Genetic and clinical features of 57 patients with GATA2 deficiency
Patient . | Gender . | Mutation* . | Mutation Group† . | Age at first illness‡ . | Bone marrow pathology . | Severe viral infections . | Mycobacterial, fungal, and other invasive infections . | Other clinical features . | Age at first and last NIH visit . | Reference . | ||
---|---|---|---|---|---|---|---|---|---|---|---|---|
. | . | Genomic . | Protein . | . | . | . | . | . | . | First . | Last . | . |
7.I.1 | F | Uniallelic expression | ——- | U | 51 | MDS, LGL | HPV | M kansasii | PAP, metastatic melanoma, DVT | 53 | 64§ | 1, 12 |
23.I.3 | M | Uniallelic expression | ——- | U | 21 | MDS | MAC | 22 | 26§ | 2, 12 | ||
29.I.1 | F | Uniallelic expression | ——- | U | 45 | MDS/AML, +8 | HPV | HT | 45 | 48 | 12 | |
13.I.1‖ | F | 1-200_871+527del2033ins7 | M1del290 | N | 40 | HPV | Lymphedema | 60 | 60 | 1, 2, 19 | ||
13.II.1 | M | 1-200_871+527del2033ins7 | M1del290 | N | 33 | MDS/AML, −7 | HPV, HSV | Histoplasmosis, MAC, Neosartorya udagawae | PAP, PAH | 33 | 34§ | 1, 2, 19 |
8.I.1 | M | 243_244delAinsGC | G81fs | N | 9 | MDS, smoldering myeloma | HPV | MAC, soft tissue aspergillosis | PAP, PAH | 27 | 36 | 1, 2, 12, 25 |
26.I.1 | F | 302delG | G101AfsX16 | N | 15 | MDS/AML, CMML | HSV, CMV | 21 | 22§ | 11 | ||
38.I.1 | F | 417dupT | V140CfsX44 | N | 7 | HPV | 24 | 24 | 11 | |||
27.I.1 | F | 586_593dup | G199LfsX21 | N | 31 | HPV | M kansasii | 46 | 46 | 12 | ||
20.I.3 | M | 769_778dup | Y260fsX24 | N | 13 | MDS, −7 | HPV, MCV | MAC, severe C difficile | Endocarditis,¶ CVA¶ | 13 | 17 | 2, 12, 25 |
22.I.1 | F | 941_951dup | A318fsX12 | N | 26 | MDS | HPV | M kansasii | PAP, HT | 26 | 27§ | 2, 12 |
39.I.1 | F | 988C>T | R330X | N | 6 | MDS, +8 | HPV, HSV, EBV | 25 | 25 | |||
39.I.2 | F | 988C>T | R330X | N | 6 | MDS, +8 | HPV, HSV, EBV | Salmonella enterocolitis, Neisseria meningitis | Lymphedema | 25 | 25 | |
32.I.1 | M | 989_992dup4 | L332TfsX53 | N | 5 mo. | MDS/AML, −7 +8 | Lymphedema, HT | 17 | 19 | 19 | ||
41.I.1 | F | 1009C>T | R337X | N | 9 | MDS | HPV, HSV | Lymphedema, HT | 44 | 44 | ||
6.I.1‖ | M | 1017+512del28 | ——- | R | 13 | Lymphedema | 66 | 66 | ||||
6.II.1 | F | 1017+512del28 | ——- | R | 24 | MDS | HPV | Group C streptococcal bacteremia/osteomyelitis, M tuberculosis | Early-onset breast cancer, miscarriage | 27 | 35 | 1, 11, 20 |
4.I.1‖ | M | 1017+572C>T | ——- | R | 78 | CMML, LGL | 72 | 79 | 1, 12 | |||
4.II.1 | F | 1017+572C>T | ——- | R | 26 | MDS, LGL | HPV, CMV | MAC, disseminated histoplasmosis, Serratia pneumonia | PAP, PAH, breast cancer, miscarriage | 38 | 53§ | 1, 11, 12 |
4.II.5‖ | F | 1017+572C>T | ——- | R | 19 | MDS, −7 | HPV | Miscarriage | 30 | 42 | 1, 12 | |
