Volume 17, Issue 1 (Jan-Feb 2023)                   mljgoums 2023, 17(1): 42-46 | Back to browse issues page


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Shakeri S, Soltani N, Javan M R, abdolalian M, Ayatollahi H, shams F. Evaluation of Prevalence and Characteristics of Patients with Fanconi Anemia: A Study in Northeast of Iran. mljgoums 2023; 17 (1) :42-46
URL: http://mlj.goums.ac.ir/article-1-1383-en.html
1- Cancer Molecular Pathology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
2- Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran
3- Professor of Hematopathology, Cancer Molecular Pathology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
4- Department of Hematology and Blood Banking, Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran , shams8869@yahoo.com
Abstract:   (2190 Views)
Background and objectives: Fanconi anemia (FA) is an autosomal recessive disorder that usually manifest in forms of pancytopenia, hyperpigmentation, and skeletal complications. Mutation in the DNA repair regulatory genes is associated with the development of FA. Examination of chromosomal breakages when chromosomes are exposed to cross-linking agents is a common method of FA diagnosis. This study aimed to evaluate the prevalence and characteristics of patients with FA in Mashhad, northeast of Iran.
Methods: In this study, we evaluated 312 suspected FA patients who had been referred to the laboratory of Ghaem Hospital during 2014-2020. The mitomycin C method was used to identify FA-positive subjects.
Results: After the examinations, 84 patients (26.9%) were cytogenetically positive for FA. Of 84 patients, 48 (57.1%) were male and 36 (42.9%) were female. Thumb abnormality was the most common congenital anomaly (43.2%).
Conclusion: Based on the findings, males are more susceptible to FA, and thumb abnormality is the most common congenital anomaly associated with FA. Combination of clinical manifestations and genetic susceptibility in patients may contribute to a more accurate diagnosis.
 
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Research Article: Original Paper | Subject: Laboratory hematology
Received: 2021/04/24 | Accepted: 2021/06/23 | Published: 2023/01/20 | ePublished: 2023/01/20

