Clinical, laboratory, BM pathologic, and genetic features of 28 patients with GATA2 deficiency (modified from Spinner et al21 )
Patient . | Age (years) . | Gender . | Mutation . | Peripheral blood (normal range × 109/L) . | Bone marrow . | Infections . | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Genomic . | Protein . | WBC (4.23-9.07) . | ANC (1.56-6.13) . | ALC (1.18-3.74) . | AMC (0.30-0.82) . | Hb (13.7-17.5 g/dL) . | Plt (161-347) . | B-cells (0.07- 0.7) . | T-cells (0.67-2.95) . | NK-cells (0.08- 1.15) . | Pathology . | Cytogenetics . | Viral . | NTM . | Fungal . | Other . | |||
2.II.3 | 39 | M | c.1192C>T | p.R398W missense | 4.06 | 3.65 | 0.34 | 0.06 | 8.2 | 26 | 0 | 0.34 | 0.1 | MDS-RAEB-2 | +8, t(1;7)(q10; p10) | HPV | MAC | H capsulatum, C glabrata | Serratia S epidermidis |
4.II.1 | 52 | F | c.1017+572C>T | reduced expression | 3.51 | 2.43 | 0.83 | 0.01 | 12.5 | 190 | 0.002 | 0.83 | 0.002 | MDS-RCMD | N/A | HPVCMV | MAC | H capsulatum | Serratia |
5.II.1 | 44 | F | c.1061C>T | p.T354M missense | 5.69 | 4.15 | 0.51 | 0.06 | 9.8 | 122 | 0.004 | 0.51 | 0.002 | MDS-RCMD | −6, ring | HPV | MAC M abscessus M fortuitum | None | MRSA P aeruginosa |
8.I.1 | 33 | M | c.243_244delAinsGC | p.G81fs null allele | 6.12 | 5.26 | 0.8 | 0 | 11 | 65 | 0.004 | 0.79 | 0.01 | MDS-RCMD | Normal | HPV | MAC | Aspergillus, Penicillium | P aeruginosa |
9.III.1 | 22 | M | c.1192C>T | p.R398W missense | 0.79 | 0.31 | 0.38 | 0 | 7 | 26 | 0.006 | 0.37 | 0.005 | MDS-RCMD | Normal | HPV | M Fortuitum | None | None |
11.II.1 | 40 | F | c.1017+572C>T | Reduced expression | 4.34 | 2.89 | 1.44 | 0.1 | 13.7 | 342 | 0.062 | 1.34 | 0.043 | MDS-RCUD | Normal | HPV VZV | None | Candida | S aureus |
12.I.1 | 27 | M | c.1083_1094del12 | p.R361del4 in-frame deletion | 3.47 | 2.56 | 0.35 | 0.08 | 8.3 | 41 | 0.001 | 0.35 | 0 | MDS-RCMD | −7, +21 | HPVHSVHCV | M kansasii | Candida | E coli P acnes VRE |
13.I.1 | 60 | F | c.1-200_871 +527del2033ins7 | p.M1del290 null allele | 3.87 | 2.22 | 1.49 | 0.001 | 13.6 | 348 | 0.021 | 1.44 | 0.022 | MDS-RCUD | Normal | HPV | None | None | None |
13.II.1 | 33 | M | c.1-200_871 +527del2033ins7 | p.M1del290 null allele | 1.14 | 0.95 | 0.08 | 0.03 | 9.7 | 22 | 0 | 0.08 | 0.001 | MDS-RAEB-1 | −7 | HPVHSV | MAC | H capsulatum, N udagawae | S epidermidis P aeruginosa Klebsiella |
15.I.1 | 14 | F | c.1186C>T | p.R396W missense | 2.67 | 1.5 | 1 | 0.01 | 11.9 | 174 | 0.005 | 0.97 | 0.024 | MDS-RCMD | +8, +mar | HSV | MAC | None | E histolytica |
17.I.1 | 32 | M | c.1061C>T | p.T354M missense | 1.44 | 0.69 | 0.64 | 0 | 13.5 | 61 | 0.003 | 0.49 | 0.145 | MDS-RCMD | +8 | HPV | MAC | T rubrum | None |
20.I.3 | 15 | M | c.769_778dup | p.Y260fsX24 null allele | 3.12 | 2.86 | 0.19 | 0.01 | 8.5 | 88 | 0 | 0.19 | 0 | MDS-RCMD | −7 | HPV MCV | MAC | None | Bartonella C difficile |
21.II.1 | 33 | M | c.1192C>T | p.R398W missense | 8.2 | 7.3 | 0.9 | 0 | 7.7 | 21 | 0.002 | 0.9 | 0.001 | MDS-RCMD | -Y | HPV MCV | MAC | None | None |
