The complex genetic landscape of familial MDS and AML reveals pathogenic germline variants.
Adaptor Proteins, Signal Transducing
/ genetics
Adenosine Deaminase
/ genetics
Axonemal Dyneins
/ genetics
Cohort Studies
Germ-Line Mutation
Humans
Leukemia, Myeloid, Acute
/ genetics
Myelodysplastic Syndromes
/ genetics
Nonsense Mediated mRNA Decay
Pedigree
Perforin
/ genetics
Platelet Membrane Glycoproteins
/ genetics
RNA Helicases
/ genetics
Receptors, Interleukin-17
/ genetics
Vesicular Transport Proteins
/ genetics
Exome Sequencing
Journal
Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555
Informations de publication
Date de publication:
25 02 2020
25 02 2020
Historique:
received:
04
02
2019
accepted:
27
01
2020
entrez:
27
2
2020
pubmed:
27
2
2020
medline:
23
5
2020
Statut:
epublish
Résumé
The inclusion of familial myeloid malignancies as a separate disease entity in the revised WHO classification has renewed efforts to improve the recognition and management of this group of at risk individuals. Here we report a cohort of 86 acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS) families with 49 harboring germline variants in 16 previously defined loci (57%). Whole exome sequencing in a further 37 uncharacterized families (43%) allowed us to rationalize 65 new candidate loci, including genes mutated in rare hematological syndromes (ADA, GP6, IL17RA, PRF1 and SEC23B), reported in prior MDS/AML or inherited bone marrow failure series (DNAH9, NAPRT1 and SH2B3) or variants at novel loci (DHX34) that appear specific to inherited forms of myeloid malignancies. Altogether, our series of MDS/AML families offer novel insights into the etiology of myeloid malignancies and provide a framework to prioritize variants for inclusion into routine diagnostics and patient management.
Identifiants
pubmed: 32098966
doi: 10.1038/s41467-020-14829-5
pii: 10.1038/s41467-020-14829-5
pmc: PMC7042299
doi:
Substances chimiques
Adaptor Proteins, Signal Transducing
0
IL17RA protein, human
0
PRF1 protein, human
0
Platelet Membrane Glycoproteins
0
Receptors, Interleukin-17
0
SEC23B protein, human
0
SH2B3 protein, human
0
Vesicular Transport Proteins
0
platelet membrane glycoprotein VI
0
Perforin
126465-35-8
DHX34 protein, human
EC 2.7.7.-
ADA protein, human
EC 3.5.4.4
Adenosine Deaminase
EC 3.5.4.4
RNA Helicases
EC 3.6.4.13
Axonemal Dyneins
EC 3.6.4.2
DNAH9 protein, human
EC 3.6.4.2
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1044Subventions
Organisme : Medical Research Council
ID : MC_UU_00007/7
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/M018830/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/P018440/1
Pays : United Kingdom
Références
Arber, D. A. et al. The 2016 revision to the World Health Organization classification of myeloid neoplasms and acute leukemia. Blood 127, 2391–2405 (2016).
pubmed: 27069254
doi: 10.1182/blood-2016-03-643544
pmcid: 27069254
Dohner, H. et al. Diagnosis and management of AML in adults: 2017 ELN recommendations from an international expert panel. Blood 129, 424–447 (2017).
pubmed: 27895058
pmcid: 5291965
doi: 10.1182/blood-2016-08-733196
University of Chicago Hematopoietic Malignancies Cancer Risk, T. How I diagnose and manage individuals at risk for inherited myeloid malignancies. Blood 128, 1800–1813 (2016).
doi: 10.1182/blood-2016-05-670240
Berger, G. et al. Re-emergence of acute myeloid leukemia in donor cells following allogeneic transplantation in a family with a germline DDX41 mutation. Leukemia 31, 520–522 (2017).
pubmed: 27795557
doi: 10.1038/leu.2016.310
pmcid: 27795557
Kobayashi, S. et al. Donor cell leukemia arising from preleukemic clones with a novel germline DDX41 mutation after allogenic hematopoietic stem cell transplantation. Leukemia 31, 1020–1022 (2017).
