Congenital sideroblastic anemia: Advances in gene mutations and pathophysiology

Congenital sideroblastic anemia (CSA) is a series of rare, heterogeneous disorders, characterized by iron overload in the mitochondria of erythroblasts and ringed sideroblasts in bone marrow. In recent years, rapid development of next-generation sequencing technology brings great advance in understa...

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Veröffentlicht in:Gene 2018-08, Vol.668, p.182-189
Hauptverfasser: Long, Zhangbiao, Li, Hongmin, Du, Yali, Han, Bing
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description Congenital sideroblastic anemia (CSA) is a series of rare, heterogeneous disorders, characterized by iron overload in the mitochondria of erythroblasts and ringed sideroblasts in bone marrow. In recent years, rapid development of next-generation sequencing technology brings great advance in understanding of genetic and pathophysiologic features of CSA. Based on the pathophysiology of mitochondrial iron metabolism, causative genes of CSA can be divided into three subtypes: heme biosynthesis related; iron‑sulfur cluster biosynthesis and transportation related; and mitochondrial respiratory chain synthesis related. Patients with CSA present various clinical manifestation due to relevant mutation gene and require different treatment strategies. The recognition of the causative genes and evolution of pathogenicity is critical. In this review, we summarize the recent progress in mutation genes of CSA, and its potential role in the pathogenesis, diagnosis and treatment.
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subjects Anemia, Sideroblastic - congenital
Anemia, Sideroblastic - genetics
Anemia, Sideroblastic - metabolism
Congenital sideroblastic anemia
Gene
Heme - biosynthesis
Humans
Iron - metabolism
Mitochondrial Proteins - biosynthesis
Mutation
Pathogenesis
title Congenital sideroblastic anemia: Advances in gene mutations and pathophysiology
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