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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.

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