We report a familiar syndrome of recurrent heterogeneous infectious di
seases, caused by bacteria, fungi, and viruses,,which has as its only
detectable defect the lack of CD53 antigen expression in neutrophils.
All other assays ruled out known causes of recurrent infectious diseas
es due to either leukocyte adhesion or phagocytosis defects. CD53 belo
ngs to the transmembrane-4 superfamily of proteins, which are a novel
group of membrane proteins implicated in growth regulation and cell mo
tility and possibly cell adhesion. We postulate that defects in these
membrane proteins can be clinically manifested as complex recurrent in
fections.