GATA-2 anomaly and clinical phenotype of a sporadic case of lymphedema, dendritic cell, monocyte, B- and NK-cell (DCML) deficiency, and myelodysplasia

被引:40
作者
Ishida, Hiroyuki [1 ]
Imai, Kosuke [2 ]
Honma, Kenichi [3 ]
Tamura, Shin-ichi [1 ]
Imamura, Toshihiko [4 ]
Ito, Masafumi [5 ]
Nonoyama, Shigeaki [3 ]
机构
[1] Matsushita Mem Hosp, Dept Pediat & Blood & Marrow Transplantat, Moriguchi, Osaka 5708540, Japan
[2] Tokyo Med & Dent Univ, Dept Pediat, Bunkyo Ku, Tokyo 1138510, Japan
[3] Natl Def Med Coll, Dept Pediat, Tokorozawa, Saitama 3598513, Japan
[4] Kyoto Prefectural Univ Med, Dept Pediat, Kamigyo Ku, Kyoto 6028566, Japan
[5] Japanese Red Cross Nagoya First Hosp, Dept Pathol, Nagoya, Aichi 4530046, Japan
关键词
Emberger syndrome; MonoMAC; Monocytopenia; B- and NK-cell lymphopenia; Immunodeficiency; Myelodysplasia; ACUTE MYELOID-LEUKEMIA; AUTOSOMAL-DOMINANT; EMBERGER SYNDROME; MUTATIONS; WT1;
D O I
10.1007/s00431-012-1715-7
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
A Japanese patient presented with lymphedema, severe Varicella zoster, and Salmonella infection, recurrent respiratory infections, panniculitis, monocytopenia, B- and NK-cell lymphopenia, and myelodysplasia. The phenotype was a mixture of the monocytopenia and mycobacterial infection (MonoMAC) and Emberger syndromes. Sequencing of the GATA-2 cDNA revealed the heterozygous missense mutation 1187 G > A. This mutation resulted in the amino acid mutation Arg396Gln in the zinc fingers-2 domain, which is predicted to cause significant structural change and prevent a critical interaction with DNA. Functional analysis of the patient's GATA-2 mutation is required to understand the relationship between these distinctive syndromes.
引用
收藏
页码:1273 / 1276
页数:4
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