[Genotype analysis and telomere length measure in patients with dyskeratosis congenita].

Zhongguo Shi Yan Xue Ye Xue Za Zhi

Diagnostic and Therapeutic Center of Pediatric Hematologic Diseases, Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin 300020, China. E-mail:

Published: February 2015

AI Article Synopsis

  • - This study aimed to analyze the genetic makeup and telomere length in two Chinese patients with dyskeratosis congenita (DC), a condition characterized by certain skin and mucous membrane abnormalities as well as bone marrow failure.
  • - Blood DNA from the patients was examined for mutations in specific DC-related genes using PCR and DNA sequencing, revealing abnormal changes in the TINF2 gene for both individuals.
  • - The findings suggest that clinicians should consider DC in young patients showing skin abnormalities and bone marrow issues, as early identification of gene mutations and telomere length measurement can help prevent misdiagnosis. This study also reports new TINF2 gene mutations in these patients.

Article Abstract

Objective: To analysze genotype and measure telomere length in two Chinese patients with dyskeratosis congenita(DC).

Methods: The peripleral blood DNA was extracted in two patients characterized by mucocutaneous abnormalities (abnormal nails, lacy reticulated skin pigmentation, and oral leukoplakia), bone marrow failure, DC genes were amplified by polymerase chain reaction (PCR), including DKC1, TERT, TERC, TINF2, NOP10, NHP2, then DNA sequencing was performed for abnormal exons. Lymphocyte telomere length was measured by flow cytometry-fluorescence in situ hybridization(Flow-FISH).

Results: Abnormal peaks were found in exon 6 of TINF2 gene of the two patients and a 811C→T transition in TINF2 gene in one patient. DNA sequencing showed a 848C→A transition in TINF2 gene in another patient. Relative telomere length was remarkable less than that of normal children with same age.

Conclusions: Physician should think about DC if the young patients with mucocutaneous abnormalities and marrow failure. Early detection of related genes and measurernant of tolomere length may contribute to avoid misdiagnosis. TINF2 c.811C→T (Q271X) and TINF2 c.848C→A (P283H) exist in the two patients, it is reported in China for the first time.

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http://dx.doi.org/10.7534/j.issn.1009-2137.2015.01.040DOI Listing

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