22.I.1 | 26 | F | c.941_951dup | p.A318fsX12 null allele | 0.48 | 0.23 | 0.25 | 0 | 9.4 | 17 | N/A | N/A | N/A | MDS-RCMD | −6 | HPV | M kansasii | None | None |
24.I.1 | 45 | F | c.1018-1G>A | p.del340-381 in-frame deletion | 1.34 | 1.14 | 0.07 | 0.03 | 10.5 | 138 | 0 | 0.07 | 0 | MDS-RCMD | der(22) t(1;22)(q12;p23) | HPVVZV | MAC | None | None |
31.II.1 | 32 | M | c.1187G>A | p.R396Q missense | 1.87 | 1.6 | 0.27 | 0 | 10.5 | 47 | 0.004 | 0.26 | 0 | MDS-RCMD | Normal | HPV | Granulo-matous lymphadenitis | Aspergillus | None |
31.II.2 | 29 | M | c.1187G>A | p.R396Q missense | 1.8 | 0.48 | 1.3 | 0.01 | 9.5 | 113 | 0.065 | 1.23 | 0.004 | MDS-RCMD | N/A | None | None | None | Polymicrobial infections |
33.III.1 | 17 | F | c.1099insG | p.D367GfsX15 truncated protein | 4.53 | 3.76 | 0.72 | 0 | 11.8 | 97 | 0.001 | 0.71 | 0.004 | MDS-RCMD | Normal | None | MAC | None | Brucella, C difficile |
34.II.2 | 17 | M | c.1116_1130del15bp | p.C373del5 in-frame deletion | 1.73 | 0.96 | 0.7 | 0.04 | 11.3 | 116 | 0.007 | 0.69 | 0.005 | MDS-RCUD | −7 | None | None | None | None |
35.III.3 | 33 | M | c.1061C>T | p.T354M missense | 3.17 | 2.19 | 0.91 | 0.02 | 14.3 | 106 | 0.007 | 0.9 | 0.003 | MDS-RCMD | +8 | None | Granulo-matous lymphadenitis | None | Polymicrobial infections |
38.I.1 | 25 | F | c.417dupT | p.V140CfsX44 null allele | 2.34 | 1.4 | 0.91 | 0 | 13.7 | 163 | 0.011 | 0.84 | 0.053 | MDS-RCUD | Normal | HPV | None | None | MRSA |
39.I.1 | 25 | F | c.988C>T | p.R330X null allele | 2.96 | 2.53 | 0.31 | 0.02 | 9.6 | 263 | 0.006 | 0.3 | 0 | MDS-RCMD | +8 | HPV HSVEBV | None | None | None |
39.I.2 | 25 | F | c.988C>T | p.R330X null allele | 1.64 | 1.3 | 0.25 | 0.02 | 8.6 | 232 | 0.001 | 0.25 | 0.005 | MDS-RCMD | +8 | HPV HSV EBV | None | None | Salmonella Neisseria |
41.I.1 | 44 | F | c.1009C>T | p.R337X null allele | 6.43 | 5.04 | 1.2 | 0.01 | 10.2 | 724 | 0.002 | 1.18 | 0.01 | MDS-RCMD | Normal | HPVHSV | None | Exophiala | Polymicrobial infections |
42.I.1 | 24 | M | c.1186C>T | p.R396W missense | 2.47 | 1.35 | 0.34 | 0.01 | 12.4 | 86 | 0.001 | 0.34 | 0 | MDS-RCMD | Normal | HPVEBV | MAC, M szulgai | None | Bacterial infections |
50 | 31 | M | c.1082G>A | p.R361H missense | 0.75 | 0.44 | 0.26 | 0.01 | 8.1 | 118 | 0.017 | 0.24 | 0.001 | MDS-RAEB1 | Normal | None | None | None | None |
51 | 19 | F | c.1017+572C>T | reduced expression | 1.44 | 0.43 | 0.97 | 0 | 10.4 | 152 | 0.042 | 0.89 | 0.042 | MDS-RCMD | +1, +8, der(1;7)(q10;p10) | None | None | None | None |
52 | 28 | F | Uniallelic | reduced expression | 2 | 0.43 | 1.57 | 0 | 10.5 | 153 | 0.028 | 1.52 | 0.022 | MDS-RCMD | +8 | None | None | None | None |
