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A rare abnormality of eosinophil granulocytes characterized by decreased or absent peroxidase activity and decreased volume of the granule matrix.
Features include always present findings: Eosinophil nuclear hypersegmentation.
EPX encodes eosinophil peroxidase (715 aa). Mediates tyrosine nitration of secondary granule proteins in mature resting eosinophils. Highest expression in Brain Cerebellum (2.5 TPM) and Brain Cerebellar Hemisphere (2.5 TPM).
Eosinophil peroxidase deficiency is associated with mutations in the EPX gene on chromosome 17.
EPX is classified as a druggable target (Druggable Genome and Enzyme categories) with score 0.0.
Genetic testing for EPX is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 1 always present feature.
No clinical trials have been registered for eosinophil peroxidase deficiency.
3 publications have been identified in PubMed for eosinophil peroxidase deficiency. Research spans Basic Science / Preclinical (67%) and Review / Meta-Analysis (33%).
Xie L (2025). [PMID: 39349246](https://pubmed.ncbi.nlm.nih.gov/39349246/). *Cell Mol Gastroenterol Hepatol*. [Review / Meta-Analysis]
Fettrelet T (2024). [PMID: 39682685](https://pubmed.ncbi.nlm.nih.gov/39682685/). *Cells*. [Basic Science / Preclinical]
Zhu C (2024). [PMID: 39214980](https://pubmed.ncbi.nlm.nih.gov/39214980/). *Cell Death Dis*. [Basic Science / Preclinical]
Data assembled from 5 of 12 sources · Last updated Sep 19, 2026, 10:42 PM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center