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. 2023 May 24;142(7):643–657. doi: 10.1182/blood.2022019304

Table 3.

Characteristics of patients carrying P/LP heterozygous germ line variants in genes involved in autosomal recessive disorders

Patient ID Age/sex Germ line
gene mutation
VAF myeloid VAF germ line Congenital S/D Somatic mutation
Cytogenetics (% abnormal metaphases) Hb g/dl ANC, ×109/L Plt, ×109/L Diagnosis Extrahematologic phenotype Family history of cancer hem/solid
Mutated gene VAF
PV1410 70/M CSF3R p.(P146fs) 0.43 0.46 SCN JAK2
U2AF1
ZRSR2
0.10
0.12
0.15
Failed 11.6 1.10 290 MDS/MPN + −/−
PV1515 45/F FANCD1 (BRCA2) p.(Y2624C) 0.44 0.48 FA/HBOC WT Failed 13.8 1.35 129 ICUS −/−
PV1949 25/M FANCD1 (BRCA2) p.(Y3226fs) 0.46 0.52 FA/HBOC WT 46XY 15.6 2.7 131 ICUS + −/−
PV2480 25/M DNAJC21 p.(Ter577fs) 0.53 0.50 SDS WT 46XY 13.2 0.57 151 ICUS + −/−
PV30044 50/M FANCD2 p.(P679fs) 0.48 0.45 FA DNMT3A 0.10 46XY 6 1.12 44 AML +/−
PV1174 38/F SBDS c.258+2T>C 0.40 0.48 SDS WT 46XX 14.6 1.8 144 ICUS −/-
PV1338 49/M SBDS c.258+2T>C 0.40 0.48 SDS ASXL1
NRAS
WT1
WT1
0.43
0.04
0.36
0.03
46XY 10.6 0.81 66 AML + −/-
PV2281 70/F SBDS c.258+2T>C 0.41 0.40 SDS TET2 0.38 46XX; del(5q) (60) 11.6 1.24 173 MDS del(5q) + −/−
PV2346 47/M SBDS c.258+2T>C 0.41 0.41 SDS PHF6
SRSF2
0.93
0.47
46XY 12.5 6.4 35 CCUS −/−
PV2360 47/M SBDS c.258+2T>C 0.40 0.40 SDS WT 46XY 12.8 2.5 209 ICUS −/+

ANC, absolute neutrophil count; F, female; FA/HBOC, Fanconi anemia/hereditary breast and ovarian cancer syndrome; Hb, hemoglobin concentration; Hem, hematopoietic; M, male; MDS/MPN, MDS/myeloproliferative neoplasm; MDS del(5q), myelodysplastic syndrome with deletion of chromosome 5q; Plt, platelet count; SCN, severe congenital neutropenia; S/D, syndrome/disorder; SDS, Shwachman-Diamond syndrome; WT, wild-type; VAF, variant allele frequency.

Heterozygous CSF3R and FANCD1 (BRCA2) variants were described, associated with predisposition to hematologic malignancies.34, 35, 36

Manual revision of the BAM files on the SBDS gene and its pseudogene SBDSP1 confirmed the absence of the variant p.(K62∗) in patients heterozygous for c.258+2T>C.