pubmed: 28194039
doi: 10.1038/leu.2017.44
pmcid: 28194039
Xiao, H. et al. First report of multiple CEBPA mutations contributing to donor origin of leukemia relapse after allogeneic hematopoietic stem cell transplantation. Blood 117, 5257–5260 (2011).
pubmed: 21403128
doi: 10.1182/blood-2010-12-326322
pmcid: 21403128
de la Fuente, J. & Dokal, I. Dyskeratosis congenita: advances in the understanding of the telomerase defect and the role of stem cell transplantation. Pediatr. Transpl. 11, 584–594 (2007).
doi: 10.1111/j.1399-3046.2007.00721.x
Babushok, D. V., Bessler, M. & Olson, T. S. Genetic predisposition to myelodysplastic syndrome and acute myeloid leukemia in children and young adults. Leuk. Lymphoma 57, 520–536 (2016).
pubmed: 26693794
doi: 10.3109/10428194.2015.1115041
pmcid: 26693794
Song, W. J. et al. Haploinsufficiency of CBFA2 causes familial thrombocytopenia with propensity to develop acute myelogenous leukaemia. Nat. Genet. 23, 166–175 (1999).
pubmed: 10508512
doi: 10.1038/13793
pmcid: 10508512
Saliba, J. et al. Germline duplication of ATG2B and GSKIP predisposes to familial myeloid malignancies. Nat. Genet. 47, 1131–1140 (2015).
pubmed: 26280900
doi: 10.1038/ng.3380
Zhang, M. Y. et al. Germline ETV6 mutations in familial thrombocytopenia and hematologic malignancy. Nat. Genet. 47, 180–185 (2015).
pubmed: 25581430
pmcid: 4540357
doi: 10.1038/ng.3177
Noetzli, L. et al. Germline mutations in ETV6 are associated with thrombocytopenia, red cell macrocytosis and predisposition to lymphoblastic leukemia. Nat. Genet. 47, 535–538 (2015).
pubmed: 25807284
pmcid: 4631613
doi: 10.1038/ng.3253
Kirwan, M. et al. Exome sequencing identifies autosomal-dominant SRP72 mutations associated with familial aplasia and myelodysplasia. Am. J. Hum. Genet. 90, 888–892 (2012).
pubmed: 22541560
pmcid: 3376490
doi: 10.1016/j.ajhg.2012.03.020
Smith, M. L., Cavenagh, J. D., Lister, T. A. & Fitzgibbon, J. Mutation of CEBPA in familial acute myeloid leukemia. N. Engl. J. Med. 351, 2403–2407 (2004).
pubmed: 15575056
doi: 10.1056/NEJMoa041331
Hahn, C. N. et al. Heritable GATA2 mutations associated with familial myelodysplastic syndrome and acute myeloid leukemia. Nat. Genet. 43, 1012–1017 (2011).
pubmed: 21892162
pmcid: 3184204
doi: 10.1038/ng.913
Polprasert, C. et al. Inherited and somatic defects in DDX41 in myeloid neoplasms. Cancer Cell 27, 658–670 (2015).
pubmed: 25920683
doi: 10.1016/j.ccell.2015.03.017
Akpan, I. J., Osman, A. E. G., Drazer, M. W. & Godley, L. A. Hereditary myelodysplastic syndrome and acute myeloid leukemia: diagnosis, questions, and controversies. Curr. Hematol. Malig. Rep. 13, 426–434 (2018).
pubmed: 30259338
doi: 10.1007/s11899-018-0473-7
Owen, C. J. et al. Five new pedigrees with inherited RUNX1 mutations causing familial platelet disorder with propensity to myeloid malignancy. Blood 112, 4639–4645 (2008).
pubmed: 18723428
doi: 10.1182/blood-2008-05-156745
Langabeer, S. E. et al. A novel RUNX1 mutation in a kindred with familial platelet disorder with propensity to acute myeloid leukaemia: male predominance of affected individuals. Eur. J. Haematol. 85, 552–553 (2010).
