A novel RUNX1 exon 3 - 7 deletion causing a familial platelet disorder

Familial Platelet Disorder with associated Myeloid Malignancy (FPDMM) is a rare inherited disorder confirmed with the presence of a pathogenic germline RUNX1 variant and is thought to be heavily underdiagnosed. RUNX1 has also been found to be mutated in up to 10% of adult AML cases and other cell ma...

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Main Authors: Ibrahim Almazni, Pavel Chudakou, Alison Dawson-Meadows, Kate Downes, Kathleen Freson, Joanne Mason, Paula Page, Kim Reay, Bethan Myers, Neil V Morgan
Format: Article
Language:English
Published: Taylor & Francis Group 2022-02-01
Series:Platelets
Subjects:
Online Access:http://dx.doi.org/10.1080/09537104.2021.1887470
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author Ibrahim Almazni
Pavel Chudakou
Alison Dawson-Meadows
Kate Downes
Kathleen Freson
Joanne Mason
Paula Page
Kim Reay
Bethan Myers
Neil V Morgan
author_facet Ibrahim Almazni
Pavel Chudakou
Alison Dawson-Meadows
Kate Downes
Kathleen Freson
Joanne Mason
Paula Page
Kim Reay
Bethan Myers
Neil V Morgan
author_sort Ibrahim Almazni
collection DOAJ
description Familial Platelet Disorder with associated Myeloid Malignancy (FPDMM) is a rare inherited disorder confirmed with the presence of a pathogenic germline RUNX1 variant and is thought to be heavily underdiagnosed. RUNX1 has also been found to be mutated in up to 10% of adult AML cases and other cell malignancies. We performed targeted next-generation sequencing and subsequent MLPA analysis in a kindred with multiple affected individuals with low platelet counts and a bleeding history. We detected a novel heterozygous exon 3–7 large deletion in the RUNX1 gene in all affected family members which is predicted to remove all of the Runt-homology DNA-binding domain and a portion of the Activation domain. Our results show that the combination of targeted NGS and MLPA analysis is an effective way to detect copy number variants (CNVs) which would be missed by conventional sequencing methods. This precise diagnosis offers the possibility of accurate counseling and clinical management in such patients who could go onto develop other cell malignancies.
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spelling doaj.art-bf5293d1d2774c9a91b06015384ba76f2023-09-15T10:38:09ZengTaylor & Francis GroupPlatelets0953-71041369-16352022-02-0133232032310.1080/09537104.2021.18874701887470A novel RUNX1 exon 3 - 7 deletion causing a familial platelet disorderIbrahim Almazni0Pavel Chudakou1Alison Dawson-Meadows2Kate Downes3Kathleen Freson4Joanne Mason5Paula Page6Kim Reay7Bethan Myers8Neil V Morgan9University of BirminghamLincoln County HospitalLincoln County HospitalCambridge University HospitalsUniversity of LeuvenBirmingham Women’s HospitalBirmingham Women’s HospitalBirmingham Women’s HospitalLincoln County HospitalUniversity of BirminghamFamilial Platelet Disorder with associated Myeloid Malignancy (FPDMM) is a rare inherited disorder confirmed with the presence of a pathogenic germline RUNX1 variant and is thought to be heavily underdiagnosed. RUNX1 has also been found to be mutated in up to 10% of adult AML cases and other cell malignancies. We performed targeted next-generation sequencing and subsequent MLPA analysis in a kindred with multiple affected individuals with low platelet counts and a bleeding history. We detected a novel heterozygous exon 3–7 large deletion in the RUNX1 gene in all affected family members which is predicted to remove all of the Runt-homology DNA-binding domain and a portion of the Activation domain. Our results show that the combination of targeted NGS and MLPA analysis is an effective way to detect copy number variants (CNVs) which would be missed by conventional sequencing methods. This precise diagnosis offers the possibility of accurate counseling and clinical management in such patients who could go onto develop other cell malignancies.http://dx.doi.org/10.1080/09537104.2021.1887470bleedingcnvngsplatelet disorderrunx1thrombocytopenia
spellingShingle Ibrahim Almazni
Pavel Chudakou
Alison Dawson-Meadows
Kate Downes
Kathleen Freson
Joanne Mason
Paula Page
Kim Reay
Bethan Myers
Neil V Morgan
A novel RUNX1 exon 3 - 7 deletion causing a familial platelet disorder
Platelets
bleeding
cnv
ngs
platelet disorder
runx1
thrombocytopenia
title A novel RUNX1 exon 3 - 7 deletion causing a familial platelet disorder
title_full A novel RUNX1 exon 3 - 7 deletion causing a familial platelet disorder
title_fullStr A novel RUNX1 exon 3 - 7 deletion causing a familial platelet disorder
title_full_unstemmed A novel RUNX1 exon 3 - 7 deletion causing a familial platelet disorder
title_short A novel RUNX1 exon 3 - 7 deletion causing a familial platelet disorder
title_sort novel runx1 exon 3 7 deletion causing a familial platelet disorder
topic bleeding
cnv
ngs
platelet disorder
runx1
thrombocytopenia
url http://dx.doi.org/10.1080/09537104.2021.1887470
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