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Identification of acquired mutations by whole-genome sequencing in GATA-2 deficiency evolving into myelodysplasia and acute leukemia

Identifieur interne : 002A10 ( Main/Exploration ); précédent : 002A09; suivant : 002A11

Identification of acquired mutations by whole-genome sequencing in GATA-2 deficiency evolving into myelodysplasia and acute leukemia

Auteurs : Tohru Fujiwara [Japon] ; Noriko Fukuhara [Japon] ; Ryo Funayama [Japon] ; Naoki Nariai [Japon] ; Mayumi Kamata [Japon] ; Takeshi Nagashima [Japon] ; Kaname Kojima [Japon] ; Yasushi Onishi [Japon] ; Yoji Sasahara [Japon] ; Kenichi Ishizawa [Japon] ; Masao Nagasaki [Japon] ; Keiko Nakayama [Japon] ; Hideo Harigae [Japon]

Source :

RBID : PMC:4119934

Abstract

Heterozygous GATA-2 germline mutations are associated with overlapping clinical manifestations termed GATA-2 deficiency, characterized by immunodeficiency and predisposition to myelodysplastic syndrome (MDS) and acute myeloid leukemia (AML). However, there is considerable clinical heterogeneity among patients, and the molecular basis for the evolution of immunodeficiency into MDS/AML remains unknown. Thus, we conducted whole-genome sequencing on a patient with a germline GATA-2 heterozygous mutation (c. 988 C > T; p. R330X), who had a history suggestive of immunodeficiency and evolved into MDS/AML. Analysis was conducted with DNA samples from leukocytes for immunodeficiency, bone marrow mononuclear cells for MDS and bone marrow-derived mesenchymal stem cells. Whereas we did not identify a candidate genomic deletion that may contribute to the evolution into MDS, a total of 280 MDS-specific nonsynonymous single nucleotide variants were identified. By narrowing down with the single nucleotide polymorphism database, the functional missense database, and NCBI information, we finally identified three candidate mutations for EZH2, HECW2 and GATA-1, which may contribute to the evolution of the disease.

Electronic supplementary material

The online version of this article (doi:10.1007/s00277-014-2090-4) contains supplementary material, which is available to authorized users.


Url:
DOI: 10.1007/s00277-014-2090-4
PubMed: 24782121
PubMed Central: 4119934


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<p>Heterozygous
<italic>GATA</italic>
-
<italic>2</italic>
germline mutations are associated with overlapping clinical manifestations termed GATA-2 deficiency, characterized by immunodeficiency and predisposition to myelodysplastic syndrome (MDS) and acute myeloid leukemia (AML). However, there is considerable clinical heterogeneity among patients, and the molecular basis for the evolution of immunodeficiency into MDS/AML remains unknown. Thus, we conducted whole-genome sequencing on a patient with a germline GATA-2 heterozygous mutation (c. 988 C > T; p. R330X), who had a history suggestive of immunodeficiency and evolved into MDS/AML. Analysis was conducted with DNA samples from leukocytes for immunodeficiency, bone marrow mononuclear cells for MDS and bone marrow-derived mesenchymal stem cells. Whereas we did not identify a candidate genomic deletion that may contribute to the evolution into MDS, a total of 280 MDS-specific nonsynonymous single nucleotide variants were identified. By narrowing down with the single nucleotide polymorphism database, the functional missense database, and NCBI information, we finally identified three candidate mutations for
<italic>EZH2</italic>
,
<italic>HECW2</italic>
and
<italic>GATA</italic>
-
<italic>1</italic>
, which may contribute to the evolution of the disease.</p>
<sec>
<title>Electronic supplementary material</title>
<p>The online version of this article (doi:10.1007/s00277-014-2090-4) contains supplementary material, which is available to authorized users.</p>
</sec>
</div>
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<li>Japon</li>
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<li>Région de Tōhoku</li>
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<li>Sendai</li>
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<li>Université du Tōhoku</li>
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<name sortKey="Funayama, Ryo" sort="Funayama, Ryo" uniqKey="Funayama R" first="Ryo" last="Funayama">Ryo Funayama</name>
<name sortKey="Harigae, Hideo" sort="Harigae, Hideo" uniqKey="Harigae H" first="Hideo" last="Harigae">Hideo Harigae</name>
<name sortKey="Harigae, Hideo" sort="Harigae, Hideo" uniqKey="Harigae H" first="Hideo" last="Harigae">Hideo Harigae</name>
<name sortKey="Ishizawa, Kenichi" sort="Ishizawa, Kenichi" uniqKey="Ishizawa K" first="Kenichi" last="Ishizawa">Kenichi Ishizawa</name>
<name sortKey="Ishizawa, Kenichi" sort="Ishizawa, Kenichi" uniqKey="Ishizawa K" first="Kenichi" last="Ishizawa">Kenichi Ishizawa</name>
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<name sortKey="Kojima, Kaname" sort="Kojima, Kaname" uniqKey="Kojima K" first="Kaname" last="Kojima">Kaname Kojima</name>
<name sortKey="Nagasaki, Masao" sort="Nagasaki, Masao" uniqKey="Nagasaki M" first="Masao" last="Nagasaki">Masao Nagasaki</name>
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