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Thrombocytopenia 6(THC6)

MedGen UID:
934756
Concept ID:
C4310789
Disease or Syndrome
Synonyms: THC6; THROMBOCYTOPENIA, AUTOSOMAL DOMINANT, 6
Modes of inheritance:
Autosomal dominant inheritance
MedGen UID:
141047
Concept ID:
C0443147
Intellectual Product
Source: Orphanet
A mode of inheritance that is observed for traits related to a gene encoded on one of the autosomes (i.e., the human chromosomes 1-22) in which a trait manifests in heterozygotes. In the context of medical genetics, an autosomal dominant disorder is caused when a single copy of the mutant allele is present. Males and females are affected equally, and can both transmit the disorder with a risk of 50% for each child of inheriting the mutant allele.
 
Gene (location): SRC (20q11.23)
 
Monarch Initiative: MONDO:0014837
OMIM®: 616937
Orphanet: ORPHA480851

Definition

Thrombocytopenia-6 is an autosomal dominant hematologic disorder characterized by increased bleeding episodes due to reduced platelet count and abnormal platelet morphology resulting from defective megakaryopoiesis. Patients may also have bone abnormalities, including osteoporosis or tooth loss, as well as an increased risk for myelofibrosis (summary by Turro et al., 2016). For a general phenotypic description and a discussion of genetic heterogeneity of thrombocytopenia, see 313900. [from OMIM]

Clinical features

From HPO
Myelofibrosis
MedGen UID:
10146
Concept ID:
C0026987
Neoplastic Process
Replacement of bone marrow by fibrous tissue.
Thrombocytopenia
MedGen UID:
52737
Concept ID:
C0040034
Disease or Syndrome
A reduction in the number of circulating thrombocytes.
Bone marrow hypercellularity
MedGen UID:
605828
Concept ID:
C0427703
Finding
A larger than normal amount or percentage of hematopoietic cells relative to marrow fat.
Abnormal bleeding
MedGen UID:
264316
Concept ID:
C1458140
Pathologic Function
An abnormal susceptibility to bleeding, often referred to as a bleeding diathesis. A bleeding diathesis may be related to vascular, platelet and coagulation defects.
Spontaneous, recurrent epistaxis
MedGen UID:
816045
Concept ID:
C3809715
Finding
Osteoporosis
MedGen UID:
14535
Concept ID:
C0029456
Disease or Syndrome
Osteoporosis is a systemic skeletal disease characterized by low bone density and microarchitectural deterioration of bone tissue with a consequent increase in bone fragility. According to the WHO criteria, osteoporosis is defined as a BMD that lies 2.5 standard deviations or more below the average value for young healthy adults (a T-score below -2.5 SD).
Large forehead
MedGen UID:
326962
Concept ID:
C1839783
Finding
Deeply set eye
MedGen UID:
473112
Concept ID:
C0423224
Finding
An eye that is more deeply recessed into the plane of the face than is typical.
Hypotelorism
MedGen UID:
96107
Concept ID:
C0424711
Finding
Interpupillary distance less than 2 SD below the mean (alternatively, the appearance of an decreased interpupillary distance or closely spaced eyes).

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVThrombocytopenia 6

Professional guidelines

PubMed

Wu F, Nizar S, Zhang L, Wang F, Lin X, Zhou X
J Int Med Res 2022 Aug;50(8):3000605221117207. doi: 10.1177/03000605221117207. PMID: 36003027Free PMC Article
Saito Y, Takekuma Y, Shinagawa N, Sugawara M
Support Care Cancer 2022 May;30(5):4081-4088. Epub 2022 Jan 23 doi: 10.1007/s00520-021-06757-x. PMID: 35066667
Kurucu N, Sari N, Ilhan IE
Pediatr Hematol Oncol 2015 Feb;32(1):50-9. Epub 2014 Sep 24 doi: 10.3109/08880018.2014.954070. PMID: 25252096

