Severe Thrombocytopenia Is Associated with a Genetic Variant in the Helicase Domain of SLFN14 Gene: A Case Report

EJHaem Pub Date : 2025-06-13 DOI:10.1002/jha2.70068
Kun Yang, Peixiao Fu, Jinyun Xu, Hao Jiang, Jie Yu, Chunhai Luo, Jiaowei Gu
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Abstract

Inherited thrombocytopenias (ITs) are a diverse group of hematological disorders. This study reports a novel case of severe thrombocytopenia in two male twins from nonconsanguineous parents. Whole exome sequencing (WES) identified a heterozygous genetic variant (c.1766T > C; p.L589S) in the helicase domain of the SLFN14 gene in the twins, their mother, and maternal grandmother, while the father and maternal grandfather did not carry the genetic variant. Despite carrying the genetic variant, the mother and maternal grandmother showed no abnormal phenotypes. The twins exhibited significantly reduced platelet counts, abnormal megakaryocyte accumulation, and arrested maturation, broadening the spectrum of SLFN14-related thrombocytopenia.

Clinical Trial Registration: The authors confirm that registration of a clinical trial is not necessary for this submission.

严重血小板减少症与SLFN14基因解旋酶结构域的遗传变异相关:一例报告
遗传性血小板减少症(ITs)是一组不同的血液系统疾病。本研究报告了一个新病例严重的血小板减少症在两个男性双胞胎从非近亲父母。全外显子组测序(WES)鉴定出一个杂合遗传变异(c.1766T >;C;p.L589S)在双胞胎及其母亲和外祖母的SLFN14基因解旋酶域中,而父亲和外祖父没有携带该遗传变异。尽管携带遗传变异,母亲和外祖母没有表现出异常表型。这对双胞胎表现出血小板计数明显减少,巨核细胞积聚异常,成熟受阻,拓宽了slfn14相关的血小板减少症的频谱。临床试验注册:作者确认该提交不需要临床试验注册。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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