pubmed: 20722699
doi: 10.1111/j.1600-0609.2010.01513.x
Debeljak, M., Kitanovski, L., Pajic, T. & Jazbec, J. Concordant acute myeloblastic leukemia in monozygotic twins with germline and shared somatic mutations in the gene for CCAAT-enhancer-binding protein alpha with 13 years difference at onset. Haematologica 98, e73–e74 (2013).
pubmed: 23716546
pmcid: 3696596
doi: 10.3324/haematol.2012.082578
Tawana, K. et al. Disease evolution and outcomes in familial AML with germline CEBPA mutations. Blood 126, 1214–1223 (2015).
pubmed: 26162409
doi: 10.1182/blood-2015-05-647172
pmcid: 26162409
Renneville, A. et al. Another pedigree with familial acute myeloid leukemia and germline CEBPA mutation. Leukemia 23, 804–806 (2009).
pubmed: 18946494
doi: 10.1038/leu.2008.294
pmcid: 18946494
Nanri, T. et al. A family harboring a germ-line N-terminal C/EBPalpha mutation and development of acute myeloid leukemia with an additional somatic C-terminal C/EBPalpha mutation. Genes Chromosomes Cancer 49, 237–241 (2010).
pubmed: 19953636
pmcid: 19953636
Sellick, G. S., Spendlove, H. E., Catovsky, D., Pritchard-Jones, K. & Houlston, R. S. Further evidence that germline CEBPA mutations cause dominant inheritance of acute myeloid leukaemia. Leukemia 19, 1276–1278 (2005).
pubmed: 15902292
doi: 10.1038/sj.leu.2403788
Kirwan, M. et al. Exogenous TERC alone can enhance proliferative potential, telomerase activity and telomere length in lymphocytes from dyskeratosis congenita patients. Br. J. Haematol. 144, 771–781 (2009).
pubmed: 19036115
doi: 10.1111/j.1365-2141.2008.07516.x
Vulliamy, T. J. et al. Differences in disease severity but similar telomere lengths in genetic subgroups of patients with telomerase and shelterin mutations. PLoS One 6, e24383 (2011).
pubmed: 21931702
pmcid: 3172236
doi: 10.1371/journal.pone.0024383
Bodor, C. et al. Germ-line GATA2 p.THR354MET mutation in familial myelodysplastic syndrome with acquired monosomy 7 and ASXL1 mutation demonstrating rapid onset and poor survival. Haematologica 97, 890–894 (2012).
pubmed: 22271902
pmcid: 3366655
doi: 10.3324/haematol.2011.054361
Mutsaers, P. G. et al. Highly variable clinical manifestations in a large family with a novel GATA2 mutation. Leukemia 27, 2247–2248 (2013).
pubmed: 23563236
doi: 10.1038/leu.2013.105
Holme, H. et al. Marked genetic heterogeneity in familial myelodysplasia/acute myeloid leukaemia. Br. J. Haematol. 158, 242–248 (2012).
pubmed: 22533337
doi: 10.1111/j.1365-2141.2012.09136.x
Cardoso, S. R. et al. Germline heterozygous DDX41 variants in a subset of familial myelodysplasia and acute myeloid leukemia. Leukemia 30, 2083–2086 (2016).
pubmed: 27133828
pmcid: 5008455
doi: 10.1038/leu.2016.124
Tummala, H. et al. Genome instability is a consequence of transcription deficiency in patients with bone marrow failure harboring biallelic ERCC6L2 variants. Proc. Natl. Acad. Sci. USA 115, 7777–7782 (2018).
pubmed: 29987015
doi: 10.1073/pnas.1803275115
pmcid: 29987015
Cardoso, S. R. et al. Myelodysplasia and liver disease extend the spectrum of RTEL1 related telomeropathies. Haematologica 102, e293–e296 (2017).
pubmed: 28495916
pmcid: 6643735
doi: 10.3324/haematol.2017.167056
Pathak, A. et al. Whole exome sequencing reveals a C-terminal germline variant in CEBPA-associated acute myeloid leukemia: 45-year follow up of a large family. Haematologica 101, 846–852 (2016).
