PMID- 30950017 OWN - NLM STAT- MEDLINE DCOM- 20190820 LR - 20190820 IS - 1003-9406 (Print) IS - 1003-9406 (Linking) VI - 36 IP - 4 DP - 2019 Apr 10 TI - [Clinical and laboratory analysis of a neonate with Down syndrome and a novel GATA1 gene mutation]. PG - 322-326 LID - 10.3760/cma.j.issn.1003-9406.2019.04.008 [doi] AB - OBJECTIVE: To analyze the clinical and molecular biological characteristics of a neonate with myeloid proliferation related to Down syndrome (DS). METHODS: The neonate, who was suspected for Down syndrome, was analyzed in terms of clinical feature, peripheral blood cell morphology, fluorescence in situ hybridization (FISH), immunological classification and other laboratory tests. On hundred and fourteen leukemia-related genes were subjected to next-generation sequencing (NGS). RESULTS: Laboratory test revealed obvious abnormal liver function and coagulation function, anemia, and extreme leukocytosis. Cell smear indicated significantly increased progenitor cells, which conformed to proliferation of megakaryocytes. FISH showed trisomy 21. By NGS, c.220+dupT, a novel mutation, was identified in exon 2 of the GATA1 gene, which encodes a N-terminal activation domain and has a frequency of 95.8%. No mutation was identified among the remaining 113 genes. CONCLUSION: The neonate had DS and GATA1 gene mutation. High percentage of circulating blasts should be considered as transient myelodysplasia but not congenital leukemia. FAU - Zheng, Rui AU - Zheng R AD - Central Laboratory, Taizhou Hospital, Linhai, Zhejiang 317000, China. Email: linaf@enzemed.com. FAU - Zhang, Weiqing AU - Zhang W AD - Department of Nephrology, Taizhou Hospital, Linhai, Zhejiang 317000, China. FAU - Chen, Baoguo AU - Chen B AD - Central Laboratory, Taizhou Hospital, Linhai, Zhejiang 317000, China. Email: linaf@enzemed.com. FAU - Shen, Zhiying AU - Shen Z AD - Central Laboratory, Taizhou Hospital, Linhai, Zhejiang 317000, China. Email: linaf@enzemed.com. FAU - Lin, Aifen AU - Lin A AD - Center of Bioresource, Taizhou Hospital, Linhai, Zhejiang 317000, China. LA - chi PT - Case Reports PT - Journal Article PL - China TA - Zhonghua Yi Xue Yi Chuan Xue Za Zhi JT - Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics JID - 9425197 RN - 0 (GATA1 Transcription Factor) RN - 0 (GATA1 protein, human) MH - *Down Syndrome/genetics MH - GATA1 Transcription Factor/*genetics MH - Humans MH - In Situ Hybridization, Fluorescence MH - Infant, Newborn MH - Mutation MH - Trisomy EDAT- 2019/04/06 06:00 MHDA- 2019/08/21 06:00 CRDT- 2019/04/06 06:00 PHST- 2019/04/06 06:00 [entrez] PHST- 2019/04/06 06:00 [pubmed] PHST- 2019/08/21 06:00 [medline] AID - 940636063 [pii] AID - 10.3760/cma.j.issn.1003-9406.2019.04.008 [doi] PST - ppublish SO - Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2019 Apr 10;36(4):322-326. doi: 10.3760/cma.j.issn.1003-9406.2019.04.008.