The value of DHR-enzyme-linked immunosorbent assay in the diagnosis of chronic granulomatous disease by detecting NADPH oxidase complex activity

BackgroundA rapid, easy, and accurate method for screening Chronic Granulomatous Disease (CGD) is crucial. This study aimed to propose and evaluate the effectiveness of the DHR-Enzyme-linked immunosorbent assay (DHR-ELISA) for assessing NADPH oxidase complex activity in the early screening of CGD.Me...

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Main Authors: Wen Xiaohui, Zhao Shunying, Zhang Xiaoyan, Tang Xiaolei, Shen Yuelin, Liu Jinrong, Li Huimin, Liu Hui, Yang Haiming
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Pediatrics
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Online Access:https://www.frontiersin.org/articles/10.3389/fped.2025.1483173/full
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author Wen Xiaohui
Zhao Shunying
Zhang Xiaoyan
Tang Xiaolei
Shen Yuelin
Liu Jinrong
Li Huimin
Liu Hui
Yang Haiming
author_facet Wen Xiaohui
Zhao Shunying
Zhang Xiaoyan
Tang Xiaolei
Shen Yuelin
Liu Jinrong
Li Huimin
Liu Hui
Yang Haiming
author_sort Wen Xiaohui
collection DOAJ
description BackgroundA rapid, easy, and accurate method for screening Chronic Granulomatous Disease (CGD) is crucial. This study aimed to propose and evaluate the effectiveness of the DHR-Enzyme-linked immunosorbent assay (DHR-ELISA) for assessing NADPH oxidase complex activity in the early screening of CGD.MethodsWe conducted a retrospective analysis of 72 children suspected of having CGD who underwent NADPH oxidase activity assessment and genetic testing at Beijing Children's Hospital between July 2015 and January 2022.ResultsOf the subjects, 57 were male and 15 were female, resulting in a male-to-female ratio of 3.8:1. The median age at onset was 6 months, and the median age at diagnosis was 15 months. Thirty-eight patients were diagnosed with CGD based on typical clinical manifestations and genetic testing, exhibiting symptoms such as left lymphadenopathy or calcification (65.8%), a large Calmette-Guérin scar (60.5%), a history of skin or other lymph node infections (52.6%), and specific pulmonary infections (23.7%). Thirty-one patients exhibited normal enzyme activity, whereas 41 showed reduced activity. The DHR-ELISA method demonstrated a specificity of 90% and a sensitivity ranging from 90.5% to 100% in detecting CGD.ConclusionThe DHR-ELISA is a rapid, easy, cost-effective, and efficient method for screening CGD, making it suitable for early diagnosis and potentially improving prognosis.
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spelling doaj-art-9b3c855328d344b9840d58e9c6963dc42025-08-20T02:02:55ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-06-011310.3389/fped.2025.14831731483173The value of DHR-enzyme-linked immunosorbent assay in the diagnosis of chronic granulomatous disease by detecting NADPH oxidase complex activityWen XiaohuiZhao ShunyingZhang XiaoyanTang XiaoleiShen YuelinLiu JinrongLi HuiminLiu HuiYang HaimingBackgroundA rapid, easy, and accurate method for screening Chronic Granulomatous Disease (CGD) is crucial. This study aimed to propose and evaluate the effectiveness of the DHR-Enzyme-linked immunosorbent assay (DHR-ELISA) for assessing NADPH oxidase complex activity in the early screening of CGD.MethodsWe conducted a retrospective analysis of 72 children suspected of having CGD who underwent NADPH oxidase activity assessment and genetic testing at Beijing Children's Hospital between July 2015 and January 2022.ResultsOf the subjects, 57 were male and 15 were female, resulting in a male-to-female ratio of 3.8:1. The median age at onset was 6 months, and the median age at diagnosis was 15 months. Thirty-eight patients were diagnosed with CGD based on typical clinical manifestations and genetic testing, exhibiting symptoms such as left lymphadenopathy or calcification (65.8%), a large Calmette-Guérin scar (60.5%), a history of skin or other lymph node infections (52.6%), and specific pulmonary infections (23.7%). Thirty-one patients exhibited normal enzyme activity, whereas 41 showed reduced activity. The DHR-ELISA method demonstrated a specificity of 90% and a sensitivity ranging from 90.5% to 100% in detecting CGD.ConclusionThe DHR-ELISA is a rapid, easy, cost-effective, and efficient method for screening CGD, making it suitable for early diagnosis and potentially improving prognosis.https://www.frontiersin.org/articles/10.3389/fped.2025.1483173/fullchronic granulomatous diseasechildrenDHR-enzyme-linked immunosorbent assayNADPH oxidase complex activity detectionrespiratory burst
spellingShingle Wen Xiaohui
Zhao Shunying
Zhang Xiaoyan
Tang Xiaolei
Shen Yuelin
Liu Jinrong
Li Huimin
Liu Hui
Yang Haiming
The value of DHR-enzyme-linked immunosorbent assay in the diagnosis of chronic granulomatous disease by detecting NADPH oxidase complex activity
Frontiers in Pediatrics
chronic granulomatous disease
children
DHR-enzyme-linked immunosorbent assay
NADPH oxidase complex activity detection
respiratory burst
title The value of DHR-enzyme-linked immunosorbent assay in the diagnosis of chronic granulomatous disease by detecting NADPH oxidase complex activity
title_full The value of DHR-enzyme-linked immunosorbent assay in the diagnosis of chronic granulomatous disease by detecting NADPH oxidase complex activity
title_fullStr The value of DHR-enzyme-linked immunosorbent assay in the diagnosis of chronic granulomatous disease by detecting NADPH oxidase complex activity
title_full_unstemmed The value of DHR-enzyme-linked immunosorbent assay in the diagnosis of chronic granulomatous disease by detecting NADPH oxidase complex activity
title_short The value of DHR-enzyme-linked immunosorbent assay in the diagnosis of chronic granulomatous disease by detecting NADPH oxidase complex activity
title_sort value of dhr enzyme linked immunosorbent assay in the diagnosis of chronic granulomatous disease by detecting nadph oxidase complex activity
topic chronic granulomatous disease
children
DHR-enzyme-linked immunosorbent assay
NADPH oxidase complex activity detection
respiratory burst
url https://www.frontiersin.org/articles/10.3389/fped.2025.1483173/full
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