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. 2022 May 19;54(6):847–857. doi: 10.3724/abbs.2022053

Table 1 Summary of the human genetic disorders associated with DNA repair defects in the hematopoietic system

Gene

Function

Hematological phenotype in mice model

Disorders (hematologicalphenotype) in human

Key kinases

ATM

Plays a central role in DDR

BMF with HSCs depletion

Ataxia-telangiectasia (defective B cell differentiation, decreased circulating T cells)

ATR

Plays a central role in DDR

Accelerated aging, dwarfism, pancytopenia accumulation of fat in the BM

Seckel syndrome (pancytopenia)

Genes in the FA/BRCA pathway

FANCA, FANCB, FANCC, FANCE, FANCF, FANCG/XRCC9, FANCL, FANCT/UBE2T

Constituting FA core complex to promote FANCD2/I ubiquitination

Do not spontaneously develop a BMF phenotype, unless there is additional exogenous stress

FA (BMF)

FANCD2, FANCI

Recruitment of downstream nucleases to excise DNA-ICLs

FANCP/SLX4, FANCQ/ERCC4/XPF

Structure-specific exonucleases

FANCD1/BRCA2, FANCJ/BRIP1, FANCN/PALB2, FANCU/XRCC2, FANCW/RFWD3

Repair of DSB by promoting HR

FANCV/REV7/MAD2L2

Bypasss the crosslink remnants; and repair of DSB by promoting NHEJ

Genes in DSB repair machinery

DNA-PKcs/PRKDC

Serine/threonine-protein kinase that recruit interacts with LIG4-XRCC4 complex to promote DSB end ligation, and essential for V(D)J recombination

BMF with HSCs depletion

Severe combined immunodeficiency (decreased circulating T and B cells)

LIG4

ATP-dependent DNA ligase that interacts with XRCC4 to promote DSB end ligation, and essential for V(D)J recombination

Immunodeficiency, BMF with HSCs depletion

LIG4 syndrome (pancytopenia)

NBS1

A member of MRN complex, promotes DSB end resection

BMF with HSCs depletion

Nijmegen breakage syndrome (autoimmune hemolytic anemia,thrombocytopenia post hemolytic anemia, decreased circulating T and B cells)

Genes in MMR pathway

MLH1, MSH2, MSH6, PMS2

Repair of mismatches

Hematopoietic malignancies (leukemia and lymphoma

Mismatch repair cancer syndrome (leukemia)

Others

ERCC6L2

May play a role in the NER pathway

None

BMF syndrome

ADH5 and ALDH2 (Digenic)

Detoxifying enzymes that metabolize formaldehyde and acetaldehyde, respectively

Depletion of LT-HSCs and CLPs

AMED syndrome (BMF)

BM, bone marrow; BMF, bone marrow failure; CLPs, lymphoid progenitor; DDR, DNA damage response; DNA-ICLs, DNA inter-strand crosslinks; DSB, double-strand break; FA, Fanconi anemia; LT-HSCs, long-term hematopoietic stem cells; MMR, mismatch repair; MRN, MRE11-RAD50-NBS1; NER, nucleotide excision repair; NHEJ, non-homologous end joining; HR, homologous recombination; REF, reference