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Blood, 1 November 2001, Vol. 98, No. 9, pp. 2681-2688

HEMATOPOIESIS

X-linked thrombocytopenia caused by a novel mutation of GATA-1

Michele G. Mehaffey, Anthea L. Newton, Manish J. Gandhi, Merlin Crossley, and Jonathan G. Drachman

From the Puget Sound Blood Center and Program, Seattle, WA; the Division of Hematology, University of Washington, Seattle; and the Department of Biochemistry, University of Sydney, Australia.

A family with recessive X-linked thrombocytopenia affecting 4 males in 2 generations, characterized by macrothrombocytopenia, profound bleeding, and mild dyserythropoiesis, is described. Microsatellite linkage analysis identified a region of the X chromosome including the GATA-1 gene, which encodes a critical transcription factor involved in erythrocyte and megakaryocyte development. By sequencing the entire coding region of GATA-1, a 2-base mutation was detected that results in a single amino acid substitution (glycine 208 to serine) within a highly conserved portion of the N-terminal zinc finger domain. Restriction fragment length polymorphism confirmed that this novel mutation segregated with the affected males and female carrier. Although not required for DNA binding, Gly208 of GATA-1 is involved in direct interaction with Friend of GATA-1 (FOG), a cofactor required for normal megakaryocytic and erythroid development. These results demonstrate that the GATA-1-FOG interaction is partially disrupted by the mutation and that the greatest effect involves contact with the FOG zinc finger 9. These findings help describe a novel mutation of GATA-1 in humans as a cause of X-linked thrombocytopenia, and they confirm the vital role played by this transcription factor during in vivo megakaryocyte development.

© 2001 by The American Society of Hematology.
 

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