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DOI: 10.1055/s-0031-1291378
Inherited Thrombocytopenia Due to GATA-1 Mutations
Publication History
Publication Date:
18 November 2011 (online)

ABSTRACT
The GATA family of transcription factors, including the founding member, GATA-1, have an important role in gene regulation. GATA-1 is integral to successful hematopoiesis. A wide variety of mutations in GATA-1 affect its function, as well as its interaction with its cofactors (especially Friend of GATA) and the genes upon which GATA-1 acts. Here we review the known mutations, focusing on the specific alterations within the amino acid sequence, the resulting effect on hematopoietic development, and the clinical manifestations that result. Attention is also paid to the relationship between Trisomy 21, also known as Down syndrome, and the phenomenon of a truncated GATA-1, named GATA-1s. The evidence for specific interaction between GATA-1 and chromosome 21, which may explain the correlation between these two mutations, is briefly reviewed.
KEYWORDS
GATA-1 - Friend of GATA - Trisomy 21 - thrombocytopenia - megakaryocytes
REFERENCES
- 1
Tsai S F, Martin D I, Zon L I, D'Andrea A D, Wong G G, Orkin S H.
Cloning of cDNA for the major DNA-binding protein of the erythroid lineage through
expression in mammalian cells.
Nature.
1989;
339
(6224)
446-451
MissingFormLabel
- 2
Zon L I, Tsai S F, Burgess S, Matsudaira P, Bruns G A, Orkin S H.
The major human erythroid DNA-binding protein (GF-1): primary sequence and localization
of the gene to the X chromosome.
Proc Natl Acad Sci U S A.
1990;
87
(2)
668-672
MissingFormLabel
- 3
Lowry J A, Mackay J P.
GATA-1: one protein, many partners.
Int J Biochem Cell Biol.
2006;
38
(1)
6-11
MissingFormLabel
- 4
Pevny L, Simon M C, Robertson E et al..
Erythroid differentiation in chimaeric mice blocked by a targeted mutation in the
gene for transcription factor GATA-1.
Nature.
1991;
349
(6306)
257-260
MissingFormLabel
- 5
Pevny L, Lin C S, D'Agati V, Simon M C, Orkin S H, Costantini F.
Development of hematopoietic cells lacking transcription factor GATA-1.
Development.
1995;
121
(1)
163-172
MissingFormLabel
- 6
Fujiwara Y, Browne C P, Cunniff K, Goff S C, Orkin S H.
Arrested development of embryonic red cell precursors in mouse embryos lacking transcription
factor GATA-1.
Proc Natl Acad Sci U S A.
1996;
93
(22)
12355-12358
MissingFormLabel
- 7
Shivdasani R A, Fujiwara Y, McDevitt M A, Orkin S H.
A lineage-selective knockout establishes the critical role of transcription factor
GATA-1 in megakaryocyte growth and platelet development.
EMBO J.
1997;
16
(13)
3965-3973
MissingFormLabel
- 8
Hirasawa R, Shimizu R, Takahashi S et al..
Essential and instructive roles of GATA factors in eosinophil development.
J Exp Med.
2002;
195
(11)
1379-1386
MissingFormLabel
- 9
Migliaccio A R, Rana R A, Sanchez M et al..
GATA-1 as a regulator of mast cell differentiation revealed by the phenotype of the
GATA-1low mouse mutant.
J Exp Med.
2003;
197
(3)
281-296
MissingFormLabel
- 10
Martin D I, Zon L I, Mutter G, Orkin S H.
Expression of an erythroid transcription factor in megakaryocytic and mast cell lineages.
Nature.
1990;
344
(6265)
444-447
MissingFormLabel
- 11
Wakabayashi J, Yomogida K, Nakajima O et al..
GATA-1 testis activation region is essential for Sertoli cell-specific expression
of GATA-1 gene in transgenic mouse.
Genes Cells.
2003;
8
(7)
619-630
MissingFormLabel
- 12
Balduini C L, Pecci A, Loffredo G et al..
Effects of the R216Q mutation of GATA-1 on erythropoiesis and megakaryocytopoiesis.
Thromb Haemost.
2004;
91
(1)
129-140
MissingFormLabel
- 13
Tsang A P, Fujiwara Y, Hom D B, Orkin S H.
Failure of megakaryopoiesis and arrested erythropoiesis in mice lacking the GATA-1
transcriptional cofactor FOG.
Genes Dev.
1998;
12
(8)
1176-1188
MissingFormLabel
- 14
Ohneda K, Yamamoto M.
Roles of hematopoietic transcription factors GATA-1 and GATA-2 in the development
of red blood cell lineage.
Acta Haematol.
2002;
108
(4)
237-245
MissingFormLabel
- 15
Cantor A B.
