2020
DOI: 10.1016/j.ijid.2020.07.040
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Neisseria meningitidis inside neutrophils, revealing properdin deficiency

Abstract: A 20-month-old baby boy was referred to the pediatric emergency unit for hypotonia, fever and necrotic purpura. A suspected septic shock, complicated by disseminated intravascular coagulation, led to transfer to intensive care.Complete blood count disclosed leucopenia (2.58 Â 10 9 /L) with neutropenia (0.28 Â 10 9 /L) subnormal lymphocytes (2.13 Â 10 9 /L) Figure 1. Bacteria of diplicoccal appearance inside peripheral blood neutrophils.

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“…A young childbearing carrying this mutation had less than 10% AP activity and died due to Neisseria menigitidis infection. 60 As alluded to already, we also described a type II deficiency caused by mutation of glutamate 244 to lysine in TSR3, which results in absence of AP activity. Recombinant FP E244K is secreted in cell culture almost exclusively as a monomer with a compact structure 19 that is likely to be shared with the wildtype but rare FP1 single-chain monomer (Figure 2).…”
Section: A S Truc Ture-ba S Ed Under S Tanding Of Properdin Deficien ...mentioning
confidence: 58%
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“…A young childbearing carrying this mutation had less than 10% AP activity and died due to Neisseria menigitidis infection. 60 As alluded to already, we also described a type II deficiency caused by mutation of glutamate 244 to lysine in TSR3, which results in absence of AP activity. Recombinant FP E244K is secreted in cell culture almost exclusively as a monomer with a compact structure 19 that is likely to be shared with the wildtype but rare FP1 single-chain monomer (Figure 2).…”
Section: A S Truc Ture-ba S Ed Under S Tanding Of Properdin Deficien ...mentioning
confidence: 58%
“…Accordingly, only very low levels of recombinant FP C32Y could be expressed in mammalian cell culture compared with the wildtype FP. A young childbearing carrying this mutation had less than 10% AP activity and died due to Neisseria menigitidis infection 60 …”
Section: A Structure‐based Understanding Of Properdin Deficienciesmentioning
confidence: 99%
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