Genotype-phenotype correlation in MYH9-related thrombocytopenia.
Mutation of the non-muscle myosin heavy chain type II-A results in MYH9-related hereditary macrothrombocytopenia (HMTC), including four autosomal dominant platelet disorders: May-Hegglin anomaly (MHA), Sebastian (SBS), Fechtner (FS) and Epstein (EPS) syndrome. Denaturing high-performance liquid chromatography (DHPLC) was optimised for rapid screening of the seven exons harbouring all but one of the previously reported mutations of MYH9. Individuals from 13 families with phenotypes suggestive of MYH9-related HMTC were screened for mutations by DHPLC followed by direct sequencing of samples with aberrant column retention time. Mutations were identified in all 13 families. Six distinct missense heterozygous mutations were found in 10 families, including six families with MHA or SBS (E1841K, D1424N), three families with FS (R702H, R1165C, and D1424Y), and one family with EPS (S96L). A truncating mutation (R1933X) was found in three MHA families. A review of all published mutations suggests that mutation in the C-terminal coiled coil region or truncation of the tailpiece is associated with haematological-only phenotype, while mutation of the head ATPase domain frequently is associated with nephropathy and/or hearing loss. Mutations of other regions have intermediate expression of non-haematological characteristics. Further study is required to confirm these associations and understand the molecular basis for this genotype-phenotype relationship.
Dong
Fan
F
Department of Medicine, Duke University Medical Center and Hematology/Oncology, Durham Veterans Affairs Hospital, Durham, NC 27705, USA.
Li
Sufeng
S
Pujol-Moix
Núria
N
Luban
Naomi L C
NL
Shin
Sang Won
SW
Seo
Jae Hong
JH
Ruiz-Saez
Arlette
A
Demeter
Judit
J
Langdon
Scott
S
Kelley
Michael J
MJ
D001791:Blood Platelet Disorders / Q000235:genetics*; D002851:Chromatography, High Pressure Liquid / Q000379:methods; D004252:DNA Mutational Analysis; D005799:Genes, Dominant; D005838:Genotype; D034381:Hearing Loss / Q000235:genetics; D006579:Heterozygote; D006801:Humans; D007674:Kidney Diseases / Q000235:genetics; D020409:Molecular Motor Proteins / Q000235:genetics*; D020125:Mutation, Missense; D018995:Myosin Heavy Chains / Q000235:genetics*; D010641:Phenotype; D013921:Thrombocytopenia / Q000235:genetics*
C103814:MYH9 protein, human; D020409:Molecular Motor Proteins; D018995:Myosin Heavy Chains