Patient . | Age (years) . | Gender . | Mutation . | Peripheral blood (normal range × 109/L) . | Bone marrow . | Infections . | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Genomic . | Protein . | WBC (4.23-9.07) . | ANC (1.56-6.13) . | ALC (1.18-3.74) . | AMC (0.30-0.82) . | Hb (13.7-17.5 g/dL) . | Plt (161-347) . | B-cells (0.07- 0.7) . | T-cells (0.67-2.95) . | NK-cells (0.08- 1.15) . | Pathology . | Cytogenetics . | Viral . | NTM . | Fungal . | Other . | |||
2.II.3 | 39 | M | c.1192C>T | p.R398W missense | 4.06 | 3.65 | 0.34 | 0.06 | 8.2 | 26 | 0 | 0.34 | 0.1 | MDS-RAEB-2 | +8, t(1;7)(q10; p10) | HPV | MAC | H capsulatum, C glabrata | Serratia S epidermidis |
4.II.1 | 52 | F | c.1017+572C>T | reduced expression | 3.51 | 2.43 | 0.83 | 0.01 | 12.5 | 190 | 0.002 | 0.83 | 0.002 | MDS-RCMD | N/A | HPVCMV | MAC | H capsulatum | Serratia |
5.II.1 | 44 | F | c.1061C>T | p.T354M missense | 5.69 | 4.15 | 0.51 | 0.06 | 9.8 | 122 | 0.004 | 0.51 | 0.002 | MDS-RCMD | −6, ring | HPV | MAC M abscessus M fortuitum | None | MRSA P aeruginosa |
8.I.1 | 33 | M | c.243_244delAinsGC | p.G81fs null allele | 6.12 | 5.26 | 0.8 | 0 | 11 | 65 | 0.004 | 0.79 | 0.01 | MDS-RCMD | Normal | HPV | MAC | Aspergillus, Penicillium | P aeruginosa |
9.III.1 | 22 | M | c.1192C>T | p.R398W missense | 0.79 | 0.31 | 0.38 | 0 | 7 | 26 | 0.006 | 0.37 | 0.005 | MDS-RCMD | Normal | HPV | M Fortuitum | None | None |
11.II.1 | 40 | F | c.1017+572C>T | Reduced expression | 4.34 | 2.89 | 1.44 | 0.1 | 13.7 | 342 | 0.062 | 1.34 | 0.043 | MDS-RCUD | Normal | HPV VZV | None | Candida | S aureus |
12.I.1 | 27 | M | c.1083_1094del12 | p.R361del4 in-frame deletion | 3.47 | 2.56 | 0.35 | 0.08 | 8.3 | 41 | 0.001 | 0.35 | 0 | MDS-RCMD | −7, +21 | HPVHSVHCV | M kansasii | Candida | E coli P acnes VRE |
13.I.1 | 60 | F | c.1-200_871 +527del2033ins7 | p.M1del290 null allele | 3.87 | 2.22 | 1.49 | 0.001 | 13.6 | 348 | 0.021 | 1.44 | 0.022 | MDS-RCUD | Normal | HPV | None | None | None |
13.II.1 | 33 | M | c.1-200_871 +527del2033ins7 | p.M1del290 null allele | 1.14 | 0.95 | 0.08 | 0.03 | 9.7 | 22 | 0 | 0.08 | 0.001 | MDS-RAEB-1 | −7 | HPVHSV | MAC | H capsulatum, N udagawae | S epidermidis P aeruginosa Klebsiella |
15.I.1 | 14 | F | c.1186C>T | p.R396W missense | 2.67 | 1.5 | 1 | 0.01 | 11.9 | 174 | 0.005 | 0.97 | 0.024 | MDS-RCMD | +8, +mar | HSV | MAC | None | E histolytica |
17.I.1 | 32 | M | c.1061C>T | p.T354M missense | 1.44 | 0.69 | 0.64 | 0 | 13.5 | 61 | 0.003 | 0.49 | 0.145 | MDS-RCMD | +8 | HPV | MAC | T rubrum | None |
20.I.3 | 15 | M | c.769_778dup | p.Y260fsX24 null allele | 3.12 | 2.86 | 0.19 | 0.01 | 8.5 | 88 | 0 | 0.19 | 0 | MDS-RCMD | −7 | HPV MCV | MAC | None | Bartonella C difficile |
21.II.1 | 33 | M | c.1192C>T | p.R398W missense | 8.2 | 7.3 | 0.9 | 0 | 7.7 | 21 | 0.002 | 0.9 | 0.001 | MDS-RCMD | -Y | HPV MCV | MAC | None | None |
22.I.1 | 26 | F | c.941_951dup | p.A318fsX12 null allele | 0.48 | 0.23 | 0.25 | 0 | 9.4 | 17 | N/A | N/A | N/A | MDS-RCMD | −6 | HPV | M kansasii | None | None |
24.I.1 | 45 | F | c.1018-1G>A | p.del340-381 in-frame deletion | 1.34 | 1.14 | 0.07 | 0.03 | 10.5 | 138 | 0 | 0.07 | 0 | MDS-RCMD | der(22) t(1;22)(q12;p23) | HPVVZV | MAC | None | None |
