121
|
Heath KE, Campos-Barros A, Toren A, Rozenfeld-Granot G, Carlsson LE, Savige J, Denison JC, Gregory MC, White JG, Barker DF, Greinacher A, Epstein CJ, Glucksman MJ, Martignetti JA. Nonmuscle myosin heavy chain IIA mutations define a spectrum of autosomal dominant macrothrombocytopenias: May-Hegglin anomaly and Fechtner, Sebastian, Epstein, and Alport-like syndromes. Am J Hum Genet 2001; 69:1033-45. [PMID: 11590545 PMCID: PMC1274350 DOI: 10.1086/324267] [Citation(s) in RCA: 210] [Impact Index Per Article: 9.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2001] [Accepted: 08/31/2001] [Indexed: 01/20/2023] Open
Abstract
May-Hegglin anomaly (MHA) and Fechtner (FTNS) and Sebastian (SBS) syndromes are autosomal dominant platelet disorders that share macrothrombocytopenia and characteristic leukocyte inclusions. FTNS has the additional clinical features of nephritis, deafness, and cataracts. Previously, mutations in the nonmuscle myosin heavy chain 9 gene (MYH9), which encodes nonmuscle myosin heavy chain IIA (MYHIIA), were identified in all three disorders. The spectrum of mutations and the genotype-phenotype and structure-function relationships in a large cohort of affected individuals (n=27) has now been examined. Moreover, it is demonstrated that MYH9 mutations also result in two other FTNS-like macrothrombocytopenia syndromes: Epstein syndrome (EPS) and Alport syndrome with macrothrombocytopenia (APSM). In all five disorders, MYH9 mutations were identified in 20/27 (74%) affected individuals. Four mutations, R702C, D1424N, E1841K, and R1933X, were most frequent. R702C and R702H mutations were only associated with FTNS, EPS, or APSM, thus defining a region of MYHIIA critical in the combined pathogenesis of macrothrombocytopenia, nephritis, and deafness. The E1841K, D1424N, and R1933X coiled-coil domain mutations were common to both MHA and FTNS. Haplotype analysis using three novel microsatellite markers revealed that three E1841K carriers--one with MHA and two with FTNS--shared a common haplotype around the MYH9 gene, suggesting a common ancestor. The two new globular-head mutations, K371N and R702H, as well as the recently identified MYH9 mutation, R705H, which results in DFNA17, were modeled on the basis of X-ray crystallographic data. Altogether, our data suggest that MHA, SBS, FTNS, EPS, and APSM comprise a phenotypic spectrum of disorders, all caused by MYH9 mutations. On the basis of our genetic analyses, the name "MYHIIA syndrome" is proposed to encompass all of these disorders.
Collapse
Affiliation(s)
- Karen E. Heath
- Departments of Human Genetics and Pediatrics, and the Structural Neurobiology and Proteomics Laboratory, Fishberg Research Center of Neurobiology, Mount Sinai School of Medicine, New York; Department of Pediatric Endocrinology, Hospital Universitario Niño Jesús, Madrid; Department of Pediatric Hemato-Oncology and The Institute of Hematology, The Chaim Sheba Medical Center, Tel-Hashomer, Israel; Department of Immunology and Transfusion Medicine, Ernst-Moritz-Arndt University, Greifswald, Germany; Department of Medicine, Austin and Repatriation Medical Center, University of Melbourne, Heidelberg, Victoria, Australia; Departments of Physiology and Internal Medicine, University of Utah School of Medicine, Salt Lake City; Department of Pediatrics, University of Minnesota, Minneapolis; Department of Pediatrics, University of California, San Francisco; and Department of Biochemistry and Molecular Biology, Finch University of Health Sciences/Chicago Medical School, North Chicago, IL
| | - Angel Campos-Barros
- Departments of Human Genetics and Pediatrics, and the Structural Neurobiology and Proteomics Laboratory, Fishberg Research Center of Neurobiology, Mount Sinai School of Medicine, New York; Department of Pediatric Endocrinology, Hospital Universitario Niño Jesús, Madrid; Department of Pediatric Hemato-Oncology and The Institute of Hematology, The Chaim Sheba Medical Center, Tel-Hashomer, Israel; Department of Immunology and Transfusion Medicine, Ernst-Moritz-Arndt University, Greifswald, Germany; Department of Medicine, Austin and Repatriation Medical Center, University of Melbourne, Heidelberg, Victoria, Australia; Departments of Physiology and Internal Medicine, University of Utah School of Medicine, Salt Lake City; Department of Pediatrics, University of Minnesota, Minneapolis; Department of Pediatrics, University of California, San Francisco; and Department of Biochemistry and Molecular Biology, Finch University of Health Sciences/Chicago Medical School, North Chicago, IL