GATA transcription factors in hematologic disease.
Int J Hematol.
2005;
81
(5)
378-384
MissingFormLabel
- 16
Vyas P, Ault K, Jackson C W, Orkin S H, Shivdasani R A.
Consequences of GATA-1 deficiency in megakaryocytes and platelets.
Blood.
1999;
93
(9)
2867-2875
MissingFormLabel
- 17
Tsang A P, Visvader J E, Turner C A et al..
FOG, a multitype zinc finger protein, acts as a cofactor for transcription factor
GATA-1 in erythroid and megakaryocytic differentiation.
Cell.
1997;
90
(1)
109-119
MissingFormLabel
- 18
Chang A N, Cantor A B, Fujiwara Y et al..
GATA-factor dependence of the multitype zinc-finger protein FOG-1 for its essential
role in megakaryopoiesis.
Proc Natl Acad Sci U S A.
2002;
99
(14)
9237-9242
MissingFormLabel
- 19
Zhu Q, Watanabe C, Liu T et al..
Wiskott-Aldrich syndrome/X-linked thrombocytopenia: WASP gene mutations, protein expression,
and phenotype.
Blood.
1997;
90
(7)
2680-2689
MissingFormLabel
- 20
Mehaffey M G, Newton A L, Gandhi M J, Crossley M, Drachman J G.
X-linked thrombocytopenia caused by a novel mutation of GATA-1.
Blood.
2001;
98
(9)
2681-2688
MissingFormLabel
- 21
Nichols K E, Crispino J D, Poncz M et al..
Familial dyserythropoietic anaemia and thrombocytopenia due to an inherited mutation
in GATA1.
Nat Genet.
2000;
24
(3)
266-270
MissingFormLabel
- 22
Freson K, Devriendt K, Matthijs G et al..
Platelet characteristics in patients with X-linked macrothrombocytopenia because of
a novel GATA1 mutation.
Blood.
2001;
98
(1)
85-92
MissingFormLabel
- 23
Freson K, Matthijs G, Thys C et al..
Different substitutions at residue D218 of the X-linked transcription factor GATA1
lead to altered clinical severity of macrothrombocytopenia and anemia and are associated
with variable skewed X inactivation.
Hum Mol Genet.
2002;
11
(2)
147-152
MissingFormLabel
- 24
Ciovacco W A, Raskind W H, Kacena M A.
Human phenotypes associated with GATA-1 mutations.
Gene.
2008;
427
(1-2)
1-6
MissingFormLabel
- 25
Del Vecchio G C, Giordani L, De Santis A, De Mattia D.
Dyserythropoietic anemia and thrombocytopenia due to a novel mutation in GATA-1.
Acta Haematol.
2005;
114
(2)
113-116
MissingFormLabel
- 26
White J G.
Platelet pathology in carriers of the X-linked GATA-1 macrothrombocytopenia.
Platelets.
2007;
18
(8)
620-627
MissingFormLabel
- 27
White J G, Nichols W L, Steensma D P.
Platelet pathology in sex-linked GATA-1 dyserythropoietic macrothrombocytopenia II.
Cytochemistry.
Platelets.
2007;
18
(6)
436-450
MissingFormLabel
- 28
Raskind W H, Niakan K K, Wolff J et al..
Mapping of a syndrome of X-linked thrombocytopenia with Thalassemia to band Xp11-12:
further evidence of genetic heterogeneity of X-linked thrombocytopenia.
Blood.
2000;
95
(7)
2262-2268
MissingFormLabel
- 29
Hughan S C, Senis Y, Best D et al..
Selective impairment of platelet activation to collagen in the absence of GATA1.
Blood.
2005;
105
(11)
4369-4376
MissingFormLabel
- 30
Tubman V N, Levine J E, Campagna D R et al..
X-linked gray platelet syndrome due to a GATA1 Arg216Gln mutation.
Blood.
2007;
109
(8)
3297-3299
MissingFormLabel
- 31
Yu C, Niakan K K, Matsushita M, Stamatoyannopoulos G, Orkin S H, Raskind W H.
X-linked thrombocytopenia with thalassemia from a mutation in the amino finger of
GATA-1 affecting DNA binding rather than FOG-1 interaction.
Blood.
2002;
100
(6)
2040-2045
MissingFormLabel
- 32
Mori K, Suzuki S, Sugai K.
Electron microscopic and functional studies on platelets in gray platelet syndrome.
Tohoku J Exp Med.
1984;
143
(3)
261-287
MissingFormLabel
- 33
Salles I I, Feys H B, Iserbyt B F, De Meyer S F, Vanhoorelbeke K, Deckmyn H.
Inherited traits affecting platelet function.
Blood Rev.
