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. Author manuscript; available in PMC: 2019 Jul 1.
Published in final edited form as: Mayo Clin Proc. 2018 May 24;93(7):904–916. doi: 10.1016/j.mayocp.2018.03.020

Table 1.

Table summarizing short telomere syndromes, associated genes and their respective modes of inheritance.

Disease Inheritance Associated genes Reference

Bone marrow failure associated with short telomere syndromes

a Dyskeratosis congenita X- linked recessive (more common) Telomerase biogenesis:
DKC1 Heiss NS et al. Nat Gent 1998.39

Autosomal dominant Telomerase core components:
TERT Vulliamy T et al. Nature 2001.63
TERC Armanios M et al. PNAS 2005.40
Vulliamy TJ et al. Blood 2006.41
Shelterin component:
TIN2 Savage SA et al. Am J Hum Genet 2008.11

Autosomal recessive Telomerase biogenesis:
NOP10 (NOLA3) Walne AJ et al. Hum Mol Genet 200742
NHP2 Vulliamy T et al. Proc Natl Acad 2008.43
Telomerase trafficking:
TCAB1 Zhong F et al. Genes Dev 2011.44

b Hoyeraal-Hreidarsson syndrome X-linked recessive Telomerase biogenesis:
DKC1 Glousker et al. Br J Hematol 2015.64
Autosomal dominant Shelterin components: Kocak H et al. Gene&Dev 2014.65
TIN2

Autosomal recessive Telomerase core components:
TERT
Shelterin components:
ACD (encoding TPP1),
Telomeric DNA synthesis:
RTEL1

Revesz syndrome Autosomal dominant Shelterin component:
TIN2 Savage SA et al. Am J Human Genet 2008.11

Cerebroretinal microangiopathy with calcifications and cysts (Coats plus disease) Autosomal recessive Telomeric DNA synthesis:
CTC1, STN1 (part of the CTC complex) Anderson et al. Nat Gent 2012.66
Simon AJ et al. JEM 2016.67

Aplastic anemia Autosomal dominant Telomerase core components:
TERT Guo Y et al. Blood 2014.56
TERC Martinez P et al. JCB 2017.1

X-linked recessive Autosomal recessive Telomerase biogenesis: Joksic I et al. Genome Integr 2012.68
DKC1
NOP10
NHP2

Fanconi anemia Autosomal dominant Shelterin components:
ACD

Autosomal recessive FANCD2

Pulmonary short telomere syndromes

Idiopathic pulmonary fibrosis; or familial lung fibrosis or fibrotic idiopathic interstitial pneumonias. Autosomal dominant Telomerase core components:
TERC Armanios MY et al. NEJM 2007.69
TERT Fingerlin TE et al. Nat Gen 2013.18
Telomerase biogenesis:
NAF1 Stanley SE et al. Sci Transl Med 2016.4

GI short telomere syndromes

Cryptogenic cirrhosis Or Nodular regenerative hyperplasia Autosomal dominant Telomerase core components: Calado RT et al. Plos One 2009.22
TERT
TERC

Others

Rothmund-Thomson syndrome Autosomal recessive c RECQL4 Ghosh et al. J Biol Chem 2012.70

ICF (Immunodeficiency, centromeric region instability and facial anomalies type 1) Autosomal recessive dDNMT3B Xu GL et al. Nature 1999.24
Yehezkel et al. Frontiers in Oncology 2013.25

Facioscapulohumeral muscular dystrophy Autosomal dominant DUX4 Stadler G et al. Nat Struct Mol Biol 2013.71
a

~40% patients with DKC still have un-identified mutations;

b

Considered a severe variant of DKC;

c

Plays a role in telomere maintenance;

d

Causes abnormally short telomeres, hypomethylation of subtelomeric regions and elevated levels of abnormal telomeric transcripts known as TERRA.