pubmed: 26721895
pmcid: 5004464
doi: 10.3324/haematol.2015.130799
Al Seraihi, A. F. et al. GATA2 monoallelic expression underlies reduced penetrance in inherited GATA2-mutated MDS/AML. Leukemia 32, 2502–2507 (2018).
pubmed: 29749400
pmcid: 6224398
doi: 10.1038/s41375-018-0134-9
Saida, S. et al. Successful reduced-intensity stem cell transplantation for GATA2 deficiency before progression of advanced MDS. Pediatr. Transpl. 20, 333–336 (2016).
doi: 10.1111/petr.12667
Cavalcante de Andrade Silva, M. et al. Deletion of RUNX1 exons 1 and 2 associated with familial platelet disorder with propensity to acute myeloid leukemia. Cancer Genet. 222-223, 32–37 (2018).
pubmed: 29666006
doi: 10.1016/j.cancergen.2018.01.002
pmcid: 29666006
Preudhomme, C. et al. High frequency of RUNX1 biallelic alteration in acute myeloid leukemia secondary to familial platelet disorder. Blood 113, 5583–5587 (2009).
pubmed: 19357396
doi: 10.1182/blood-2008-07-168260
pmcid: 19357396
Kanagal-Shamanna, R. et al. Bone marrow pathologic abnormalities in familial platelet disorder with propensity for myeloid malignancy and germline RUNX1 mutation. Haematologica 102, 1661–1670 (2017).
pubmed: 28659335
pmcid: 5622850
doi: 10.3324/haematol.2017.167726
Jongmans, M. C. et al. Novel RUNX1 mutations in familial platelet disorder with enhanced risk for acute myeloid leukemia: clues for improved identification of the FPD/AML syndrome. Leukemia 24, 242–246 (2010).
pubmed: 19946261
doi: 10.1038/leu.2009.210
Churpek, J. E. et al. Genomic analysis of germ line and somatic variants in familial myelodysplasia/acute myeloid leukemia. Blood 126, 2484–2490 (2015).
pubmed: 26492932
pmcid: 4661171
doi: 10.1182/blood-2015-04-641100
Patnaik, M. M., Klee, E., Wieben, E. D. & Dingli, D. Genomics of familial myelodysplastic syndromes and acute myeloid leukemia. Blood 122, 2803 (2013).
Bluteau, O. et al. A landscape of germline mutations in a cohort of inherited bone marrow failure patients. Blood 131, 717–732 (2017).
Cancer Genome Atlas Research, N. Genomic and epigenomic landscapes of adult de novo acute myeloid leukemia. N. Engl. J. Med. 368, 2059–2074 (2013).
doi: 10.1056/NEJMoa1301689
Tyner, J. W. et al. Functional genomic landscape of acute myeloid leukaemia. Nature 562, 526–531 (2018).
pubmed: 30333627
pmcid: 6280667
doi: 10.1038/s41586-018-0623-z
Wehr, C. et al. A novel disease-causing synonymous exonic mutation in GATA2 affecting RNA splicing. Blood 132, 1211–1215 (2018).
pubmed: 30030275
pmcid: 6137559
doi: 10.1182/blood-2018-03-837336
Wang, K., Li, M. & Hakonarson, H. ANNOVAR: functional annotation of genetic variants from high-throughput sequencing data. Nucleic Acids Res. 38, e164 (2010).
pubmed: 20601685
pmcid: 2938201
doi: 10.1093/nar/gkq603
O’Leary, N. A. et al. Reference sequence (RefSeq) database at NCBI: current status, taxonomic expansion, and functional annotation. Nucleic Acids Res. 44, D733–D745 (2016).
pubmed: 26553804
pmcid: 4702849
doi: 10.1093/nar/gkv1189
Lavrov, A. V. et al. Frequent variations in cancer-related genes may play prognostic role in treatment of patients with chronic myeloid leukemia. BMC Genet. 17(Suppl. 1), 14 (2016).
pubmed: 26822197
pmcid: 4895599
doi: 10.1186/s12863-015-0308-7
Bersenev, A., Wu, C., Balcerek, J. & Tong, W. Lnk controls mouse hematopoietic stem cell self-renewal and quiescence through direct interactions with JAK2. J. Clin. Invest. 118, 2832–2844 (2008).