2008;
22
(3)
155-172
MissingFormLabel
- 34
Clauser S, Cramer-Bordé E.
Role of platelet electron microscopy in the diagnosis of platelet disorders.
Semin Thromb Hemost.
2009;
35
(2)
213-223
MissingFormLabel
- 35
Gunay-Aygun M, Zivony-Elboum Y, Gumruk F et al..
Gray platelet syndrome: natural history of a large patient cohort and locus assignment
to chromosome 3p.
Blood.
2010;
116
(23)
4990-5001
MissingFormLabel
- 36
Balduini C L, De Candia E, Savoia A.
Why the disorder induced by GATA1 Arg216Gln mutation should be called “X-linked thrombocytopenia
with thalassemia” rather than “X-linked gray platelet syndrome”.
Blood.
2007;
110
(7)
2770-2771
author reply 2771
MissingFormLabel
- 37
Phillips J D, Steensma D P, Pulsipher M A, Spangrude G J, Kushner J P.
Congenital erythropoietic porphyria due to a mutation in GATA1: the first trans-acting
mutation causative for a human porphyria.
Blood.
2007;
109
(6)
2618-2621
MissingFormLabel
- 38
Bishop D F, Schneider-Yin X, Clavero S, Yoo H W, Minder E I, Desnick R J.
Congenital erythropoietic porphyria: a novel uroporphyrinogen III synthase branchpoint
mutation reveals underlying wild-type alternatively spliced transcripts.
Blood.
2010;
115
(5)
1062-1069
MissingFormLabel
- 39
Ged C, Moreau-Gaudry F, Richard E, Robert-Richard E, de Verneuil H.
Congenital erythropoietic porphyria: mutation update and correlations between genotype
and phenotype.
Cell Mol Biol (Noisy-le-grand).
2009;
55
(1)
53-60
MissingFormLabel
- 40
Hindmarsh J T.
The porphyrias: recent advances.
Clin Chem.
1986;
32
(7)
1255-1263
MissingFormLabel
- 41
Hollanda L M, Lima C S, Cunha A F et al..
An inherited mutation leading to production of only the short isoform of GATA-1 is
associated with impaired erythropoiesis.
Nat Genet.
2006;
38
(7)
807-812
MissingFormLabel
- 42
Wechsler J, Greene M, McDevitt M A et al..
Acquired mutations in GATA1 in the megakaryoblastic leukemia of Down syndrome.
Nat Genet.
2002;
32
(1)
148-152
MissingFormLabel
- 43
Roy A, Roberts I, Norton A, Vyas P.
Acute megakaryoblastic leukaemia (AMKL) and transient myeloproliferative disorder
(TMD) in Down syndrome: a multi-step model of myeloid leukaemogenesis.
Br J Haematol.
2009;
147
(1)
3-12
MissingFormLabel
- 44
Tigay J H.
A comparison of acute lymphoblastic leukemia in Down syndrome and non-Down syndrome
children: the role of trisomy 21.
J Pediatr Oncol Nurs.
2009;
26
(6)
362-368
MissingFormLabel
- 45
Ahmed M, Sternberg A, Hall G et al..
Natural history of GATA1 mutations in Down syndrome.
Blood.
2004;
103
(7)
2480-2489
MissingFormLabel
- 46
Crispino J D.
GATA1 in normal and malignant hematopoiesis.
Semin Cell Dev Biol.
2005;
16
(1)
137-147
MissingFormLabel
- 47
Crispino J D.
GATA1 mutations in Down syndrome: implications for biology and diagnosis of children
with transient myeloproliferative disorder and acute megakaryoblastic leukemia.
Pediatr Blood Cancer.
2005;
44
(1)
40-44
MissingFormLabel
- 48
Creutzig U, Reinhardt D, Diekamp S, Dworzak M, Stary J, Zimmermann M.
AML patients with Down syndrome have a high cure rate with AML-BFM therapy with reduced
dose intensity.
Leukemia.
2005;
19
(8)
1355-1360
MissingFormLabel
- 49
Waltzer L, Ferjoux G, Bataillé L, Haenlin M.
Cooperation between the GATA and RUNX factors Serpent and Lozenge during Drosophila
hematopoiesis.
EMBO J.
2003;
22
(24)
6516-6525
MissingFormLabel
- 50
Elagib K E, Racke F K, Mogass M, Khetawat R, Delehanty L L, Goldfarb A N.
RUNX1 and GATA-1 coexpression and cooperation in megakaryocytic differentiation.
Blood.
2003;
101
(11)
4333-4341
MissingFormLabel
Melissa A KacenaPh.D.
Assistant Professor, Department of Orthopaedic Surgery, Indiana University School
of Medicine
1120 South Drive, FH 115, Indianapolis, IN 46202
Email: mkacena@iupui.edu