| | - Amos Toren
- Departments of Human Genetics and Pediatrics, and the Structural Neurobiology and Proteomics Laboratory, Fishberg Research Center of Neurobiology, Mount Sinai School of Medicine, New York; Department of Pediatric Endocrinology, Hospital Universitario Niño Jesús, Madrid; Department of Pediatric Hemato-Oncology and The Institute of Hematology, The Chaim Sheba Medical Center, Tel-Hashomer, Israel; Department of Immunology and Transfusion Medicine, Ernst-Moritz-Arndt University, Greifswald, Germany; Department of Medicine, Austin and Repatriation Medical Center, University of Melbourne, Heidelberg, Victoria, Australia; Departments of Physiology and Internal Medicine, University of Utah School of Medicine, Salt Lake City; Department of Pediatrics, University of Minnesota, Minneapolis; Department of Pediatrics, University of California, San Francisco; and Department of Biochemistry and Molecular Biology, Finch University of Health Sciences/Chicago Medical School, North Chicago, IL
| | - Galit Rozenfeld-Granot
- Departments of Human Genetics and Pediatrics, and the Structural Neurobiology and Proteomics Laboratory, Fishberg Research Center of Neurobiology, Mount Sinai School of Medicine, New York; Department of Pediatric Endocrinology, Hospital Universitario Niño Jesús, Madrid; Department of Pediatric Hemato-Oncology and The Institute of Hematology, The Chaim Sheba Medical Center, Tel-Hashomer, Israel; Department of Immunology and Transfusion Medicine, Ernst-Moritz-Arndt University, Greifswald, Germany; Department of Medicine, Austin and Repatriation Medical Center, University of Melbourne, Heidelberg, Victoria, Australia; Departments of Physiology and Internal Medicine, University of Utah School of Medicine, Salt Lake City; Department of Pediatrics, University of Minnesota, Minneapolis; Department of Pediatrics, University of California, San Francisco; and Department of Biochemistry and Molecular Biology, Finch University of Health Sciences/Chicago Medical School, North Chicago, IL
| | - Lena E. Carlsson
- Departments of Human Genetics and Pediatrics, and the Structural Neurobiology and Proteomics Laboratory, Fishberg Research Center of Neurobiology, Mount Sinai School of Medicine, New York; Department of Pediatric Endocrinology, Hospital Universitario Niño Jesús, Madrid; Department of Pediatric Hemato-Oncology and The Institute of Hematology, The Chaim Sheba Medical Center, Tel-Hashomer, Israel; Department of Immunology and Transfusion Medicine, Ernst-Moritz-Arndt University, Greifswald, Germany; Department of Medicine, Austin and Repatriation Medical Center, University of Melbourne, Heidelberg, Victoria, Australia; Departments of Physiology and Internal Medicine, University of Utah School of Medicine, Salt Lake City; Department of Pediatrics, University of Minnesota, Minneapolis; Department of Pediatrics, University of California, San Francisco; and Department of Biochemistry and Molecular Biology, Finch University of Health Sciences/Chicago Medical School, North Chicago, IL
| | - Judy Savige
- Departments of Human Genetics and Pediatrics, and the Structural Neurobiology and Proteomics Laboratory, Fishberg Research Center of Neurobiology, Mount Sinai School of Medicine, New York; Department of Pediatric Endocrinology, Hospital Universitario Niño Jesús, Madrid; Department of Pediatric Hemato-Oncology and The Institute of Hematology, The Chaim Sheba Medical Center, Tel-Hashomer, Israel; Department of Immunology and Transfusion Medicine, Ernst-Moritz-Arndt University, Greifswald, Germany; Department of Medicine, Austin and Repatriation Medical Center, University of Melbourne, Heidelberg, Victoria, Australia; Departments of Physiology and Internal Medicine, University of Utah School of Medicine, Salt Lake City; Department of Pediatrics, University of Minnesota, Minneapolis; Department of Pediatrics, University of California, San Francisco; and Department of Biochemistry and Molecular Biology, Finch University of Health Sciences/Chicago Medical School, North Chicago, IL
