Mutations in the TNFRSF1A, CEBPE and ELANE genes in a Congenital Cyclic Neutropenia Patient: A New Syndrome?
BLOOD
Authors: Skokowa, Julia; Klimenkova, Olga; Klimiankou, Maksim; Kandabarau, Siarhei; Reuter, Marlene; Hagemann, Anna-Lena; Welte, Karl
Abstract
Description of an ELANE mutation in a Girl with Severe Congenital Noutropenia: A Paradigm of Targeted Genetic Screening Based on Clinical Findings
JOURNAL OF PEDIATRIC GENETICS
Authors: Gogou, Maria; Damianidou, Labrini; Papageorgiou, Theodotis; Tragiannidis, Athanasios; Haidopoulou, Katerina; Giannopoulos, Andreas; Hatzipantelis, Emmanuel
Abstract
We describe the case of a 5-year-old girl with severe congenital neutropenia presenting with recurrent skin and respiratory infections. Sequence analysis of ELANE and HAX1 genes identified a mutation in heterozygous state in exon 2 of the ELANE gene: c.157C > G (p.His53Asp), not previously described in the literature at the exon coding level. Given the autosomal dominant inheritance and the location of the mutation within a "hotspot," this mutation was considered as clinically relevant. ELANE should be screened in patients with congenital neutropenia of no obvious etiology. A detailed medical history and clinical evaluation can prevent unnecessary investigations allowing for a targeted diagnostic strategy.