Recent clinical studies

Etiology

Sorin B, Fadlallah J, Garzaro M, Vigneron J, Bertinchamp R, Boutboul D, Oksenhendler E, Fieschi C, Malphettes M, Galicier L
Ann Hematol 2023 Aug;102(8):2059-2068. Epub 2023 Jun 29 doi: 10.1007/s00277-023-05340-0. PMID: 37386347
Chen J, He Q, Yang J, Wu T, Huang Z, Zhang Y, Liao J, Zhang L, Yu X, Yao C, Luo J, Tao Q
Adv Rheumatol 2023 May 15;63(1):21. doi: 10.1186/s42358-023-00304-4. PMID: 37189182
Wu F, Nizar S, Zhang L, Wang F, Lin X, Zhou X
J Int Med Res 2022 Aug;50(8):3000605221117207. doi: 10.1177/03000605221117207. PMID: 36003027Free PMC Article
Laffan MA, Rees S, Yadavalli M, Ferstenberg LB, Kumar Shankar N, Medin J, Foskett N, Arnold M, Gomes da Silva H, Bhuyan P, Nord M
Vaccine 2022 Sep 9;40(38):5585-5593. Epub 2022 Aug 19 doi: 10.1016/j.vaccine.2022.08.007. PMID: 35989136Free PMC Article
Eriguchi T, Tsukamoto N, Kuroiwa N, Nemoto T, Ogata T, Okubo Y, Nakano S, Sugawara A
Pract Radiat Oncol 2021 Jan-Feb;11(1):44-52. Epub 2020 Aug 10 doi: 10.1016/j.prro.2020.08.002. PMID: 32791232

Diagnosis

Wu F, Nizar S, Zhang L, Wang F, Lin X, Zhou X
J Int Med Res 2022 Aug;50(8):3000605221117207. doi: 10.1177/03000605221117207. PMID: 36003027Free PMC Article
Laffan MA, Rees S, Yadavalli M, Ferstenberg LB, Kumar Shankar N, Medin J, Foskett N, Arnold M, Gomes da Silva H, Bhuyan P, Nord M
Vaccine 2022 Sep 9;40(38):5585-5593. Epub 2022 Aug 19 doi: 10.1016/j.vaccine.2022.08.007. PMID: 35989136Free PMC Article
Hunter AM, Newman H, Dezern AE, Steensma DP, Niyongere S, Roboz GJ, Mo Q, Chan O, Gerds A, Sallman DA, Dominguez-Viqueira W, Letson C, Balasis ME, Ball M, Kruer T, Zhang H, Lancet JE, List AF, Sekeres MA, Komrokji RS, Padron E
Clin Cancer Res 2021 Nov 15;27(22):6095-6105. Epub 2021 Jul 12 doi: 10.1158/1078-0432.CCR-21-0935. PMID: 34253584Free PMC Article
Ishida T, Kimura H, Ozaki S, Kubo K, Sunami K, Takezako N, Fujita H, Hayashi T, Kiguchi T, Ohashi K, Yamamoto S, Takamatsu H, Kosugi H, Ohta K, Sakai R, Handa H, Kondo S, Abe Y, Omoto E, Mitani K, Morita S, Murakami H, Shimizu K
Ann Hematol 2020 May;99(5):1063-1072. Epub 2020 Apr 4 doi: 10.1007/s00277-020-03988-6. PMID: 32248251
Wang Q, Sun M, Lv H, Lu P, Ma C, Liu Y, Liu S, Tong H, Hu Z, Gao Y
Toxicon 2020 Jan 30;174:43-47. Epub 2019 Dec 24 doi: 10.1016/j.toxicon.2019.12.156. PMID: 31989928

Therapy

Mei M, Chen L, Godfrey J, Song J, Egelston C, Puverel S, Budde LE, Armenian S, Nikolaenko L, Nwangwu M, Guo W, Gao L, Lee P, Chen R, Daniels S, Kennedy N, Peters L, Zain J, Rosen S, Forman S, Popplewell L, Kwak L, Herrera AF
Blood 2023 Oct 19;142(16):1359-1370. doi: 10.1182/blood.2023020485. PMID: 37339586
Wu F, Nizar S, Zhang L, Wang F, Lin X, Zhou X
J Int Med Res 2022 Aug;50(8):3000605221117207. doi: 10.1177/03000605221117207. PMID: 36003027Free PMC Article
Laffan MA, Rees S, Yadavalli M, Ferstenberg LB, Kumar Shankar N, Medin J, Foskett N, Arnold M, Gomes da Silva H, Bhuyan P, Nord M
Vaccine 2022 Sep 9;40(38):5585-5593. Epub 2022 Aug 19 doi: 10.1016/j.vaccine.2022.08.007. PMID: 35989136Free PMC Article
Chen Z, Lv Y, Li H, Diao R, Zhou J, Yu T
Medicine (Baltimore) 2021 Jan 22;100(3):e24068. doi: 10.1097/MD.0000000000024068. PMID: 33546009Free PMC Article
Eriguchi T, Tsukamoto N, Kuroiwa N, Nemoto T, Ogata T, Okubo Y, Nakano S, Sugawara A
Pract Radiat Oncol 2021 Jan-Feb;11(1):44-52. Epub 2020 Aug 10 doi: 10.1016/j.prro.2020.08.002. PMID: 32791232