References
1. Shukla P, Korgaonkar S, Kerketta L, Vundinti BR. Prevalence and association of dermatological manifestations with fanconi anemia: A retrospective study. Indian dermatology online journal. 2018; 9(5): 341. [DOI:10.4103/idoj.IDOJ_368_17] [PubMed] [Google Scholar]
2. Che R, Zhang J, Nepal M, Han B, Fei P. Multifaceted Fanconi anemia signaling. Trends in Genetics. 2018;34(3):171-83. [View at Publisher] [DOI:10.1016/j.tig.2017.11.006] [PubMed] [Google Scholar]
3. Moghadam AAS, Mahjoubi F, Reisi N, Vosough P. Investigation of FANCA gene in Fanconi anaemia patients in Iran. The Indian journal of medical research. 2016;143(2):184. [DOI:10.4103/0971-5916.180206] [Google Scholar]
4. Calado RT, Clé DV. Treatment of inherited bone marrow failure syndromes beyond transplantation. Hematology Am Soc Hematol Educ Program. 2017 8;2017(1):96-101. [DOI:10.1182/asheducation-2017.1.96] [PubMed] [Google Scholar]
5. Nepal M, Ma C, Xie G, Jia W, Fei P. Fanconi Anemia complementation group C protein in metabolic disorders. Aging (Albany NY). 2018 21;10(6):1506-1522. [DOI:10.18632/aging.101487] [PubMed] [Google Scholar]
6. Taylor AMR, Rothblum-Oviatt C, Ellis NA, Hickson ID, Meyer S, Crawford TO, et al . Chromosome instability syndromes. Nat Rev Dis Primers. 2019 19;5(1):64. [View at Publisher] [DOI:10.1053/beha.2001.0158] [PubMed] [Google Scholar]
7. Afshar A, Tabrizi A, Fathalizadeh K, Hejazi S, Rezamand A, Vafaie M. A Perspective of Fanconi Anemia and Its Association with Skeletal Anomalies in Northwestern Iran. Journal of Research in Orthopedic Science. 2018;5(2):1-3. [View at Publisher] [DOI:10.5812/soj.68971] [Google Scholar]
8. Calado RT, Clé DV. Treatment of inherited bone marrow failure syndromes beyond transplantation. Hematology Am Soc Hematol Educ Program. 2017; 2017(1): 96-101. [View at Publisher] [DOI:10.1182/asheducation-2017.1.96] [PubMed] [Google Scholar]
9. Constantinou A. Rescue of replication failure by Fanconi anaemia proteins. Chromosoma. 2012; 121(1): 21-36. [View at Publisher] [DOI:10.1007/s00412-011-0349-2] [PubMed] [Google Scholar]
10. Auerbach AD. Diagnosis of fanconi anemia by diepoxybutane analysis. Curr Protoc Hum Genet. 2003; Chapter 8:Unit 8.7. [DOI:10.1002/0471142905.hg0807s37] [PubMed] [Google Scholar]
11. Moorhead PS, Nowell PC, Mellman WJ, Battips Dt, Hungerford DA. Chromosome preparations of leukocytes cultured from human peripheral blood. Experimental cell research. 1960; 20(3): 613-6. [View at Publisher] [DOI:10.1016/0014-4827(60)90138-5] [PubMed] [Google Scholar]
12. Oostra AB, Nieuwint AW, Joenje H, De Winter JP. Diagnosis of fanconi anemia: chromosomal breakage analysis. Anemia. 2012;2012:238731. [View at Publisher] [DOI:10.1155/2012/238731] [PubMed] [Google Scholar]
13. Datta A, Brosh RM Jr. Holding All the Cards-How Fanconi Anemia Proteins Deal with Replication Stress and Preserve Genomic Stability. Genes (Basel). 2019 22;10(2):170. [DOI:10.3390/genes10020170] [PubMed] [Google Scholar]
14. Tootian S, Mahjoubi F, Rahnama M, Hormozian F, Mortezapour F, Razazian F,et al. Cytogenetic investigation in Iranian patients suspected with Fanconi anemia. J Pediatr Hematol Oncol. 2006 ;28(12):834-6. [View at Publisher] [DOI:10.1097/MPH.0b013e31802d3e1d] [PubMed] [Google Scholar]
15. Gordon-Smith EC, Rutherford TR. Fanconi anemia: constitutional aplastic anemia. Semin Hematol. 1991 ;28(2):104-12. PMID: 1876859. [PubMed] [Google Scholar]
16. Schroeder TM, Tilgen D, Krüger J, Vogel F. Formal genetics of Fanconi's anemia. Hum Genet. 1976 29;32(3):257-88. [View at Publisher] [DOI:10.1007/BF00295817] [PubMed] [Google Scholar]
17. Esmail Nia G, Fadaee M, Royer R, Najmabadi H, Akbari MR. Profiling Fanconi Anemia Gene Mutations among Iranian Patients. Arch Iran Med. 2016 ;19(4):236-40. PMID: 27041517. [PubMed] [Google Scholar]
18. Butturini A, Gale RP, Verlander PC, Adler-Brecher B, Gillio AP, Auerbach AD. Hematologic abnormalities in Fanconi anemia: an International Fanconi Anemia Registry study. Blood. 1994 1;84(5):1650-5. PMID: 8068955. [View at Publisher] [DOI:10.1182/blood.V84.5.1650.1650] [PubMed] [Google Scholar]
19. Kook H. Fanconi anemia: current management. Hematology. 2005;10 1:108-10 [View at Publisher] [DOI:10.1080/10245330512331390096] [PubMed] [Google Scholar]
20. Handin RI, Lux SE, Stossel TP. Blood: principles and practice of hematology: Lippincott Williams & Wilkins; 2003.
21. Petrovic S, Leskovac A, Kotur-Stevuljevic J, Joksic J, Guc-Scekic M, Vujic D,et al. Gender-related differences in the oxidant state of cells in Fanconi anemia heterozygotes. Biol Chem. 2011 ;392(7):625-32. [DOI:10.1515/bc.2011.064] [PubMed] [Google Scholar]
22. Pagano G, Degan P, d'Ischia M, Kelly FJ, Pallardó FV, Zatterale A,et al. Gender- and age-related distinctions for the in vivo prooxidant state in Fanconi anaemia patients. Carcinogenesis. 2004 ;25(10):1899-909. [View at Publisher] [DOI:10.1093/carcin/bgh194] [PubMed] [Google Scholar]

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