4.III.1‖ | M | 1017+572C>T | ——- | R | 30 | Lymphedema | 23 | 30 | ||||
4.III.2‖ | F | 1017+572C>T | ——- | R | – | 21 | 28 | |||||
11.II.1 | F | 1017+572C>T | ——- | R | 9 | HPV, VZV | Recurrent mucosal candidiasis | 30 | 31 | 1 | ||
25.II.1 | M | 1017+572C>T | ——- | R | 25 | MDS | HPV | M kansasii | 34 | 36 | 12 | |
24.I.1 | F | 1018-1G>A | Δ340-381 | M | 43 | MDS, LGL | HPV, VZV | MAC | 43 | 47 | 2 | |
5.II.1 | F | 1061C>T | T354M | M | 19 | MDS/AML, LGL | HPV | MAC, M abscessus | PAP, DVT/PE | 34 | 44§ | 1, 2 |
17.I.1 | M | 1061C>T | T354M | M | 28 | MDS, +8 | HPV | MAC | PAP | 32 | 34 | 2, 11 |
17.II.2‖ | M | 1061C>T | T354M | M | – | 4 | 5 | |||||
19.II.1 | M | 1061C>T | T354M | M | 20 | EBV | M chelonae | 20 | 22§ | 2 | ||
35.III.3 | M | 1061C>T | T354M | M | 20 | MDS, +8 | Necrotizing fasciitis, granulomatous lymphadenitis | DVT/PE | 32 | 33 | 5 | |
37.I.1 | F | 1081C>T | R361C | M | 26 | MDS | M kansasii, MAC | 32 | 33 | |||
12.I.1 | M | 1083_1094del12 | R361del4 | M | 13 | MDS, −7 | HPV, HSV, HCV | M kansasii, Candida esophagitis/synovitis | PVT | 25 | 28§ | 1, 2, 11 |
33.III.1 | F | 1099insG | D367GfsX15 | M | 17 | MDS | MAC, severe C difficile | 17 | 17 | |||
33.III.3‖ | F | 1099insG | D367GfsX15 | M | – | 10 | 10 | |||||
10.I.1 | F | 1113C>G | N371K | M | 12 | MDS/AML, −7 | VZV, HPV | MAC, severe C difficile, Candida esophagitis | Endocarditis, CVA, DVT, PVT miscarriage | 34 | 39 | 1, 2 |
34.I.1‖ | F | 1116_1130del15 | C373del5 | M | 50 | MDS | Breast cancer | 51 | 51 | |||
34.II.1 | M | 1116_1130del15 | C373del5 | M | 14 | MDS, −7 | 15 | 15§ | ||||
34.II.2‖ | M | 1116_1130del15 | C373del5 | M | 13 | MDS, −7 | 15 | 15 | ||||
30.I.1‖ | M | 1163T>C | M388T | M | 65 | HPV | Oropharyngeal SCC, RCC | 76 | 77 | |||
30.II.1 | F | 1163T>C | M388T | M | 27 | HPV, HSV | M. kansasii, severe C difficile | PAP | 43 | 43 | ||
30.II.4‖ | F | 1163T>C | M388T | M | 30 | HPV | 52 | 52 | ||||
15.I.1 | F | 1186C>T | R396W | M | 7 | MDS, +8 | HSV | MAC, E histolytica | 8 | 13 | 1, 2, 11 | |
42.I.1 | M | 1186C>T | R396W | M | 18 | MDS | HPV, EBV | M szulgai, MAC | EBV+ spindle cell tumors | 24 | 24 | |
14.I.1 | F | 1187G>A | R396Q | M | 7 | EBV, HSV | 7 | 12 | 1 | |||
18.I.2 | F | 1187G>A | R396Q | M | 16 | MDS, +8 | M abscessus, nocardiosis | 16 | 25 | 2, 25 | ||
40.I.1‖ | M | 1187G>A | R396Q | M | – | 54 | 55 | |||||
40.II.1 | M | 1187G>A | R396Q | M | 18 | MDS, +8 | HPV, VZV | 23 | 23 | |||
40.II.2‖ | M | 1187G>A | R396Q | M | 16 | MDS, +8 | HPV | Desmoid tumor, DVT/PE¶ | 21 | 21 | ||
40.II.3‖ | M | 1187G>A | R396Q | M | 14 | MDS, +8 | HPV, VZV | HT | 17 | 17 | ||
31.II.1 | M | 1187G>A | R396Q | M | 27 | MDS | HPV | Granulomatous lymphadenitis, invasive aspergillosis | Sarcoidosis-like pulmonary process | 30 | 32 | |
