijing, China.,Laboratory of Immunology, Beijing Pediatric Research Institute, Beijing Children's Hospital, Capital Medical University, Beijing, China
| | - Jin-Gang Gui
- National Center for Children's Health, Beijing, China.,Laboratory of Immunology, Beijing Pediatric Research Institute, Beijing Children's Hospital, Capital Medical University, Beijing, China
| | - Xiu-Yun Liu
- China National Clinical Research Center for Respiratory Diseases, Beijing, China.,Department of Respiratory Medicine, Beijing Children's Hospital, Capital Medical University, Beijing, China.,National Center for Children's Health, Beijing, China
| | - Xue-Li Feng
- China National Clinical Research Center for Respiratory Diseases, Beijing, China.,Department of Respiratory Medicine, Beijing Children's Hospital, Capital Medical University, Beijing, China.,National Center for Children's Health, Beijing, China
| | - Ju Yin
- China National Clinical Research Center for Respiratory Diseases, Beijing, China.,Department of Respiratory Medicine, Beijing Children's Hospital, Capital Medical University, Beijing, China.,National Center for Children's Health, Beijing, China
| | - Jun Liu
- China National Clinical Research Center for Respiratory Diseases, Beijing, China.,Department of Respiratory Medicine, Beijing Children's Hospital, Capital Medical University, Beijing, China.,National Center for Children's Health, Beijing, China
| | - Yan Guo
- China National Clinical Research Center for Respiratory Diseases, Beijing, China.,Department of Respiratory Medicine, Beijing Children's Hospital, Capital Medical University, Beijing, China.,National Center for Children's Health, Beijing, China
| | - Yao Yao
- China National Clinical Research Center for Respiratory Diseases, Beijing, China.,Department of Respiratory Medicine, Beijing Children's Hospital, Capital Medical University, Beijing, China.,National Center for Children's Health, Beijing, China
| | - Bao-Ping Xu
- China National Clinical Research Center for Respiratory Diseases, Beijing, China.,Department of Respiratory Medicine, Beijing Children's Hospital, Capital Medical University, Beijing, China.,National Center for Children's Health, Beijing, China
| | - Jian-Xin He
- China National Clinical Research Center for Respiratory Diseases, Beijing, China.,Department of Respiratory Medicine, Beijing Children's Hospital, Capital Medical University, Beijing, China.,National Center for Children's Health, Beijing, China
| | - Kun-Ling Shen
- China National Clinical Research Center for Respiratory Diseases, Beijing, China.,Department of Respiratory Medicine, Beijing Children's Hospital, Capital Medical University, Beijing, China.,National Center for Children's Health, Beijing, China
| | - Yu-Lung Lau
- Department of Pediatrics, Faculty of Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong, China
| | - Zai-Fang Jiang
- China National Clinical Research Center for Respiratory Diseases, Beijing, China.,Department of Respiratory Medicine, Beijing Children's Hospital, Capital Medical University, Beijing, China.,National Center for Children's Health, Beijing, China
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