pubmed: 18618018
pmcid: 2447929
Seita, J. et al. Lnk negatively regulates self-renewal of hematopoietic stem cells by modifying thrombopoietin-mediated signal transduction. Proc. Natl. Acad. Sci. USA 104, 2349–2354 (2007).
pubmed: 17284614
doi: 10.1073/pnas.0606238104
Bersenev, A. et al. Lnk deficiency partially mitigates hematopoietic stem cell aging. Aging Cell 11, 949–959 (2012).
pubmed: 22812478
pmcid: 3500428
doi: 10.1111/j.1474-9726.2012.00862.x
Duarte-Pereira, S. et al. NAMPT and NAPRT1: novel polymorphisms and distribution of variants between normal tissues and tumor samples. Sci. Rep. 4, 6311 (2014).
pubmed: 25201160
pmcid: 4158320
doi: 10.1038/srep06311
Hirsch C. M., et al. Pathogenic Relevance of Germ Line TET2 Alterations. Blood 128, 3160 (2016).
Longman, D., Plasterk, R. H., Johnstone, I. L. & Caceres, J. F. Mechanistic insights and identification of two novel factors in the C. elegans NMD pathway. Genes Dev. 21, 1075–1085 (2007).
pubmed: 17437990
pmcid: 1855233
doi: 10.1101/gad.417707
Hug, N. & Caceres, J. F. The RNA helicase DHX34 activates NMD by promoting a transition from the surveillance to the decay-inducing complex. Cell Rep. 8, 1845–1856 (2014).
pubmed: 25220460
pmcid: 4534575
doi: 10.1016/j.celrep.2014.08.020
Anastasaki, C., Longman, D., Capper, A., Patton, E. E. & Caceres, J. F. Dhx34 and Nbas function in the NMD pathway and are required for embryonic development in zebrafish. Nucleic Acids Res. 39, 3686–3694 (2011).
pubmed: 21227923
pmcid: 3089463
doi: 10.1093/nar/gkq1319
Longman, D. et al. DHX34 and NBAS form part of an autoregulatory NMD circuit that regulates endogenous RNA targets in human cells, zebrafish and Caenorhabditis elegans. Nucleic Acids Res. 41, 8319–8331 (2013).
pubmed: 23828042
pmcid: 3783168
doi: 10.1093/nar/gkt585
Melero, R. et al. The RNA helicase DHX34 functions as a scaffold for SMG1-mediated UPF1 phosphorylation. Nat. Commun. 7, 10585 (2016).
pubmed: 26841701
pmcid: 4743010
doi: 10.1038/ncomms10585
Cheah, J. J. C., Hahn, C. N., Hiwase, D. K., Scott, H. S. & Brown, A. L. Myeloid neoplasms with germline DDX41 mutation. Int. J. Hematol. 106, 163–174 (2017).
pubmed: 28547672
doi: 10.1007/s12185-017-2260-y
Dumont, B. et al. Absence of collagen-induced platelet activation caused by compound heterozygous GPVI mutations. Blood 114, 1900–1903 (2009).
pubmed: 19549989
doi: 10.1182/blood-2009-03-213504
pmcid: 19549989
Bianchi, P. et al. Congenital dyserythropoietic anemia type II (CDAII) is caused by mutations in the SEC23B gene. Hum. Mutat. 30, 1292–1298 (2009).
pubmed: 19621418
doi: 10.1002/humu.21077
pmcid: 19621418
Flinn, A. M. & Gennery, A. R. Adenosine deaminase deficiency: a review. Orphanet J. Rare Dis. 13, 65 (2018).
pubmed: 29690908
pmcid: 5916829
doi: 10.1186/s13023-018-0807-5
Maslah, N., Cassinat, B., Verger, E., Kiladjian, J. J. & Velazquez, L. The role of LNK/SH2B3 genetic alterations in myeloproliferative neoplasms and other hematological disorders. Leukemia 31, 1661–1670 (2017).