| | - Joyce C. Denison
- Departments of Human Genetics and Pediatrics, and the Structural Neurobiology and Proteomics Laboratory, Fishberg Research Center of Neurobiology, Mount Sinai School of Medicine, New York; Department of Pediatric Endocrinology, Hospital Universitario Niño Jesús, Madrid; Department of Pediatric Hemato-Oncology and The Institute of Hematology, The Chaim Sheba Medical Center, Tel-Hashomer, Israel; Department of Immunology and Transfusion Medicine, Ernst-Moritz-Arndt University, Greifswald, Germany; Department of Medicine, Austin and Repatriation Medical Center, University of Melbourne, Heidelberg, Victoria, Australia; Departments of Physiology and Internal Medicine, University of Utah School of Medicine, Salt Lake City; Department of Pediatrics, University of Minnesota, Minneapolis; Department of Pediatrics, University of California, San Francisco; and Department of Biochemistry and Molecular Biology, Finch University of Health Sciences/Chicago Medical School, North Chicago, IL
| | - Martin C. Gregory
- Departments of Human Genetics and Pediatrics, and the Structural Neurobiology and Proteomics Laboratory, Fishberg Research Center of Neurobiology, Mount Sinai School of Medicine, New York; Department of Pediatric Endocrinology, Hospital Universitario Niño Jesús, Madrid; Department of Pediatric Hemato-Oncology and The Institute of Hematology, The Chaim Sheba Medical Center, Tel-Hashomer, Israel; Department of Immunology and Transfusion Medicine, Ernst-Moritz-Arndt University, Greifswald, Germany; Department of Medicine, Austin and Repatriation Medical Center, University of Melbourne, Heidelberg, Victoria, Australia; Departments of Physiology and Internal Medicine, University of Utah School of Medicine, Salt Lake City; Department of Pediatrics, University of Minnesota, Minneapolis; Department of Pediatrics, University of California, San Francisco; and Department of Biochemistry and Molecular Biology, Finch University of Health Sciences/Chicago Medical School, North Chicago, IL
| | - James G. White
- Departments of Human Genetics and Pediatrics, and the Structural Neurobiology and Proteomics Laboratory, Fishberg Research Center of Neurobiology, Mount Sinai School of Medicine, New York; Department of Pediatric Endocrinology, Hospital Universitario Niño Jesús, Madrid; Department of Pediatric Hemato-Oncology and The Institute of Hematology, The Chaim Sheba Medical Center, Tel-Hashomer, Israel; Department of Immunology and Transfusion Medicine, Ernst-Moritz-Arndt University, Greifswald, Germany; Department of Medicine, Austin and Repatriation Medical Center, University of Melbourne, Heidelberg, Victoria, Australia; Departments of Physiology and Internal Medicine, University of Utah School of Medicine, Salt Lake City; Department of Pediatrics, University of Minnesota, Minneapolis; Department of Pediatrics, University of California, San Francisco; and Department of Biochemistry and Molecular Biology, Finch University of Health Sciences/Chicago Medical School, North Chicago, IL
| | - David F Barker
- Departments of Human Genetics and Pediatrics, and the Structural Neurobiology and Proteomics Laboratory, Fishberg Research Center of Neurobiology, Mount Sinai School of Medicine, New York; Department of Pediatric Endocrinology, Hospital Universitario Niño Jesús, Madrid; Department of Pediatric Hemato-Oncology and The Institute of Hematology, The Chaim Sheba Medical Center, Tel-Hashomer, Israel; Department of Immunology and Transfusion Medicine, Ernst-Moritz-Arndt University, Greifswald, Germany; Department of Medicine, Austin and Repatriation Medical Center, University of Melbourne, Heidelberg, Victoria, Australia; Departments of Physiology and Internal Medicine, University of Utah School of Medicine, Salt Lake City; Department of Pediatrics, University of Minnesota, Minneapolis; Department of Pediatrics, University of California, San Francisco; and Department of Biochemistry and Molecular Biology, Finch University of Health Sciences/Chicago Medical School, North Chicago, IL
