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Rabbolini D, Liang HPH, Morel-Kopp MC, Connor D, Whittaker S, Dunkley S, Donikian D, Kondo M, Chen W, Stevenson WS, Campbell H, Joseph J, Ward C, Brighton T, Chen VM. Building platelet phenotypes: diaphanous-related formin 1 (DIAPH1)-related disorder. Platelets 2021; 33:432-442. [PMID: 34223798 DOI: 10.1080/09537104.2021.1937593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Variants of the Diaphanous-Related Formin 1 (DIAPH-1) gene have recently been reported causing inherited macrothrombocytopenia. The essential/"diagnostic" characteristics associated with the disorder are emerging; however, robust and complete criteria are not established. Here, we report the first cases of DIAPH1-related disorder in Australia caused by the autosomal dominant gain-of-function DIAPH1 R1213X variant formed by truncation of the protein within the diaphanous auto-regulatory domain (DAD) with loss of regulatory motifs responsible for autoinhibitory interactions within the DIAPH1 protein. We affirm phenotypic changes induced by the DIAPH1 R1213X variant to include macrothrombocytopenia, early-onset progressive sensorineural hearing loss, and mild asymptomatic neutropenia. High-resolution microscopy confirms perturbations of cytoskeletal dynamics caused by the DIAPH1 variant and we extend the repertoire of changes generated by this variant to include alteration of procoagulant platelet formation and possible dental anomalies.
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Affiliation(s)
- David Rabbolini
- Department of Haematology, Lismore Base Hospital, Lismore, NSW, Australia.,Northern Blood Research Centre, Kolling Institute of Medical Research, University of Sydney, Sydney, NSW, Australia
| | - Hai Po Helena Liang
- Platelets, Thrombosis and Cancer Research Laboratory, ANZAC Research Institute and Concord Repatriation Hospital, Concord, NSW, Australia
| | - Marie-Christine Morel-Kopp
- Northern Blood Research Centre, Kolling Institute of Medical Research, University of Sydney, Sydney, NSW, Australia
| | - David Connor
- St Vincent's Centre for Applied Medical Research, Sydney, NSW, Australia
| | - Shane Whittaker
- Platelets, Thrombosis and Cancer Research Laboratory, ANZAC Research Institute and Concord Repatriation Hospital, Concord, NSW, Australia
| | - Scott Dunkley
- Department of Haematology, The Royal Prince Alfred Hospital, Sydney, NSW, Australia
| | - Dea Donikian
- Department of Haematology, Prince of Wales Hospital, Sydney, NSW, Australia.,Haematology NSW Health Pathology Randwick, Sydney, NSW, Australia
| | - Mayuko Kondo
- Department of Haematology, Prince of Wales Hospital, Sydney, NSW, Australia.,Haematology NSW Health Pathology Randwick, Sydney, NSW, Australia
| | - Walter Chen
- Northern Blood Research Centre, Kolling Institute of Medical Research, University of Sydney, Sydney, NSW, Australia
| | - William S Stevenson
- Northern Blood Research Centre, Kolling Institute of Medical Research, University of Sydney, Sydney, NSW, Australia.,Department of Haematology and Transfusion Medicine, Royal North Shore Hospital, Sydney, NSW, Australia
| | - Heather Campbell
- Platelets, Thrombosis and Cancer Research Laboratory, ANZAC Research Institute and Concord Repatriation Hospital, Concord, NSW, Australia
| | - Joanne Joseph
- St Vincent's Centre for Applied Medical Research, Sydney, NSW, Australia.,Department of Haematology, St Vincent's Hospital, Sydney, NSW, Australia
| | - Christopher Ward
- Northern Blood Research Centre, Kolling Institute of Medical Research, University of Sydney, Sydney, NSW, Australia.,Department of Haematology and Transfusion Medicine, Royal North Shore Hospital, Sydney, NSW, Australia
| | - Timothy Brighton
- Department of Haematology, Prince of Wales Hospital, Sydney, NSW, Australia.,Haematology NSW Health Pathology Randwick, Sydney, NSW, Australia
| | - Vivien M Chen
- Platelets, Thrombosis and Cancer Research Laboratory, ANZAC Research Institute and Concord Repatriation Hospital, Concord, NSW, Australia.,Department of Haematology, Concord Repatriation General Hospital, Sydney, NSW, Australia
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