MPO Deficiency: Symptoms, Causes and Treatment

Written by Medicover Team and Medically Reviewed by Dr Nilesh Wasekar , Hematologists


Myeloperoxidase (MPO) deficiency is a rare genetic condition that affects the body's ability to produce an enzyme called myeloperoxidase. This enzyme plays a crucial role in the immune system by helping white blood cells fight off infections caused by bacteria and other harmful substances. Without enough MPO, individuals with this deficiency may have an impaired immune response, making them more susceptible to certain infections.


What Are the Types of Mpo Deficiency?

Individuals with MPO deficiency may experience varied manifestations, including susceptibility to infections and increased risk of certain health issues.

  • Type 1 Myeloperoxidase (MPO) Deficiency: Characterized by a complete absence of MPO enzyme activity in neutrophils.
  • Type 2 Myeloperoxidase (MPO) Deficiency: Involves reduced levels of functional MPO enzyme, leading to impaired neutrophil function.
  • Type 3 Myeloperoxidase (MPO) Deficiency: Rare genetic mutation affecting MPO gene expression, resulting in variable MPO enzyme activity levels.
  • Acquired Myeloperoxidase (MPO) Deficiency: Occurs due to certain medications, toxins, or medical conditions that inhibit MPO production or activity.
  • Functional Myeloperoxidase (MPO) Deficiency: Presents as impaired MPO enzyme function despite normal MPO levels, impacting neutrophil oxidative activity.

What Are the Symptoms of MPO Deficiency?

Individuals with MPO deficiency may experience a range of symptoms related to their immune system function.

  • Frequent infections
  • Delayed wound healing
  • Increased risk of autoimmune diseases

What Causes MPO Deficiency?

MPO deficiency is primarily caused by genetic mutations that affect the production or function of myeloperoxidase enzyme in the body.

Causes of MPO Deficiency:

  • Genetic mutations affecting the myeloperoxidase gene.
  • Autoimmune diseases targeting myeloperoxidase.
  • Certain medications or treatments that suppress MPO activity.

When Should You See a Doctor for MPO Deficiency?

Consult an hematologist if you experience frequent infections, delayed wound healing, or have a family history of immune disorders.

  • Frequent or recurrent bacterial or fungal infections
  • Slow wound healing
  • Persistent fever or unexplained infections
  • Recurrent skin or oral infections
  • Family history of immune deficiency disorders

Early diagnosis and appropriate treatment can help prevent complications and improve immune health.

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How Is MPO Deficiency Diagnosed?

MPO deficiency is typically diagnosed through specialized laboratory tests that assess the levels and activity of myeloperoxidase in the blood.

  • Blood tests
  • Genetic testing
  • Enzyme activity assays

How Is MPO Deficiency Treated?

MPO deficiency is managed through supportive care to address symptoms and prevent complications.

  • Vitamin C Supplementation: Providing high doses of vitamin C helps manage symptoms and prevent complications associated with MPO deficiency by supporting the immune system and reducing oxidative stress.
  • Antibiotic Therapy: Antibiotics may be prescribed to prevent infections in individuals with MPO deficiency due to their increased susceptibility to bacterial infections.
  • Bone Marrow Transplant: In severe cases of MPO deficiency, a bone marrow transplant may be considered to replace the faulty bone marrow cells with healthy ones that can produce functional myeloperoxidase.
  • Gene Therapy: Experimental gene therapy approaches are being studied for MPO deficiency to correct the genetic mutation responsible for the condition and restore normal myeloperoxidase production.
  • Symptom Management: Treatment may also involve managing specific symptoms such as respiratory issues, skin infections, and gastrointestinal problems to improve the quality of life for individuals with MPO deficiency.

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What Are the Risk Factors for MPO Deficiency?

Myeloperoxidase (MPO) deficiency may be influenced by genetic factors and certain medical conditions, potentially increasing susceptibility to infections and inflammatory disorders.

Frequently Asked Questions

1. What is MPO deficiency?

MPO deficiency is a rare genetic condition where the body produces lower levels of myeloperoxidase, an enzyme crucial for fighting infections.

2. What are the symptoms of MPO deficiency?

Common symptoms include recurrent infections, especially in the lungs and skin, as well as an increased risk of developing autoimmune disorders.

3. How is MPO deficiency diagnosed?

Diagnosis is typically confirmed through blood tests to measure myeloperoxidase levels and genetic testing to identify mutations in the MPO gene.

4. Is there a cure for MPO deficiency?

Currently, there is no cure for MPO deficiency. Treatment focuses on managing symptoms and preventing infections through antibiotics and other supportive measures.

5. What complications can arise from MPO deficiency?

Complications may include severe infections, chronic inflammation, and an increased risk of developing autoimmune conditions such as vasculitis or rheumatoid arthritis.

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