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Cytopenias and congenital anaemias v1.111 RAD51 Øystein Holla gene: RAD51 was added
gene: RAD51 was added to Cytopenias and congenital anaemias. Sources: Literature
Mode of inheritance for gene: RAD51 was set to MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Publications for gene: RAD51 were set to 26681308; 30907510; 26253028
Phenotypes for gene: RAD51 were set to Fanconi anemia, atypical
Penetrance for gene: RAD51 were set to unknown
Review for gene: RAD51 was set to GREEN
Added comment: Three cases published, all with de novo variants and atypical Fanconi phenotype. Dominant negative effect. RAD51 haploinsufficiency cause mirror movements.
Sources: Literature
Cytopenias and congenital anaemias v1.111 RFWD3 Øystein Holla gene: RFWD3 was added
gene: RFWD3 was added to Cytopenias and congenital anaemias. Sources: Literature
Mode of inheritance for gene: RFWD3 was set to BIALLELIC, autosomal or pseudoautosomal
Publications for gene: RFWD3 were set to 28691929
Phenotypes for gene: RFWD3 were set to Fanconi anemia
Penetrance for gene: RFWD3 were set to unknown
Review for gene: RFWD3 was set to RED
Added comment: Only one compund heterozygote published, c.205_206dupCC; p.L69Pfs*12) and c.1916T>A; p.I639K. (PMID:28691929)
Sources: Literature
Cytopenias and congenital anaemias v1.106 TAZ Arina Puzriakova Tag new-gene-name tag was added to gene: TAZ.
Cytopenias and congenital anaemias v1.100 KLF1 Arina Puzriakova Added comment: Comment on mode of inheritance: MOI was updated from 'Monoallelic' only to 'Both mono- and biallelic, (biallelic more severe)'. The expanded MOI is based on compound heterozygous cases in PMID:24443441; 25724378; 27282573; 28361594; 28369821. Heterozygous carrier parents may display features of beta thalassemia.
Cytopenias and congenital anaemias v1.100 KLF1 Arina Puzriakova Mode of inheritance for gene: KLF1 was changed from MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown to BOTH monoallelic and biallelic (but BIALLELIC mutations cause a more SEVERE disease form), autosomal or pseudoautosomal
Cytopenias and congenital anaemias v1.89 POLR2C Ivone Leong Tag watchlist was removed from gene: POLR2C.
Cytopenias and congenital anaemias v1.89 POLR2C Ivone Leong gene: POLR2C was added
gene: POLR2C was added to Cytopenias and congenital anaemias. Sources: Literature,Expert Review Amber
watchlist tags were added to gene: POLR2C.
Mode of inheritance for gene: POLR2C was set to MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Publications for gene: POLR2C were set to 34794894; 29367954
Phenotypes for gene: POLR2C were set to Primary ovarian insufficiency
Cytopenias and congenital anaemias v1.86 ABCB7 Ivone Leong Mode of inheritance for gene: ABCB7 was changed from X-LINKED: hemizygous mutation in males, biallelic mutations in females to X-LINKED: hemizygous mutation in males, monoallelic mutations in females may cause disease (may be less severe, later onset than males)
Cytopenias and congenital anaemias v1.79 RAP1B Ivone Leong gene: RAP1B was added
gene: RAP1B was added to Cytopenias and congenital anaemias. Sources: Literature
watchlist tags were added to gene: RAP1B.
Mode of inheritance for gene: RAP1B was set to MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Publications for gene: RAP1B were set to 32627184; 26280580
Phenotypes for gene: RAP1B were set to Syndromic intellectual disability; cytopenia
Review for gene: RAP1B was set to AMBER
Added comment: This gene is associated with a phenotype in Gene2Phenotype but not OMIM.

PMID: 32627184 describes 2 patients.
36 yo patient of non-consanguineous parents. Had unclear pancytopenia, multiple congenital malformations, mild intellectual disability, endocrine disorders (short stature with growth hormone deficiency), dysmorphism and other features. Parents and sibling unaffected.
13 yo of non-consanguineous parents with thrombocytopenia, multiple congenital anomalies and learning difficulties. He had normal developmental milestones, walk was achieved at 14 months and there was no speech delay. He attended mainstream school with auxiliary help because of learning difficulties with graphism, syntaxic comprehension, logical reasoning and attention deficit. Parents and siblings unaffected.

