WHIM syndrome is a disease of the immunesystem resulting in warts and frequent infections.The disease is caused by a dominant gain-of-functionmutation in a gene on chromosome 2 called CXCR4.A 38-year-old woman suffering with WHIM syndrome her entire life was suddenly and mysteriouslycured. Genome analysis of her blood precursor cells(stem cells) revealed that many of these cells had achromosome 2 that had undergone chromotripsis—arare (and poorly understood) process where a chromosome is “shattered” into small pieces that are subsequently stitched back together in random order, resultingin many deletions and inversions. Explain howchromotripsis of chromosome 2 in a blood stem cellcould have cured the woman of WHIM syndrome.
WHIM syndrome is a disease of the immune
system resulting in warts and frequent infections.
The disease is caused by a dominant gain-of-function
mutation in a gene on chromosome 2 called CXCR4.
A 38-year-old woman suffering with WHIM syndrome her entire life was suddenly and mysteriously
cured. Genome analysis of her blood precursor cells
(stem cells) revealed that many of these cells had a
chromosome 2 that had undergone chromotripsis—a
rare (and poorly understood) process where a chromosome is “shattered” into small pieces that are subsequently stitched back together in random order, resulting
in many deletions and inversions. Explain how
chromotripsis of chromosome 2 in a blood stem cell
could have cured the woman of WHIM syndrome.

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