HCLS1-Associated Protein X1

Alternative Names

  • HAX1
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OMIM Number

605998

Gene Map Locus
1q21.3

Description

The HAX1 gene encodes a protein called HS-1-associated protein X-1 (HAX-1) that is mainly localized in the mitochondria with a ubiquitous expression.  The HAX-1 protein plays a role in neutrophil-specific apoptosis, promotes cell survival and potentiates cell migration.  Defects in this protein have been associated with severe congenital neutropenia, a disease characterized by abnormally low levels of neutrophils (neutropenia), and onset of severe bacterial infections.

Molecular Genetics

The HAX1 gene was mapped to chromosome 1q21.3; it consists of seven coding exons and encodes a 279 amino acid protein, with a molecular weight of 35 kDa.  This gene has two alternatively spliced transcript variants.  More than 10 different mutations have been identified in the HAX1 gene in patients with severe congenital neutropenia.  These mutations result in a nonfunctional protein that leads to the premature death of neutrophils.

Epidemiology in the Arab World

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Other Reports

Saudi Arabia

Faiyaz-Ul-Haque et al., (2010) reported a 12-year-old boy who presented since birth with recurrent skin abscesses and pustules, cervical lymphadenopathy, and oral ulcers.  At the age of 2 years he was diagnosed with severe congenital neutropenia.  He developed neurological symptoms including: ataxia, loss of posture, and brief daily episodes of atomic seizers.  He had significant dysarthria and linguistic immaturity, hyperactivity, motor clumsiness, attention problem, and weak fine motor control.  Sequencing of the HAX1 gene showed a novel homozygous frameshift mutation c.463_464insC in exon 3 that resulted in a truncated protein (p.Gln155ProfdX14).

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