Inherited platelet disorders: toward DNA-based diagnosis
File(s)blood-2016-03-378588.full.pdf (721.59 KB)
Accepted version
Author(s)
Lentaigne, C
Freson, K
Laffan, MA
Turro, E
Ouwehand, WH
Type
Journal Article
Abstract
Variations in platelet number, volume, and function are largely genetically controlled, and many loci associated with platelet traits have been identified by genome-wide association studies (GWASs).(1) The genome also contains a large number of rare variants, of which a tiny fraction underlies the inherited diseases of humans. Research over the last 3 decades has led to the discovery of 51 genes harboring variants responsible for inherited platelet disorders (IPDs). However, the majority of patients with an IPD still do not receive a molecular diagnosis. Alongside the scientific interest, molecular or genetic diagnosis is important for patients. There is increasing recognition that a number of IPDs are associated with severe pathologies, including an increased risk of malignancy, and a definitive diagnosis can inform prognosis and care. In this review, we give an overview of these disorders grouped according to their effect on platelet biology and their clinical characteristics. We also discuss the challenge of identifying candidate genes and causal variants therein, how IPDs have been historically diagnosed, and how this is changing with the introduction of high-throughput sequencing. Finally, we describe how integration of large genomic, epigenomic, and phenotypic datasets, including whole genome sequencing data, GWASs, epigenomic profiling, protein-protein interaction networks, and standardized clinical phenotype coding, will drive the discovery of novel mechanisms of disease in the near future to improve patient diagnosis and management.
Date Issued
2016-06-09
Date Acceptance
2016-04-13
Citation
Blood, 2016, 127 (23), pp.2814-2823
ISSN
0006-4971
Publisher
American Society of Hematology
Start Page
2814
End Page
2823
Journal / Book Title
Blood
Volume
127
Issue
23
Copyright Statement
© 2016 by The American Society of Hematology
Sponsor
Medical Research Council (MRC)
Grant Number
MR/J011711/1
Subjects
Immunology
1102 Cardiovascular Medicine And Haematology
1103 Clinical Sciences
1114 Paediatrics And Reproductive Medicine
Publication Status
Published