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X-linked sideroblastic anemia due to ALAS2 intron 1 enhancer element GATA-binding site mutations

  • D.R. Campagna
  • , C.I. de Bie
  • , K. Schmitz-Abe
  • , M. Sweeney
  • , A.K. Sendamarai
  • , P.J. Schmidt
  • , M.M. Heeney
  • , H.G. Yntema
  • , C. Kannengiesser
  • , B. Grandchamp
  • , C.M. Niemeyer
  • , V.V.A.M. Knoers
  • , S. Swart
  • , G. Marron
  • , H.A. van Wijk
  • , R.A.P. Raijmakers
  • , A. May
  • , K. Markianos
  • , S.S. Bottomley
  • , D.W. Swinkels
  • M.D. Fleming

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

X-linked sideroblastic anemia (XLSA) is the most common form of congenital sideroblastic anemia. In affected males, it is uniformly associated with partial loss-of-function missense mutations in the erythroid-specific heme biosynthesis protein 5-aminolevulinate synthase 2 (ALAS2). Here, we report five families with XLSA owing to mutations in a GATA transcription factor binding site located in a transcriptional enhancer element in intron 1 of the ALAS2 gene. As such, this study defines a new class of mutations that should be evaluated in patients undergoing genetic testing for a suspected diagnosis of XLSA.

Original languageEnglish
Pages (from-to)315-319
Number of pages5
JournalAmerican Journal of Hematology
Volume89
Issue number3
DOIs
Publication statusPublished - 2014

Keywords

  • 5-Aminolevulinate Synthetase
  • Adult
  • Aged
  • Anemia, Sideroblastic
  • Binding Sites
  • Enhancer Elements, Genetic
  • Europe
  • Female
  • GATA Transcription Factors
  • Genetic Diseases, X-Linked
  • Genotype
  • Humans
  • Introns
  • Male
  • Middle Aged
  • Mutation
  • Pedigree
  • Young Adult
  • Journal Article
  • Research Support, N.I.H., Intramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

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