Prognosis

Hunter AM, Newman H, Dezern AE, Steensma DP, Niyongere S, Roboz GJ, Mo Q, Chan O, Gerds A, Sallman DA, Dominguez-Viqueira W, Letson C, Balasis ME, Ball M, Kruer T, Zhang H, Lancet JE, List AF, Sekeres MA, Komrokji RS, Padron E
Clin Cancer Res 2021 Nov 15;27(22):6095-6105. Epub 2021 Jul 12 doi: 10.1158/1078-0432.CCR-21-0935. PMID: 34253584Free PMC Article
Eriguchi T, Tsukamoto N, Kuroiwa N, Nemoto T, Ogata T, Okubo Y, Nakano S, Sugawara A
Pract Radiat Oncol 2021 Jan-Feb;11(1):44-52. Epub 2020 Aug 10 doi: 10.1016/j.prro.2020.08.002. PMID: 32791232
Ishida T, Kimura H, Ozaki S, Kubo K, Sunami K, Takezako N, Fujita H, Hayashi T, Kiguchi T, Ohashi K, Yamamoto S, Takamatsu H, Kosugi H, Ohta K, Sakai R, Handa H, Kondo S, Abe Y, Omoto E, Mitani K, Morita S, Murakami H, Shimizu K
Ann Hematol 2020 May;99(5):1063-1072. Epub 2020 Apr 4 doi: 10.1007/s00277-020-03988-6. PMID: 32248251
Ahn DH, Reardon J, Ahn CW, Bupathi M, Mikhail S, Wu CS, Bekaii-Saab T
Int J Cancer 2018 Apr 15;142(8):1671-1675. Epub 2017 Nov 17 doi: 10.1002/ijc.31144. PMID: 29114851
Kurucu N, Sari N, Ilhan IE
Pediatr Hematol Oncol 2015 Feb;32(1):50-9. Epub 2014 Sep 24 doi: 10.3109/08880018.2014.954070. PMID: 25252096

Clinical prediction guides

Passaro A, Russo GL, Passiglia F, D'Arcangelo M, Sbrana A, Russano M, Bonanno L, Giusti R, Metro G, Bertolini F, Grisanti S, Carta A, Cecere F, Montrone M, Massa G, Perrone F, Simionato F, Guaitoli G, Scotti V, Genova C, Lugini A, Bonomi L, Attili I, de Marinis F
Lung Cancer 2022 Dec;174:118-124. Epub 2022 Nov 9 doi: 10.1016/j.lungcan.2022.11.005. PMID: 36379124
Hunter AM, Newman H, Dezern AE, Steensma DP, Niyongere S, Roboz GJ, Mo Q, Chan O, Gerds A, Sallman DA, Dominguez-Viqueira W, Letson C, Balasis ME, Ball M, Kruer T, Zhang H, Lancet JE, List AF, Sekeres MA, Komrokji RS, Padron E
Clin Cancer Res 2021 Nov 15;27(22):6095-6105. Epub 2021 Jul 12 doi: 10.1158/1078-0432.CCR-21-0935. PMID: 34253584Free PMC Article
Scully M, Singh D, Lown R, Poles A, Solomon T, Levi M, Goldblatt D, Kotoucek P, Thomas W, Lester W
N Engl J Med 2021 Jun 10;384(23):2202-2211. Epub 2021 Apr 16 doi: 10.1056/NEJMoa2105385. PMID: 33861525Free PMC Article
Chen Z, Lv Y, Li H, Diao R, Zhou J, Yu T
Medicine (Baltimore) 2021 Jan 22;100(3):e24068. doi: 10.1097/MD.0000000000024068. PMID: 33546009Free PMC Article
Eriguchi T, Tsukamoto N, Kuroiwa N, Nemoto T, Ogata T, Okubo Y, Nakano S, Sugawara A
Pract Radiat Oncol 2021 Jan-Feb;11(1):44-52. Epub 2020 Aug 10 doi: 10.1016/j.prro.2020.08.002. PMID: 32791232

Recent systematic reviews

Janssen LMA, van der Flier M, de Vries E
Front Immunol 2021;12:620709. Epub 2021 Mar 23 doi: 10.3389/fimmu.2021.620709. PMID: 33833753Free PMC Article
Pokrovsky VS, Vinnikov D
Expert Rev Anticancer Ther 2019 Jan;19(1):93-104. Epub 2018 Nov 23 doi: 10.1080/14737140.2019.1549992. PMID: 30449214
Mohammad NH, ter Veer E, Ngai L, Mali R, van Oijen MG, van Laarhoven HW
Cancer Metastasis Rev 2015 Sep;34(3):429-41. doi: 10.1007/s10555-015-9576-y. PMID: 26267802Free PMC Article

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