Table 3.
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.