| | - Andreas Greinacher
- Departments of Human Genetics and Pediatrics, and the Structural Neurobiology and Proteomics Laboratory, Fishberg Research Center of Neurobiology, Mount Sinai School of Medicine, New York; Department of Pediatric Endocrinology, Hospital Universitario Niño Jesús, Madrid; Department of Pediatric Hemato-Oncology and The Institute of Hematology, The Chaim Sheba Medical Center, Tel-Hashomer, Israel; Department of Immunology and Transfusion Medicine, Ernst-Moritz-Arndt University, Greifswald, Germany; Department of Medicine, Austin and Repatriation Medical Center, University of Melbourne, Heidelberg, Victoria, Australia; Departments of Physiology and Internal Medicine, University of Utah School of Medicine, Salt Lake City; Department of Pediatrics, University of Minnesota, Minneapolis; Department of Pediatrics, University of California, San Francisco; and Department of Biochemistry and Molecular Biology, Finch University of Health Sciences/Chicago Medical School, North Chicago, IL
| | - Charles J. Epstein
- Departments of Human Genetics and Pediatrics, and the Structural Neurobiology and Proteomics Laboratory, Fishberg Research Center of Neurobiology, Mount Sinai School of Medicine, New York; Department of Pediatric Endocrinology, Hospital Universitario Niño Jesús, Madrid; Department of Pediatric Hemato-Oncology and The Institute of Hematology, The Chaim Sheba Medical Center, Tel-Hashomer, Israel; Department of Immunology and Transfusion Medicine, Ernst-Moritz-Arndt University, Greifswald, Germany; Department of Medicine, Austin and Repatriation Medical Center, University of Melbourne, Heidelberg, Victoria, Australia; Departments of Physiology and Internal Medicine, University of Utah School of Medicine, Salt Lake City; Department of Pediatrics, University of Minnesota, Minneapolis; Department of Pediatrics, University of California, San Francisco; and Department of Biochemistry and Molecular Biology, Finch University of Health Sciences/Chicago Medical School, North Chicago, IL
| | - Marc J. Glucksman
- Departments of Human Genetics and Pediatrics, and the Structural Neurobiology and Proteomics Laboratory, Fishberg Research Center of Neurobiology, Mount Sinai School of Medicine, New York; Department of Pediatric Endocrinology, Hospital Universitario Niño Jesús, Madrid; Department of Pediatric Hemato-Oncology and The Institute of Hematology, The Chaim Sheba Medical Center, Tel-Hashomer, Israel; Department of Immunology and Transfusion Medicine, Ernst-Moritz-Arndt University, Greifswald, Germany; Department of Medicine, Austin and Repatriation Medical Center, University of Melbourne, Heidelberg, Victoria, Australia; Departments of Physiology and Internal Medicine, University of Utah School of Medicine, Salt Lake City; Department of Pediatrics, University of Minnesota, Minneapolis; Department of Pediatrics, University of California, San Francisco; and Department of Biochemistry and Molecular Biology, Finch University of Health Sciences/Chicago Medical School, North Chicago, IL
| | - John A. Martignetti
- Departments of Human Genetics and Pediatrics, and the Structural Neurobiology and Proteomics Laboratory, Fishberg Research Center of Neurobiology, Mount Sinai School of Medicine, New York; Department of Pediatric Endocrinology, Hospital Universitario Niño Jesús, Madrid; Department of Pediatric Hemato-Oncology and The Institute of Hematology, The Chaim Sheba Medical Center, Tel-Hashomer, Israel; Department of Immunology and Transfusion Medicine, Ernst-Moritz-Arndt University, Greifswald, Germany; Department of Medicine, Austin and Repatriation Medical Center, University of Melbourne, Heidelberg, Victoria, Australia; Departments of Physiology and Internal Medicine, University of Utah School of Medicine, Salt Lake City; Department of Pediatrics, University of Minnesota, Minneapolis; Department of Pediatrics, University of California, San Francisco; and Department of Biochemistry and Molecular Biology, Finch University of Health Sciences/Chicago Medical School, North Chicago, IL
| |
Collapse
|