Ovsyannikova Galina, Pavlova Anna, Deordieva Ekaterina, Raykina Elena, Pshonkin Alexey, Maschan Alexey, Maschan Michael
Department of Pediatric Hematology and Oncology, Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Moscow, Russia.
Laboratory of Molecular Biology, Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Moscow, Russia.
Front Pediatr. 2022 Feb 22;10:801810. doi: 10.3389/fped.2022.801810. eCollection 2022.
GATA2 deficiency is one of the most common predisposing conditions for MDS in young individuals. It is characterized by autosomal dominant inheritance and a high rate of mutations. Here we describe the clinical phenotype and hematological presentation of 10 pediatric patients with GATA2 deficiency presented to the Dmitry Rogachev Center between 2013 and 2020. All patients had been referred for neutropenia or suspected aplastic anemia. While some patients presented with an immunological phenotype, others displayed monosomy 7 and MDS. The clinical presentation with MDS in infancy and the constitutional phenotypes in our patients underline the great variability in clinical manifestation. Careful description of cohorts with GATA2 deficiency from different countries and genetic backgrounds will help to unravel the enormous heterogeneity of this recently discovered genetic disorder.
GATA2缺陷是年轻个体中骨髓增生异常综合征(MDS)最常见的易感因素之一。其特征为常染色体显性遗传和高突变率。在此,我们描述了2013年至2020年间在德米特里·罗加乔夫中心就诊的10例GATA2缺陷儿科患者的临床表型和血液学表现。所有患者均因中性粒细胞减少症或疑似再生障碍性贫血前来就诊。一些患者表现出免疫表型,另一些则表现为7号染色体单体和MDS。婴儿期出现MDS的临床表现以及我们患者的体质表型突显了临床表现的巨大变异性。对来自不同国家和遗传背景的GATA2缺陷队列进行仔细描述,将有助于揭示这种最近发现的遗传疾病的巨大异质性。