1. Variants in exons 5 and 6 of ACTB cause syndromic thrombocytopenia
- Author
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Michael C. Frühwald, Constanca Figueiredo, Barbara Klink, Christine Chaponnier, Ramona Hecker, Nadja Ehmke, Luzie Gawehn, P. Reinke, Theresia Reindl, Sharissa L. Latham, Katharina Sarnow, Dietmar J. Manstein, Werner Stenzel, Konrad Grützmann, Indra Niehaus, Michael J. Friez, Ralf Knöfler, Denise Horn, Nataliya Di Donato, Kerstin Becker, Jennifer A. Lee, Evelin Schröck, Michael J. Lyons, Manuel H. Taft, Teresa Neuhann, Andreas Rump, and Dorothee Eicke
- Subjects
0301 basic medicine ,Genetics ,Microcephaly ,Multidisciplinary ,ACTG1 ,biology ,Platelet maturation ,Science ,fungi ,General Physics and Astronomy ,General Chemistry ,medicine.disease ,Phenotype ,General Biochemistry, Genetics and Molecular Biology ,03 medical and health sciences ,Exon ,030104 developmental biology ,Germline mutation ,biology.protein ,medicine ,lcsh:Q ,Actin-binding protein ,lcsh:Science ,Actin - Abstract
Germline mutations in the ubiquitously expressed ACTB, which encodes β-cytoplasmic actin (CYA), are almost exclusively associated with Baraitser-Winter Cerebrofrontofacial syndrome (BWCFF). Here, we report six patients with previously undescribed heterozygous variants clustered in the 3′-coding region of ACTB. Patients present with clinical features distinct from BWCFF, including mild developmental disability, microcephaly, and thrombocytopenia with platelet anisotropy. Using patient-derived fibroblasts, we demonstrate cohort specific changes to β-CYA filament populations, which include the enhanced recruitment of thrombocytopenia-associated actin binding proteins (ABPs). These perturbed interactions are supported by in silico modeling and are validated in disease-relevant thrombocytes. Co-examination of actin and microtubule cytoskeleton constituents in patient-derived megakaryocytes and thrombocytes indicates that these β-CYA mutations inhibit the final stages of platelet maturation by compromising microtubule organization. Our results define an ACTB-associated clinical syndrome with a distinct genotype-phenotype correlation and delineate molecular mechanisms underlying thrombocytopenia in this patient cohort. Genetic variants in ACTB and ACTG1 have been associated with Baraitser-Winter Cerebrofrontofacial syndrome. Here, the authors report of a syndromic thrombocytopenia caused by variants in ACTB exons 5 or 6 that compromise the organization and coupling of the cytoskeleton, leading to impaired platelet maturation.
- Published
- 2018