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The paroxysmal nocturnal hemoglobinuria and myelodysplastic syndrome phenotypes were not explained by this mutation. We believe that the terms telomere disease or telomeropathy are more adequate than dyskeratosis congenita to describe the phenotype observed in this family. Mutations in the coding region of telomerase complex genes can result in accelerated telomere attrition and human disease. Prepublished online Feb 8. Neither the proband, her sister, or affected nephew showed abnormal pigmentation of the skin, nail dystrophy, or oral leukoplakia, nor was there evidence of pulmonary or immunologic problems, growth retardation, developmental delay, or microcephaly. This article has been cited by other articles in PMC.
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Telomerase reverse-transcriptase homozygous mutations in autosomal recessive dyskeratosis congenita and Hoyeraal-Hreidarsson syndrome. Error bars indicate SEM.
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Telomere measurement by quantitative PCR. A Pedigree of proband III Anti-NF-YA antibody was used for supershift assay. Pedigree, telomere length, and BM histology. Methods Patients and control subjects Diagnosis of AA was performed as described previously. This is the first description of a pathogenic mutation in the highly conserved CCAAT box and the first instance of a mutation in the promoter region of TERC producing a telomeropathy.
Her peripheral blood leukocyte telomere length was 5. Author information Article notes Copyright and License information Disclaimer. Prepublished online Feb 8. Transfection of HeLa cells resulted in comparable patterns Figure 2 D. Introduction Telomeres, the structures that cap the ends of linear chromosomes, consist in vertebrates of hundreds to thousands of TTAGGG repeats.
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Telomeres, the structures that cap the ends of linear chromosomes, consist in vertebrates of hundreds to thousands of TTAGGG repeats. Similar strategies may also be helpful for marrow failure syndromes such as Diamond-Blackfan anemia or Shwachman-Diamond syndrome, because with current approaches, a mutation can be identified only in approximately half of inherited marrow failure cases.
TERC mutations in children with refractory pgeto. We propose that current mutation-screening strategies should include gene promoter regions for the diagnosis of telomere diseases. Although wild-type unlabeled oligonucleotide out-competed binding waera wild-type probe to NF-Y, mutant unlabeled oligonucleotide did not Figure 2 B.
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Received Pteto 3; Accepted Feb 2. Decker and Dr T. The authors declare no competing financial interests. The relative luciferase activity of mutant constructs was decreased 3. Calado1, 4 and Neal S.
Diagnosis of AA was performed as described previously. A total of people served as control subjects. A Gel shift and supershift assays.
Slashed symbols indicate deceased d. We believe that the terms telomere disease or telomeropathy are more adequate than dyskeratosis congenita to describe the phenotype observed in this family.
Second, telomeropathies are a large spectrum of phenotypes, from no clinical manifestations to macrocytosis, AA, pulmonary fibrosis, or the more severe phenotype in wawrea Revesz syndrome, all with different prognoses. We provide the first example of a TERC promoter mutation producing a telomeropathy and the first instance of a mutation in a CCAAT box that is causative in human disease. Telomere length was measured as described previously. The mutation was absent in healthy subjects of various ethnic backgrounds.
This article has been cited by other articles in PMC. Footnotes The publication costs of this article were defrayed in part by page charge payment.
Winkler for kindly providing TERC expression data in fibroblasts. Oxford University Press;
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