31.II.1 | 32 | M | c.1187G>A | p.R396Q missense | 1.87 | 1.6 | 0.27 | 0 | 10.5 | 47 | 0.004 | 0.26 | 0 | MDS-RCMD | Normal | HPV | Granulo-matous lymphadenitis | Aspergillus | None |
31.II.2 | 29 | M | c.1187G>A | p.R396Q missense | 1.8 | 0.48 | 1.3 | 0.01 | 9.5 | 113 | 0.065 | 1.23 | 0.004 | MDS-RCMD | N/A | None | None | None | Polymicrobial infections |
33.III.1 | 17 | F | c.1099insG | p.D367GfsX15 truncated protein | 4.53 | 3.76 | 0.72 | 0 | 11.8 | 97 | 0.001 | 0.71 | 0.004 | MDS-RCMD | Normal | None | MAC | None | Brucella, C difficile |
34.II.2 | 17 | M | c.1116_1130del15bp | p.C373del5 in-frame deletion | 1.73 | 0.96 | 0.7 | 0.04 | 11.3 | 116 | 0.007 | 0.69 | 0.005 | MDS-RCUD | −7 | None | None | None | None |
35.III.3 | 33 | M | c.1061C>T | p.T354M missense | 3.17 | 2.19 | 0.91 | 0.02 | 14.3 | 106 | 0.007 | 0.9 | 0.003 | MDS-RCMD | +8 | None | Granulo-matous lymphadenitis | None | Polymicrobial infections |
38.I.1 | 25 | F | c.417dupT | p.V140CfsX44 null allele | 2.34 | 1.4 | 0.91 | 0 | 13.7 | 163 | 0.011 | 0.84 | 0.053 | MDS-RCUD | Normal | HPV | None | None | MRSA |
39.I.1 | 25 | F | c.988C>T | p.R330X null allele | 2.96 | 2.53 | 0.31 | 0.02 | 9.6 | 263 | 0.006 | 0.3 | 0 | MDS-RCMD | +8 | HPV HSVEBV | None | None | None |
39.I.2 | 25 | F | c.988C>T | p.R330X null allele | 1.64 | 1.3 | 0.25 | 0.02 | 8.6 | 232 | 0.001 | 0.25 | 0.005 | MDS-RCMD | +8 | HPV HSV EBV | None | None | Salmonella Neisseria |
41.I.1 | 44 | F | c.1009C>T | p.R337X null allele | 6.43 | 5.04 | 1.2 | 0.01 | 10.2 | 724 | 0.002 | 1.18 | 0.01 | MDS-RCMD | Normal | HPVHSV | None | Exophiala | Polymicrobial infections |
42.I.1 | 24 | M | c.1186C>T | p.R396W missense | 2.47 | 1.35 | 0.34 | 0.01 | 12.4 | 86 | 0.001 | 0.34 | 0 | MDS-RCMD | Normal | HPVEBV | MAC, M szulgai | None | Bacterial infections |
50 | 31 | M | c.1082G>A | p.R361H missense | 0.75 | 0.44 | 0.26 | 0.01 | 8.1 | 118 | 0.017 | 0.24 | 0.001 | MDS-RAEB1 | Normal | None | None | None | None |
51 | 19 | F | c.1017+572C>T | reduced expression | 1.44 | 0.43 | 0.97 | 0 | 10.4 | 152 | 0.042 | 0.89 | 0.042 | MDS-RCMD | +1, +8, der(1;7)(q10;p10) | None | None | None | None |
52 | 28 | F | Uniallelic | reduced expression | 2 | 0.43 | 1.57 | 0 | 10.5 | 153 | 0.028 | 1.52 | 0.022 | MDS-RCMD | +8 | None | None | None | None |
ALC, absolute lymphocyte count; AMC, absolute monocyte count; ANC, absolute neutrophil count; EBV, Epstein-Barr virus; Hb, hemoglobin; HCV, hepatitis C virus; HPV, human papilloma virus; HSV, herpes simplex virus; MAC, M avium complex; MCV, molluscum contagiosum virus; MDS, myelodysplastic syndrome; MRSA, methicillin-resistant S aureus; NTM, non-tuberculous Mycobacterium; Plt, platelet count; RAEB, refractory anemia with excess blasts; RCMD, refractory cytopenia with multilineage dysplasia; RCUD, refractory cytopenia with unilineage dysplasia; VZV, varicella zoster virus; WBC, white blood cell.