31.II.2‖ | M | 1187G>A | R396Q | M | 29 | MDS | 29 | 29 | ||||
1.II.1 | F | 1192C>T | R398W | M | 20s | CMML | HPV, HSV, EBV | MAC | BOOP, EBV+ leiomyosarcomata, HT | 41 | 46§ | 1, 2 |
1.II.5‖ | F | 1192C>T | R398W | M | 18 | MDS, LGL | HPV, VZV | MAC, invasive aspergillosis | PAP, PAH, miscarriage | 36 | 49§ | 1, 2, 25 |
2.II.3 | M | 1192C>T | R398W | M | 34 | MDS/AML, +8, LGL | HPV | Histoplasmosis, MAC | CVA, HT | 37 | 39§ | 1, 2 |
3.I.1 | F | 1192C>T | R398W | M | 48 | CMML, LGL | HPV | M fortuitum, invasive aspergillosis, severe C difficile | PAP, PAH, HT, pancreatic cancer | 49 | 59§ | 1, 2 |
9.III.1 | M | 1192C>T | R398W | M | 8 | MDS | HPV | M fortuitum | 15 | 22 | 1, 2 | |
21.II.1 | M | 1192C>T | R398W | M | 32 | MDS | HPV, MCV | MAC | 32 | 34 | 2, 25 |
Patient . | Gender . | Mutation* . | Mutation Group† . | Age at first illness‡ . | Bone marrow pathology . | Severe viral infections . | Mycobacterial, fungal, and other invasive infections . | Other clinical features . | Age at first and last NIH visit . | Reference . | ||
---|---|---|---|---|---|---|---|---|---|---|---|---|
. | . | Genomic . | Protein . | . | . | . | . | . | . | First . | Last . | . |
7.I.1 | F | Uniallelic expression | ——- | U | 51 | MDS, LGL | HPV | M kansasii | PAP, metastatic melanoma, DVT | 53 | 64§ | 1, 12 |
23.I.3 | M | Uniallelic expression | ——- | U | 21 | MDS | MAC | 22 | 26§ | 2, 12 | ||
29.I.1 | F | Uniallelic expression | ——- | U | 45 | MDS/AML, +8 | HPV | HT | 45 | 48 | 12 | |
13.I.1‖ | F | 1-200_871+527del2033ins7 | M1del290 | N | 40 | HPV | Lymphedema | 60 | 60 | 1, 2, 19 | ||
13.II.1 | M | 1-200_871+527del2033ins7 | M1del290 | N | 33 | MDS/AML, −7 | HPV, HSV | Histoplasmosis, MAC, Neosartorya udagawae | PAP, PAH | 33 | 34§ | 1, 2, 19 |
8.I.1 | M | 243_244delAinsGC | G81fs | N | 9 | MDS, smoldering myeloma | HPV | MAC, soft tissue aspergillosis | PAP, PAH | 27 | 36 | 1, 2, 12, 25 |
26.I.1 | F | 302delG | G101AfsX16 | N | 15 | MDS/AML, CMML | HSV, CMV | 21 | 22§ | 11 | ||
38.I.1 | F | 417dupT | V140CfsX44 | N | 7 | HPV | 24 | 24 | 11 | |||
27.I.1 | F | 586_593dup | G199LfsX21 | N | 31 | HPV | M kansasii | 46 | 46 | 12 | ||
20.I.3 | M | 769_778dup | Y260fsX24 | N | 13 | MDS, −7 | HPV, MCV | MAC, severe C difficile | Endocarditis,¶ CVA¶ | 13 | 17 | 2, 12, 25 |
22.I.1 | F | 941_951dup | A318fsX12 | N | 26 | MDS | HPV | M kansasii | PAP, HT | 26 | 27§ | 2, 12 |
39.I.1 | F | 988C>T | R330X | N | 6 | MDS, +8 | HPV, HSV, EBV | 25 | 25 | |||
39.I.2 | F | 988C>T | R330X | N | 6 | MDS, +8 | HPV, HSV, EBV | Salmonella enterocolitis, Neisseria meningitis | Lymphedema | 25 | 25 | |
32.I.1 | M | 989_992dup4 | L332TfsX53 | N | 5 mo. | MDS/AML, −7 +8 | Lymphedema, HT | 17 | 19 | 19 | ||
