Germline mutations in the transcription factor IKZF5 cause thrombocytopenia

© 2019 by The American Society of Hematology..

To identify novel causes of hereditary thrombocytopenia, we performed a genetic association analysis of whole-genome sequencing data from 13 037 individuals enrolled in the National Institute for Health Research (NIHR) BioResource, including 233 cases with isolated thrombocytopenia. We found an association between rare variants in the transcription factor-encoding gene IKZF5 and thrombocytopenia. We report 5 causal missense variants in or near IKZF5 zinc fingers, of which 2 occurred de novo and 3 co-segregated in 3 pedigrees. A canonical DNA-zinc finger binding model predicts that 3 of the variants alter DNA recognition. Expression studies showed that chromatin binding was disrupted in mutant compared with wild-type IKZF5, and electron microscopy revealed a reduced quantity of α granules in normally sized platelets. Proplatelet formation was reduced in megakaryocytes from 7 cases relative to 6 controls. Comparison of RNA-sequencing data from platelets, monocytes, neutrophils, and CD4+ T cells from 3 cases and 14 healthy controls showed 1194 differentially expressed genes in platelets but only 4 differentially expressed genes in each of the other blood cell types. In conclusion, IKZF5 is a novel transcriptional regulator of megakaryopoiesis and the eighth transcription factor associated with dominant thrombocytopenia in humans.

Errataetall:

CommentIn: Blood. 2019 Dec 5;134(23):2000-2002. - PMID 31805194

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:134

Enthalten in:

Blood - 134(2019), 23 vom: 05. Dez., Seite 2070-2081

Sprache:

Englisch

Beteiligte Personen:

Lentaigne, Claire [VerfasserIn]
Greene, Daniel [VerfasserIn]
Sivapalaratnam, Suthesh [VerfasserIn]
Favier, Remi [VerfasserIn]
Seyres, Denis [VerfasserIn]
Thys, Chantal [VerfasserIn]
Grassi, Luigi [VerfasserIn]
Mangles, Sarah [VerfasserIn]
Sibson, Keith [VerfasserIn]
Stubbs, Matthew [VerfasserIn]
Burden, Frances [VerfasserIn]
Bordet, Jean-Claude [VerfasserIn]
Armari-Alla, Corinne [VerfasserIn]
Erber, Wendy [VerfasserIn]
Farrow, Samantha [VerfasserIn]
Gleadall, Nicholas [VerfasserIn]
Gomez, Keith [VerfasserIn]
Megy, Karyn [VerfasserIn]
Papadia, Sofia [VerfasserIn]
Penkett, Christopher J [VerfasserIn]
Sims, Matthew C [VerfasserIn]
Stefanucci, Luca [VerfasserIn]
Stephens, Jonathan C [VerfasserIn]
Read, Randy J [VerfasserIn]
Stirrups, Kathleen E [VerfasserIn]
Ouwehand, Willem H [VerfasserIn]
Laffan, Michael A [VerfasserIn]
NIHR BioResource [VerfasserIn]
Frontini, Mattia [VerfasserIn]
Freson, Kathleen [VerfasserIn]
Turro, Ernest [VerfasserIn]

Links:

Volltext

Themen:

148971-36-2
Chromatin
IKZF5 protein, human
Ikaros Transcription Factor
Journal Article
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 17.03.2020

Date Revised 02.02.2021

published: Print

CommentIn: Blood. 2019 Dec 5;134(23):2000-2002. - PMID 31805194

Citation Status MEDLINE

doi:

10.1182/blood.2019000782

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM298333678