PMID- 10508512 OWN - NLM STAT- MEDLINE DCOM- 19991019 LR - 20220331 IS - 1061-4036 (Print) IS - 1061-4036 (Linking) VI - 23 IP - 2 DP - 1999 Oct TI - Haploinsufficiency of CBFA2 causes familial thrombocytopenia with propensity to develop acute myelogenous leukaemia. PG - 166-75 AB - Familial platelet disorder with predisposition to acute myelogenous leukaemia (FPD/AML, MIM 601399) is an autosomal dominant disorder characterized by qualitative and quantitative platelet defects, and propensity to develop acute myelogenous leukaemia (AML). Informative recombination events in 6 FPD/AML pedigrees with evidence of linkage to markers on chromosome 21q identified an 880-kb interval containing the disease gene. Mutational analysis of regional candidate genes showed nonsense mutations or intragenic deletion of one allele of the haematopoietic transcription factor CBFA2 (formerly AML1) that co-segregated with the disease in four FPD/AML pedigrees. We identified heterozygous CBFA2 missense mutations that co-segregated with the disease in the remaining two FPD/AML pedigrees at phylogenetically conserved amino acids R166 and R201, respectively. Analysis of bone marrow or peripheral blood cells from affected FPD/AML individuals showed a decrement in megakaryocyte colony formation, demonstrating that CBFA2 dosage affects megakaryopoiesis. Our findings support a model for FPD/AML in which haploinsufficiency of CBFA2 causes an autosomal dominant congenital platelet defect and predisposes to the acquisition of additional mutations that cause leukaemia. FAU - Song, W J AU - Song WJ AD - Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA. FAU - Sullivan, M G AU - Sullivan MG FAU - Legare, R D AU - Legare RD FAU - Hutchings, S AU - Hutchings S FAU - Tan, X AU - Tan X FAU - Kufrin, D AU - Kufrin D FAU - Ratajczak, J AU - Ratajczak J FAU - Resende, I C AU - Resende IC FAU - Haworth, C AU - Haworth C FAU - Hock, R AU - Hock R FAU - Loh, M AU - Loh M FAU - Felix, C AU - Felix C FAU - Roy, D C AU - Roy DC FAU - Busque, L AU - Busque L FAU - Kurnit, D AU - Kurnit D FAU - Willman, C AU - Willman C FAU - Gewirtz, A M AU - Gewirtz AM FAU - Speck, N A AU - Speck NA FAU - Bushweller, J H AU - Bushweller JH FAU - Li, F P AU - Li FP FAU - Gardiner, K AU - Gardiner K FAU - Poncz, M AU - Poncz M FAU - Maris, J M AU - Maris JM FAU - Gilliland, D G AU - Gilliland DG LA - eng SI - GENBANK/AJ229041 SI - GENBANK/AJ229042 SI - GENBANK/AJ229043 SI - GENBANK/AP000032 SI - GENBANK/AP000033 SI - GENBANK/AP000034 SI - GENBANK/AP000035 SI - GENBANK/AP000036 SI - GENBANK/AP000037 SI - GENBANK/AP000038 SI - GENBANK/AP000039 SI - GENBANK/AP000040 SI - GENBANK/AP000041 SI - GENBANK/AP000042 SI - GENBANK/AP000043 SI - GENBANK/AP000044 SI - GENBANK/AP000045 SI - GENBANK/AP000046 SI - GENBANK/AP000047 SI - GENBANK/AP000048 SI - GENBANK/AP000049 SI - GENBANK/AP000050 SI - GENBANK/AP000051 SI - GENBANK/AP000052 SI - GENBANK/AP000053 SI - GENBANK/AP000054 SI - GENBANK/AP000055 SI - GENBANK/AP000056 SI - GENBANK/AP000057 GR - R01 CA78545/CA/NCI NIH HHS/United States GR - R01 CA81932/CA/NCI NIH HHS/United States GR - R29 AI39536/AI/NIAID NIH HHS/United States GR - etc. PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Nat Genet JT - Nature genetics JID - 9216904 RN - 0 (Core Binding Factor Alpha 2 Subunit) RN - 0 (DNA-Binding Proteins) RN - 0 (Proto-Oncogene Proteins) RN - 0 (RUNX1 protein, human) RN - 0 (Transcription Factors) RN - 63231-63-0 (RNA) SB - IM CIN - Nat Genet. 1999 Oct;23(2):134-5. PMID: 10508502 MH - Amino Acid Sequence MH - Base Sequence MH - Blood Platelets/metabolism MH - Chromosome Mapping MH - Colony-Forming Units Assay MH - Core Binding Factor Alpha 2 Subunit MH - DNA Mutational Analysis MH - *DNA-Binding Proteins MH - Family Health MH - Female MH - Genetic Predisposition to Disease MH - Genotype MH - Hematopoiesis/genetics MH - Heterozygote MH - Humans MH - In Situ Hybridization, Fluorescence MH - Leukemia, Myeloid, Acute/*genetics MH - Male MH - Megakaryocytes/cytology/metabolism MH - Microsatellite Repeats MH - Molecular Sequence Data MH - Mutation MH - Pedigree MH - *Proto-Oncogene Proteins MH - RNA/genetics/metabolism MH - Reverse Transcriptase Polymerase Chain Reaction MH - Sequence Deletion MH - Sequence Homology, Amino Acid MH - Sequence Homology, Nucleic Acid MH - Thrombocytopenia/*genetics MH - Transcription Factors/*genetics EDAT- 1999/10/03 09:00 MHDA- 2001/03/23 10:01 CRDT- 1999/10/03 09:00 PHST- 1999/10/03 09:00 [pubmed] PHST- 2001/03/23 10:01 [medline] PHST- 1999/10/03 09:00 [entrez] AID - 10.1038/13793 [doi] PST - ppublish SO - Nat Genet. 1999 Oct;23(2):166-75. doi: 10.1038/13793.