41.I.1 | F | 1009C>T | R337X | N | 9 | MDS | HPV, HSV | Lymphedema, HT | 44 | 44 | ||
6.I.1‖ | M | 1017+512del28 | ——- | R | 13 | Lymphedema | 66 | 66 | ||||
6.II.1 | F | 1017+512del28 | ——- | R | 24 | MDS | HPV | Group C streptococcal bacteremia/osteomyelitis, M tuberculosis | Early-onset breast cancer, miscarriage | 27 | 35 | 1, 11, 20 |
4.I.1‖ | M | 1017+572C>T | ——- | R | 78 | CMML, LGL | 72 | 79 | 1, 12 | |||
4.II.1 | F | 1017+572C>T | ——- | R | 26 | MDS, LGL | HPV, CMV | MAC, disseminated histoplasmosis, Serratia pneumonia | PAP, PAH, breast cancer, miscarriage | 38 | 53§ | 1, 11, 12 |
4.II.5‖ | F | 1017+572C>T | ——- | R | 19 | MDS, −7 | HPV | Miscarriage | 30 | 42 | 1, 12 | |
4.III.1‖ | M | 1017+572C>T | ——- | R | 30 | Lymphedema | 23 | 30 | ||||
4.III.2‖ | F | 1017+572C>T | ——- | R | – | 21 | 28 | |||||
11.II.1 | F | 1017+572C>T | ——- | R | 9 | HPV, VZV | Recurrent mucosal candidiasis | 30 | 31 | 1 | ||
25.II.1 | M | 1017+572C>T | ——- | R | 25 | MDS | HPV | M kansasii | 34 | 36 | 12 | |
24.I.1 | F | 1018-1G>A | Δ340-381 | M | 43 | MDS, LGL | HPV, VZV | MAC | 43 | 47 | 2 | |
5.II.1 | F | 1061C>T | T354M | M | 19 | MDS/AML, LGL | HPV | MAC, M abscessus | PAP, DVT/PE | 34 | 44§ | 1, 2 |
17.I.1 | M | 1061C>T | T354M | M | 28 | MDS, +8 | HPV | MAC | PAP | 32 | 34 | 2, 11 |
17.II.2‖ | M | 1061C>T | T354M | M | – | 4 | 5 | |||||
19.II.1 | M | 1061C>T | T354M | M | 20 | EBV | M chelonae | 20 | 22§ | 2 | ||
35.III.3 | M | 1061C>T | T354M | M | 20 | MDS, +8 | Necrotizing fasciitis, granulomatous lymphadenitis | DVT/PE | 32 | 33 | 5 | |
37.I.1 | F | 1081C>T | R361C | M | 26 | MDS | M kansasii, MAC | 32 | 33 | |||
12.I.1 | M | 1083_1094del12 | R361del4 | M | 13 | MDS, −7 | HPV, HSV, HCV | M kansasii, Candida esophagitis/synovitis | PVT | 25 | 28§ | 1, 2, 11 |
33.III.1 | F | 1099insG | D367GfsX15 | M | 17 | MDS | MAC, severe C difficile | 17 | 17 | |||
33.III.3‖ | F | 1099insG | D367GfsX15 | M | – | 10 | 10 | |||||
10.I.1 | F | 1113C>G | N371K | M | 12 | MDS/AML, −7 | VZV, HPV | MAC, severe C difficile, Candida esophagitis | Endocarditis, CVA, DVT, PVT miscarriage | 34 | 39 | 1, 2 |
34.I.1‖ | F | 1116_1130del15 | C373del5 | M | 50 | MDS | Breast cancer | 51 | 51 | |||
34.II.1 | M | 1116_1130del15 | C373del5 | M | 14 | MDS, −7 | 15 | 15§ | ||||
34.II.2‖ | M | 1116_1130del15 | C373del5 | M | 13 | MDS, −7 | 15 | 15 | ||||
30.I.1‖ | M | 1163T>C | M388T | M | 65 | HPV | Oropharyngeal SCC, RCC | 76 | 77 | |||
30.II.1 | F | 1163T>C | M388T | M | 27 | HPV, HSV | M. kansasii, severe C difficile | PAP | 43 | 43 | ||
30.II.4‖ | F | 1163T>C | M388T | M | 30 | HPV | 52 | 52 | ||||
15.I.1 | F | 1186C>T | R396W | M | 7 | MDS, +8 | HSV | MAC, E histolytica | 8 | 13 | 1, 2, 11 | |
