PMID- 37254856 OWN - NLM STAT- MEDLINE DCOM- 20230601 LR - 20230917 IS - 1531-7048 (Electronic) IS - 1065-6251 (Print) IS - 1065-6251 (Linking) VI - 30 IP - 4 DP - 2023 Jul 1 TI - Chediak-Higashi syndrome. PG - 144-151 LID - 10.1097/MOH.0000000000000766 [doi] AB - PURPOSE OF REVIEW: Chediak-Higashi syndrome is a rare autosomal recessive disorder characterized by congenital immunodeficiency, bleeding diathesis, pyogenic infection, partial oculocutaneous albinism, and progressive neurodegeneration. Treatment is hematopoietic stem cell transplantation or bone marrow transplantation; however, this does not treat the neurologic aspect of the disease. Mutations in the lysosomal trafficking regulator (LYST) gene were identified to be causative of Chediak-Higashi, but despite many analyses, there is little functional information about the LYST protein. This review serves to provide an update on the clinical manifestations and cellular defects of Chediak-Higashi syndrome. RECENT FINDINGS: More recent papers expand the neurological spectrum of disease in CHS, to include hereditary spastic paraplegia and parkinsonism. Granule size and distribution in NK cells have been investigated in relation to the location of mutations in LYST. Patients with mutations in the ARM/HEAT domain had markedly enlarged granules, but fewer in number. By contrast, patients with mutations in the BEACH domain had more numerous granules that were normal in size to slightly enlarged, but demonstrated markedly impaired polarization. The role of LYST in autophagosome formation has been highlighted in recent studies; LYST was defined to have a prominent role in autophagosome lysosome reformation for the maintenance of lysosomal homeostasis in neurons, while in retinal pigment epithelium cells, LYST deficiency was shown to lead to phagosome accumulation. SUMMARY: Despite CHS being a rare disease, investigation into LYST provides an understanding of basic vesicular fusion and fission. Understanding of these mechanisms may provide further insight into the function of LYST. CI - Copyright (c) 2023 Wolters Kluwer Health, Inc. All rights reserved. FAU - Talbert, Mackenzie L AU - Talbert ML AD - Human Biochemical Genetics Section, Medical Genetics Branch. FAU - Malicdan, May Christine V AU - Malicdan MCV AD - Human Biochemical Genetics Section, Medical Genetics Branch. AD - Undiagnosed Diseases Program. AD - Office of the Clinical Director, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA. FAU - Introne, Wendy J AU - Introne WJ AD - Human Biochemical Genetics Section, Medical Genetics Branch. AD - Office of the Clinical Director, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA. LA - eng GR - Z99 HG999999/ImNIH/Intramural NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20230425 PL - United States TA - Curr Opin Hematol JT - Current opinion in hematology JID - 9430802 RN - 0 (Vesicular Transport Proteins) SB - IM MH - Humans MH - *Chediak-Higashi Syndrome/diagnosis/genetics/therapy MH - Vesicular Transport Proteins/genetics/metabolism MH - Lysosomes/metabolism MH - Bone Marrow Transplantation MH - Mutation PMC - PMC10501739 MID - NIHMS1889743 COIS- Conflicts of interest The authors have no conflict of interest to declare. EDAT- 2023/05/31 13:11 MHDA- 2023/06/01 06:42 PMCR- 2024/07/01 CRDT- 2023/05/31 06:03 PHST- 2024/07/01 00:00 [pmc-release] PHST- 2023/06/01 06:42 [medline] PHST- 2023/05/31 13:11 [pubmed] PHST- 2023/05/31 06:03 [entrez] AID - 00062752-202307000-00008 [pii] AID - 10.1097/MOH.0000000000000766 [doi] PST - ppublish SO - Curr Opin Hematol. 2023 Jul 1;30(4):144-151. doi: 10.1097/MOH.0000000000000766. Epub 2023 Apr 25.