Inflammatory cells granulomatous tissue

In the inherited syndrome of chronic granulomatous disease (CGD), cytochrome Z 245 is absent and consequently the respiratory burst cannot take place [6], Persistent, but selective, bacterial infections are seen in these patients. NADPH oxidase is useful as part of a controlled acute inflammatory response to bacterial invasion, but excessive activity of this enzyme might lead to tissue destruction. In addition to PMN s, other inflammatory cell types, e.g. lymphocytes and macrophages, possess a membrane NADPH oxidase [7], ROI production by these latter cell types may form part of an intercellular communication pathway important in the inflammatory response [8], and perhaps an absence of this cell signalling route in CGD patients is linked to the development of chronic granulomata in these patients. Interestingly, myeloperoxidase deficiency is not associated with disease. 

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