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MPIG6B Gene-Related Myelofibrosis: A Rare Inherited Disease That Is Frequently Described in Arab Population
Leen Jihad Attar1, Almothana Alelaimat1, Alaa Alshorman2
1Department of Hematopathology, The University of Jordan, Amman, Jordan.
Abstract:
The megakaryocyte and platelet inhibitory receptor gene G6P (MPIG6B) is located on chromosome 6p21.33. It encodes G6b-B; an inhibitory receptor expressed on the surface of platelets. It regulates platelets production, aggregation, and activation. We describe a case of a 31-year-old man who presented with a long history of thrombocytopenia, anemia, and hepatosplenomegaly. The patient received multiple blood transfusions and his clinical course was stable. A bone marrow biopsy showed morphologic features similar to primary myelofibrosis. Whole exome sequencing study was performed and revealed homozygous pathogenic mutation in exon 2 of MPIG6B gene (c.324C > A, p.Cys108Ter) that is the second reported case in literature. In this report, we describe the main clinical and pathologic features of this disease and review the literature of previously documented cases.
Insights
A rare genetic mutation in the megakaryocyte and platelet inhibitory receptor gene (MPIG6B) caused severe thrombocytopenia, anemia, and hepatosplenomegaly in a young man. This second reported case highlights MPIG6B
Area of Science:
- Hematology
- Genetics
- Molecular Biology
Background:
- The megakaryocyte and platelet inhibitory receptor gene (MPIG6B) encodes G6b-B, an inhibitory receptor on platelets.
- G6b-B plays a crucial role in regulating platelet production, aggregation, and activation.
Observation:
- A 31-year-old male presented with chronic thrombocytopenia, anemia, and hepatosplenomegaly.
- Bone marrow biopsy revealed features consistent with primary myelofibrosis.
Findings:
- Whole exome sequencing identified a homozygous pathogenic mutation (c.324C>A, p.Cys108Ter) in exon 2 of the MPIG6B gene.
- This represents the second reported case of MPIG6B mutation associated with these clinical features.
Implications:
- This case expands the understanding of MPIG6B-related hematologic disorders.
- Further research into MPIG6B function may reveal new therapeutic targets for platelet disorders.
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