PMID: 26280580 describes another patient with variant in RAP1B. The clinical features can be found in supplementary table 2. The table lists ID, but doesn't say severity and lists a host of other features including short stature, facial dysmorphism and skeletal findings. Cytopenia is not a feature for this patient.

All 3 cases seem to have a very wide spectrum of differing phenotypes and therefore, this gene has been given an Amber rating until further evidence is available.
Sources: Literature
Cytopenias and congenital anaemias v1.73 PIGA Sarah Leigh Tag Skewed X-inactivation tag was added to gene: PIGA.
Cytopenias and congenital anaemias v1.73 C15orf41 Catherine Snow Tag new-gene-name tag was added to gene: C15orf41.
Cytopenias and congenital anaemias v1.71 XK Rachel Jones gene: XK was added
gene: XK was added to Cytopenias and congenital anaemias. Sources: Literature
Mode of inheritance for gene: XK was set to X-LINKED: hemizygous mutation in males, biallelic mutations in females
Publications for gene: XK were set to 11761473; 11761473
Phenotypes for gene: XK were set to McLeod syndrome with or without chronic granulomatous disease OMIM 300842
Penetrance for gene: XK were set to Incomplete
Review for gene: XK was set to GREEN
gene: XK was marked as current diagnostic
Added comment: Several publications including those given above regarding this well characterised link between XK gene and McLeod syndrome in many patients. Phenotype is acanthosis, haemolysis and elevated CK. Neurological phenotype (from OMIM) "Onset of neurologic symptoms ranges between 25 and 60 years (mean onset 30-40 years), and penetrance appears to be high. Additional symptoms include generalized seizures, neuromuscular symptoms leading to weakness and atrophy, and cardiomyopathy mainly manifesting with atrial fibrillation, malignant arrhythmias, and dilated cardiomyopathy"

Testing not currently offered by UK labs but several accredited European laboratories are offering testing
Sources: Literature
Cytopenias and congenital anaemias v1.71 ADA2 Louise Daugherty Mode of inheritance for gene: ADA2 was changed from MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted to BIALLELIC, autosomal or pseudoautosomal
Cytopenias and congenital anaemias v1.70 RUNX1 Louise Daugherty Tag somatic-germline was removed from gene: RUNX1.
Tag somatic tag was added to gene: RUNX1.
Cytopenias and congenital anaemias v1.70 PIGT Louise Daugherty Tag somatic-germline was removed from gene: PIGT.
Tag somatic tag was added to gene: PIGT.
Cytopenias and congenital anaemias v1.69 MPL Louise Daugherty Tag somatic-germline was removed from gene: MPL.
Tag somatic tag was added to gene: MPL.
Cytopenias and congenital anaemias v1.69 IKZF1 Louise Daugherty Tag somatic-germline was removed from gene: IKZF1.
Tag somatic tag was added to gene: IKZF1.
Cytopenias and congenital anaemias v1.69 GATA2 Louise Daugherty Tag somatic-germline was removed from gene: GATA2.
Tag somatic tag was added to gene: GATA2.
Cytopenias and congenital anaemias v1.69 CEBPA Louise Daugherty Tag somatic-germline was removed from gene: CEBPA.
Tag somatic tag was added to gene: CEBPA.
Cytopenias and congenital anaemias v1.69 SLC46A1 Julia Baptista gene: SLC46A1 was added
gene: SLC46A1 was added to Cytopenias and congenital anaemias. Sources: Expert Review,Literature
Mode of inheritance for gene: SLC46A1 was set to BIALLELIC, autosomal or pseudoautosomal
Publications for gene: SLC46A1 were set to PMID: 21333572; 17446347; 29390264; 11804211; 17641272
Phenotypes for gene: SLC46A1 were set to Folate malabsorption; anemia; pancytopenia
Review for gene: SLC46A1 was set to GREEN
Added comment: Hereditary folate malabsorption is an autosomal recessive disorder, shown to be due to loss-of-function mutations of the proton-coupled folate transporter (SLC46A1). Affected individuals present with early onset macrocytic anemia, thrombocytopenia, neutropenia, leukopenianand/or pancytopenia.
Sources: Expert Review, Literature
Cytopenias and congenital anaemias WAS Ellen McDonagh commented on WAS
Cytopenias and congenital anaemias WAS Helen Brittain marked WAS as ready
Cytopenias and congenital anaemias WAS Helen Brittain classified WAS as green
Cytopenias and congenital anaemias WAS Helen Brittain reviewed WAS