42.I.1 | M | 1186C>T | R396W | M | 18 | MDS | HPV, EBV | M szulgai, MAC | EBV+ spindle cell tumors | 24 | 24 | |
14.I.1 | F | 1187G>A | R396Q | M | 7 | EBV, HSV | 7 | 12 | 1 | |||
18.I.2 | F | 1187G>A | R396Q | M | 16 | MDS, +8 | M abscessus, nocardiosis | 16 | 25 | 2, 25 | ||
40.I.1‖ | M | 1187G>A | R396Q | M | – | 54 | 55 | |||||
40.II.1 | M | 1187G>A | R396Q | M | 18 | MDS, +8 | HPV, VZV | 23 | 23 | |||
40.II.2‖ | M | 1187G>A | R396Q | M | 16 | MDS, +8 | HPV | Desmoid tumor, DVT/PE¶ | 21 | 21 | ||
40.II.3‖ | M | 1187G>A | R396Q | M | 14 | MDS, +8 | HPV, VZV | HT | 17 | 17 | ||
31.II.1 | M | 1187G>A | R396Q | M | 27 | MDS | HPV | Granulomatous lymphadenitis, invasive aspergillosis | Sarcoidosis-like pulmonary process | 30 | 32 | |
31.II.2‖ | M | 1187G>A | R396Q | M | 29 | MDS | 29 | 29 | ||||
1.II.1 | F | 1192C>T | R398W | M | 20s | CMML | HPV, HSV, EBV | MAC | BOOP, EBV+ leiomyosarcomata, HT | 41 | 46§ | 1, 2 |
1.II.5‖ | F | 1192C>T | R398W | M | 18 | MDS, LGL | HPV, VZV | MAC, invasive aspergillosis | PAP, PAH, miscarriage | 36 | 49§ | 1, 2, 25 |
2.II.3 | M | 1192C>T | R398W | M | 34 | MDS/AML, +8, LGL | HPV | Histoplasmosis, MAC | CVA, HT | 37 | 39§ | 1, 2 |
3.I.1 | F | 1192C>T | R398W | M | 48 | CMML, LGL | HPV | M fortuitum, invasive aspergillosis, severe C difficile | PAP, PAH, HT, pancreatic cancer | 49 | 59§ | 1, 2 |
9.III.1 | M | 1192C>T | R398W | M | 8 | MDS | HPV | M fortuitum | 15 | 22 | 1, 2 | |
21.II.1 | M | 1192C>T | R398W | M | 32 | MDS | HPV, MCV | MAC | 32 | 34 | 2, 25 |
BOOP, bronchiolitis obliterans organizing pneumonia; CMV, cytomegalovirus; CVA, cerebrovascular accident; DVT, deep vein thrombosis; HCV, hepatitis C virus; HSV, herpes simplex virus; HT, hypothyroidism; LGL, large granular lymphocytosis; MAC, M avium complex; MCV, molluscum contagiosum virus; PE, pulmonary embolism; PVT, portal vein thrombosis; RCC, renal cell carcinoma; VZV, varicella zoster virus; −7, monosomy 7; +8, trisomy 8.
All mutations refer to isoform NM_001145661, protein changes reference NP_116027.
Mutation groups are defined as follows: M, missense, includes all missense mutations, in-frame deletions, and insertions/deletions predicted to escape nonsense-mediated decay; N, null, includes insertions/deletions and nonsense mutations predicted to result in nonsense mediated decay and no protein product; R, regulatory, includes mutations in the intron 5 enhancer with demonstrated reduced expression of wild-type protein; U, uniallelic, includes undefined mutations with reduced or absent transcription from 1 allele by cDNA analysis.
First illness is defined as severe infection, MDS/AML, PAP, or lymphedema.
Deceased.
Relative of proband.
Complication developed posttransplant.