pubmed: 28484264
doi: 10.1038/leu.2017.139
pmcid: 28484264
Johnson, K. D. et al. Cis-element mutated in GATA2-dependent immunodeficiency governs hematopoiesis and vascular integrity. J. Clin. Invest. 122, 3692–3704 (2012).
pubmed: 22996659
pmcid: 3461907
doi: 10.1172/JCI61623
Hsu, A. P. et al. GATA2 haploinsufficiency caused by mutations in a conserved intronic element leads to MonoMAC syndrome. Blood 121, 3830–3837, S1–7 (2013).
pubmed: 23502222
pmcid: 3650705
doi: 10.1182/blood-2012-08-452763
Bresnick, E. H. & Johnson, K. D. Blood disease-causing and -suppressing transcriptional enhancers: general principles and GATA2 mechanisms. Blood Adv. 3, 2045–2056 (2019).
pubmed: 31289032
pmcid: 6616255
doi: 10.1182/bloodadvances.2019000378
Karousis, E. D., Nasif, S. & Muhlemann, O. Nonsense-mediated mRNA decay: novel mechanistic insights and biological impact. Wiley Interdiscip. Rev. RNA 7, 661–682 (2016).
pubmed: 27173476
pmcid: 6680220
doi: 10.1002/wrna.1357
Kurosaki, T., Popp, M. W. & Maquat, L. E. Quality and quantity control of gene expression by nonsense-mediated mRNA decay. Nat. Rev. Mol. Cell Biol. 20, 406–420 (2019).
pubmed: 30992545
pmcid: 6855384
doi: 10.1038/s41580-019-0126-2
Ozgur, S. et al. The conformational plasticity of eukaryotic RNA-dependent ATPases. FEBS J. 282, 850–863 (2015).
pubmed: 25645110
doi: 10.1111/febs.13198
Schmidt, C. et al. Mass spectrometry-based relative quantification of proteins in precatalytic and catalytically active spliceosomes by metabolic labeling (SILAC), chemical labeling (iTRAQ), and label-free spectral count. RNA 20, 406–420 (2014).
pubmed: 24448447
pmcid: 3923134
doi: 10.1261/rna.041244.113
Reimer, K. A. & Neugebauer, K. M. Blood relatives: splicing mechanisms underlying erythropoiesis in health and disease. F1000Research 7, F1000 (2018).
pubmed: 30228869
pmcid: 6117862
doi: 10.12688/f1000research.15442.1
Tesi, B. et al. Gain-of-function SAMD9L mutations cause a syndrome of cytopenia, immunodeficiency, MDS, and neurological symptoms. Blood 129, 2266–2279 (2017).
pubmed: 28202457
pmcid: 5399482
doi: 10.1182/blood-2016-10-743302
Pastor, V. B. et al. Constitutional SAMD9L mutations cause familial myelodysplastic syndrome and transient monosomy 7. Haematologica 103, 427–437 (2018).
pubmed: 29217778
pmcid: 5830370
doi: 10.3324/haematol.2017.180778
Richards, S. et al. Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology. Genet. Med. 17, 405–424 (2015).
pubmed: 25741868
pmcid: 25741868
doi: 10.1038/gim.2015.30
Pontikos, N. et al. Phenopolis: an open platform for harmonization and analysis of genetic and phenotypic data. Bioinformatics 33, 2421–2423 (2017).
pubmed: 28334266
doi: 10.1093/bioinformatics/btx147
pmcid: 28334266
McKenna, A. et al. The Genome Analysis Toolkit: a MapReduce framework for analyzing next-generation DNA sequencing data. Genome Res. 20, 1297–1303 (2010).
pubmed: 20644199
pmcid: 20644199
doi: 10.1101/gr.107524.110
McLaren, W. et al. The Ensembl Variant Effect Predictor. Genome Biol. 17, 122 (2016).
pubmed: 27268795
pmcid: 27268795
doi: 10.1186/s13059-016-0974-4
Cawthon, R. M. Telomere length measurement by a novel monochrome multiplex quantitative PCR method. Nucleic Acids Res. 37, e21 (2009).
pubmed: 19129229
pmcid: 2647324
doi: 10.1093/nar/gkn1027